Mystery Quiz- The Answer

July 30, 2008

Posted by Nishay Chitkara MD, Instructor of Clinical Medicine, Division of Pulmonary and Critical Care Medicine, Vivian Hayashi MD, Instructor of Clinical Medicine, Division of General Internal Medicine and Robert Smith MD, Associate Professor of Medicine, Division Pulmonary and Critical Care Medicine

The answer to last week’s mystery quiz is bacterial pneumonia. A number of possible diagnoses may be considered for the left lower lobe mass-like density refractory to antibiotic therapy. A bronchogenic cyst can occur as a mediastinal or intrapulmonary mass. The…

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ShortCuts-This Week in the Journals

July 28, 2008
ShortCuts-This Week in the Journals

Commentary by Michael Tanner MD, Section Editor, Clinical Correlations

This week in the Lancet, a study of the life expectancy of HIV-positive patients in affluent countries highlights the amazing gains made in this disease. The Antiretroviral Therapy Cohort Collaboration reports that a 20-year-old person starting combination antiretroviral therapy (cART) has an average life expectancy of 43 years. A 35-year-old starting cART can look forward to another 32 years of life. That adds up to half-price-Metro-Card eligibility! Life expectancy is 10 years shorter for…

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Clinical Pathology Conference 7/08 – The Answer

July 25, 2008

Case Presentation by James Tsay MD, Chief Resident

Please review the posting of our prior CPC here.

When you’re ready you can download the CPC Answer.

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Mystery Quiz

July 23, 2008
Mystery Quiz

Posted by Nishay Chitkara MD, Instructor of Clinical Medicine, Division of Pulmonary and Critical Care Medicine, Vivian Hayashi MD, Instructor of Clinical Medicine, Division of General Internal Medicine and Robert Smith MD, Associate Professor of Medicine, Division Pulmonary and Critical Care Medicine 

A 49 year old undomiciled male with a history of hepatitis C, mycobacterium avium complex colonization of the lungs, and active alcohol abuse presented with fevers, cough productive of green sputum, and an elevated white blood cell count. His symptoms were persistent despite broad…

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ShortCuts-This Week in the Journals

July 21, 2008
ShortCuts-This Week in the Journals

Commentary by Cara Litvin MD, Executive Editor, Clinical Correlations

First let’s start off with some rare  good news in the political arena. Last week, the Senate overwhelmingly voted to override President Bush’s veto on a controversial Medicare bill that reverses a scheduled 10.6% cut in Medicare payments to doctors.  Senator Edward Kennedy even made a dramatic appearance to cast his vote. The bill also reduces federal payments to private Medicare Advantage plans. The government currently subsidizes Medicare Advantage plans, paying on average 13% more…

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Dietary Issues after Bariatric Surgery

July 18, 2008
Dietary Issues after Bariatric Surgery

Commentary by Melissa Freeman MD, Endocrinology Section Editor

A new outpatient Bariatric Surgery Clinic recently opened at Bellevue Hospital Center. This clinic offers laparoscopic adjustable gastric banding to patients 18 years of age or older who meet specific BMI and medical criteria. This life-altering surgery is now covered by Medicaid and those who are uninsured can work with financial counselors to obtain funding through special HHC programs. While the surgeons diligently educate their patients on their dietary transitions and requirements after surgery, primary care physicians,…

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Clinical Pathology Conference 7/08

July 17, 2008
Clinical Pathology Conference 7/08

Case presentation by James Tsay, Chief Resident

Welcome to the monthly posting of our NYU Department of Medicine’s Clinical Pathology Conference. Use the link below to review the case, followed by a slide presentation of the radiological findings. Feel free to make your diagnosis by clicking the comment field. We will reveal the answer next week.

Clinical Pathology Conference Case Presentation

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More Health Care Is Not Better

July 16, 2008
More Health Care Is Not Better

Surprising results from the Datmouth Atlas of Health Care

Commentary by Zackary Berger MD PhD, PGY-3, Health Care Policy Section Editor

What explains the large variation in health care costs across the country? You would expect that the regions with the highest health care expenditures have the sickest patients, or have the highest prevalence of chronic health conditions.

But you would be wrong. Health care expenditures are highest where health care supply is the highest. As the number of hospital beds,…

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