Part I- Subclinical Thyroid Dysfunction: To Treat or Not to Treat?

July 31, 2007
Part I- Subclinical Thyroid Dysfunction: To Treat or Not to Treat?

Commentary by Melissa Freeman MD, PGY2

Modern day science has revealed to us the intricate relationships that thyroid hormones have with multiple systems of the human body.  Many of today’s physicians find themselves checking patients’ thyroid function tests (TFTs) almost as reflexively as a baseline basic metabolic panel. Yet, what seems to the physician to be a harmless bit of thoroughness can often turn into hours of inquisitive head scratching if the TFTs reveal subclinical thyroid dysfunction, especially since automated assays for TFTs are more…

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ShortCuts-This Week in the Journals

July 30, 2007
ShortCuts-This Week in the Journals

Commentary by Henry Tran, MD

This week we will be highlighting a few articles examining risk factors for the development of obesity & the metabolic syndrome, a treatment for hypertrophic cardiomyopathy, and hospital rankings.

Many people think that soft drink consumption has been a major contributing factor to the global epidemic of obesity.  So is there an association between drinking soda and metabolic risk factors for heart diseases?  A study by Dhingra et al. published online by Circulation examined a cohort of…

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Clinical Pathology Conference 7/20/07-The Answer

July 27, 2007

Case Presentation By: Kartikya Ahuja, Chief Resident

Please review the posting of last week’s CPC Case here.

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

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Clinical Pharmacy Corner: Sulfonamide Allergy and Cross-Reactivity

July 26, 2007
Clinical Pharmacy Corner: Sulfonamide Allergy and Cross-Reactivity

Commentary By Susan Morey PharmD, Pharmacy Practice Resident

Approximately 3% of patients who use sulfonamide antibiotics develop an allergic reaction, with the most common being the development of a maculopapular rash. (1, 2, 3) Sulfonamides are chemical compounds which contain a SO2NH2 moiety and can be divided into 3 groups based on their structure. (1, 2)  The first group, the sulfonylarylamines includes the sulfonamide antibiotics. The second group, the nonsulfonylarylamines, includes carbonic anhydrase inhibitors (CAI), cyclooxygenase 2 (COX-2) inhibitors, loop diuretics, thiazides, and…

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X-Ray Visions: Update on Nephrogenic Systemic Fibrosis and Gadolinium Contrast MRI

July 24, 2007
X-Ray Visions: Update on Nephrogenic Systemic Fibrosis and Gadolinium Contrast MRI

Commentary by Andrew Hardie MD, Body MRI Fellow, NYU Dept of Radiology

The recent discovery of a link between Nephrogenic Systemic Fibrosis (NSF) and the administration of gadolinium contrast for MRI examinations has sent the imaging world scrambling. NSF is a debilitating fibrosing reaction primarily involving the skin and, to a variable degree, internal organs. While longitudinal studies currently do not exist to help determine which patients can be safely administered gadolinium, it is clear that severe renal dysfunction, including those patients on…

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ShortCuts-This Week in the Journals

July 23, 2007
ShortCuts-This Week in the Journals

Commentary by Michael Poles MD, Associate Editor Clinical Correlations

Let’s start with a plea to counsel our patients, family members and friends to undergo colorectal cancer screening as it was reported yesterday that President Bush had 5 polyps removed from his colon.

Out of the newspapers and into the journals, we see that the Lancet is reporting that long-term antiretroviral therapy restores CD4 counts in HIV patients to normal. These antiretroviral-naïve patients, if they maintained undetectable viral loads below 50 copies/ml and…

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Clinical Question: How do you manage plantar fasciitis?

July 19, 2007
Clinical Question: How do you manage plantar fasciitis?

Commentary by Cathy Cruise, M.D. Director Department of Veterans Affairs Care Coordinator, Chair Rehabilitation Council

Case: A 25 year old woman with no significant past medical history presents to walk-in clinic complaining of several days of right heel pain. She notes that the pain is quite sharp and worst when walking. It is so severe that she has skipped her morning run for three consecutive days. She has tried taking acetaminophen which has provided minimal symptom relief. Physical exam reveals mild swelling and…

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Class Act: Is there evidence to support chiropractic care of low back pain?

July 18, 2007
Class Act: Is there evidence to support chiropractic care of low back pain?

Welcome to Class Act, a new feature of Clinical Correlations. Class act will feature posts written by NYU 3rd and 4th year medical students. These posts will focus on evidenced based answers to clinical questions related to patients seen by our students in the clinics or on the wards. Prior to publication, each commentary is thoroughly reviewed for content by a faculty member. Enjoy…

Commentary by Brian Liem, MSIV

A 52 year old male with no medical problems presents to your clinic with a…

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