Don’t Pass the Olives…

April 18, 2007
Don’t Pass the Olives…

This week, olives from several different companies were found to contain Clostridium Botulinum. No cases of botulism have been reported to date, but this is an opportunity to review the pertinent clinical findings.

Botulism is caused by exposure to the botulinum neurotoxin in clostridium botulinum. There are eight toxin strains identified, 4 are known to cause disease in humans. The toxin is produced only in an anaerobic environment, so bottled or canned food products are a good source of infection. Food may smell…

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ShortCuts: This Week in the Journals

April 16, 2007
ShortCuts: This Week in the Journals

Overall, it seemed like a relatively quiet week in the news world. Winter weather perseveres, Larry Birkhead is the father, and Sanjaya is still singing (or trying to). A perusal of the week’s medicine journals, however, is somewhat uplifting as it reminds us of the expansive scope of medicine.

Beginning on the broad public health front, the CDC announced this week that it was changing its recommendations for the treatment of gonorrhea due to increasing drug resistance. Fluoroquinolones, once recommended as first-line treatment…

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Quick Thinking Part 3

April 13, 2007
Quick Thinking Part 3

Welcome to Quick Thinking. A case is presented in short sections to a faculty expert who will comment on their approach to the patient as the case unfolds. These posts will focus on determining the initial differential diagnoses and diagnostic workups of complicated patient presentations.

Part 1 can be found here.  Part 2 can be found here.

Part 3 Presented by Elizabeth Ross, PGY-3:

Labs:
WBC–5.0  N63, L26, M10
Hgb-11, HCT-30, Plts 193

Na 128, K 3.6, Cl 95, CO2 23, BUN/creat 15/1.1

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New Guidelines on the Diagnosis and Treatment of Venous Thromboembolism-Part 1

April 12, 2007
New Guidelines on the Diagnosis and Treatment of Venous Thromboembolism-Part 1

Commentary By: Margaret Horlick, MD, PGY-3

New guidelines on the diagnosis and treatment of venous thromboembolism (VTE) were recently jointly issued by the American Academy of Family Physicians and the American College of Physicians. The guidelines are based on a systematic review of the evidence and are published, along with the systematic reviews, in the 2/2007 and 3/2007 issues of the Annals of Internal Medicine.

According to the reviews, there are 600,000 cases of VTE in the US annually, and the…

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Does Screening for Lung Cancer Improve Mortality?

April 10, 2007
Does Screening for Lung Cancer Improve Mortality?

Commentary By: Anna Dvorak, MDPGY-3

Lung cancer is the number one cause of cancer mortality in both men and women. Screening patients at risk for lung cancer might reduce mortality if it helps find cancers at an early stage while they are still resectable. Randomized studies done in the 1970s showed that screening for lung cancer with chest x-ray did not support this theory. Chest x-rays identified more small tumors, but resecting them did not improve mortality. The question of whether screening with chest CT…

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ShortCuts-This Week in the Journals

April 9, 2007
ShortCuts-This Week in the Journals

The April 3rd issue of the Annals provides guidelines for screening mammography in women age 40-49. In the article and an accompanying editorial, the authors suggest that in women younger than age 50, the possible modest benefit of routine mammography screening for women in their 40s may be outweighed by the risk of false-positive results and the resultant repeated exams, biopsies, etc. As always, we should individualize our recommendations to our patients. Annals Link

As long as we are discussing mammography,…

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Quick Thinking Part 2

April 6, 2007
Quick Thinking Part 2

Welcome to Quick Thinking a new feature of Clinical Correlations. A case will be presented in short sections to a faculty expert who will comment on their approach to the patient as the case unfolds. These posts will focus on the thought process involved in determining the initial differential diagnoses and diagnostic workups of complicated patient presentations.

Part 1 can be found here.

Part 2 of Case Presentation By:Elizabeth Ross PGY-3

He was originally seen at Elmhurst Hospital and transferred to Bellevue Hospital.  On presentation…

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Meeting Perspectives: The 2007 American College of Cardiology Scientific Session

April 5, 2007
Meeting Perspectives: The 2007 American College of Cardiology Scientific Session

Commentary By: Steven Sedlis, MD Associate Professor of Medicine, Chief, Division of Cardiology Manhattan Veterans Administration Medical Center

The 56th annual scientific session of the American College of Cardiology was held in New Orleans on March 24-27.  The site of the meeting had been selected before hurricane Katrina; the ACC re-affirmed its commitment last year when the devastation caused by the storm was still fresh and when future prospects for southern Louisiana were still uncertain. The ACC meeting was by far the largest…

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