Mystery Quiz-The Answer

June 19, 2015
Mystery Quiz-The Answer

Vivian Hayashi MD, Robert Smith MD

The answer to the mystery quiz is methicillin-resistant S. aureus (MRSA) pneumonia. The initial CXR (image 4) showed increased density in the area of the left hilum, hinting at a process in the superior segment of the left lower lobe. The next CXR (image 5) showed an airspace process in the left lower lobe that had rapidly evolved over 2 days. An interstitial process can be seen, as well, along with airspace disease (image 5, arrow). In addition, there …

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Mystery Quiz

June 18, 2015
Mystery Quiz

Vivian Hayashi MD, Robert Smith MD

The patient is a 46 year old female who presented to the emergency room with breathlessness, productive cough, subjective fever, and myalgia for one week. Her history was notable for mild persistent asthma treated with tiotropium, mometasone, formoterol, and albuterol as needed. The patient was homeless and lived in a shelter. She was poorly compliant with her medications. In the ER, the patient had a pulse rate of 102 bpm, was afebrile with normal blood pressure, and had diffuse …

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Primecuts – This Week In The Journals

June 17, 2015
Primecuts – This Week In The Journals

By Arvind Reddy Devanabanda, MD

Peer Reviewed

Americans are anxiously awaiting a Supreme Court ruling in King v. Burwell. In this case, the existence of federal subsidies for health insurance coverage in 34 states is at risk. If the Supreme Court rules against the administration, average premiums in some states could double and this may lead to thousands dropping out of their health plans, which would hurt both Democrats and Republicans, and more importantly, American health care in general . This week, we also look …

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Spotlight Case Part 2: Hypergammaglobulinemia and defective humoral immunity in HIV-infected patients

June 12, 2015
Spotlight Case Part 2: Hypergammaglobulinemia and defective humoral immunity in HIV-infected patients

By Stephen Armenti, MD

Peer Reviewed

Please see Part 1 of this Spotlight Case which can be found here.

Case Report

A 45-year-old man with a history of mild intermittent asthma presented with two days of right knee pain and swelling accompanied by subjective fevers, shaking chills, and night sweats. He also reported one day of right calf and left groin pain. The patient denied a history of joint trauma, underlying joint disease, or surgery. There was no history of intravenous drug use, recent travel, …

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FROM THE ARCHIVES – Cardiac Murmur Websites: An Internet Review of Common Cardiac Auscultation Websites

June 11, 2015
FROM THE ARCHIVES – Cardiac Murmur Websites: An Internet Review of Common Cardiac Auscultation Websites

Please enjoy this Post from the archives dated February 29, 2012

By Rachel Bond, MD

Faculty Peer Reviewed

In the field of medicine including the art of physical diagnosis, there is nothing more nerve provoking then having to master the art of cardiac auscultation. Imagine the concern of medical students, residents, internists and freshly starting cardiologists all alike who are asked by patients time and time again, “does my heart sound okay?!” With the advancement in technology and the rapid surge of echocardiogram usage, the …

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Primecuts – This Week In The Journals

June 9, 2015
Primecuts – This Week In The Journals

By: Karin Katz, MD

This past week, American Pharoah won Belmont and was the first Triple Crown winner in 37 years. “The Curious Incident of the Dog in the Night-Time” won best play at the 69th annual Tony Awards. Caitlyn Jenner made her debut on the cover of Vanity Fair. Now let’s turn our attention away from the Kardashians and back to the latest in medical news.

Not all 30-day readmissions are created equally

The Annals of Internal Medicine published a study evaluating differences between …

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Defiance

June 5, 2015
Defiance

By Amar Parikh, MD

I recently visited The Metropolitan Museum of Art and stumbled across this sculpture called “Woman of Venice II” by Alberto Giacometti. It made me recall an experience I had with a patient on the hematology service this past autumn, and I could not help but marvel at how my patient and this work of art seemed to echo each other. Below is my effort at articulating some of the thoughts I had when I saw this sculpture.

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Primecuts – This Week In The Journals

June 1, 2015
Primecuts – This Week In The Journals

By Samir Bhalla, MD

Peer Reviewed

Earlier this week, 14 individuals with ties to FIFA were indicted by US attorney general Loretta Lynch on charges of racketeering, corruption and conspiracy. A collaborative Swiss investigation remains underway to assess for corruption with regards to the 2018 and 2022 World Cup bids. These indictments raise questions into the integrity of FIFA, however will hopefully lead to significant improvements within the organization governing the world’s most popular sport.

Efficacy and Safety of a Recombinant Herpes Zoster Vaccine

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