Primecuts – This Week In The Journals

April 12, 2016
Primecuts – This Week In The Journals

By Neha Jindal, MD

Peer Reviewed

Pharmaceutical companies made headlines last week when the $150 billion Pfizer-Allergan merger was called off shortly after the Obama administration issued new rules designed to crack down on corporate tax avoidance.  This comes on the heels of reports that major drug companies have set significantly higher prices on medications in the last five years.  According to a Reuters analysis, four of the top ten prescribed drugs in the United States had a price increase of over 100% since 2011.  …

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From The Archives – Gout: A Disease of the Blessed or a Blessing in Disguise?

April 7, 2016
From The Archives – Gout: A Disease of the Blessed or a Blessing in Disguise?

Please enjoy this article From The Archives dated June 8, 2012

By Krithiga Sekar

Faculty Peer Reviewed

“The patient goes to bed and sleeps quietly until about two in the morning when he is awakened by a pain which usually seizes the great toe, but sometimes the heel, the calf of the leg or the ankle… so exquisitely painful as not to endure the weight of the clothes nor the shaking of the room from a person walking briskly therein.”

—Thomas Sydenham  (1683)

Gout, an …

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Primecuts – This Week In The Journals

April 5, 2016
Primecuts – This Week In The Journals

By Ajay Prakash, MD

Peer Reviewed

Another week, and the Republican Primary continues to provide significant political intrigue. Donald Trump’s national and primary poll numbers collapse in the wake of a disastrous town hall performance , largely based on his continuing inability to define his stances on any major issue. The fight between Clinton and Sanders becomes more heated as both celebrities , and the candidates themselves have strong words about their respective campaigns. And, in a turn of events which almost …

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From The Archives: Should Patients With Nephrotic Syndrome Receive Anticoagulation?

March 31, 2016
From The Archives: Should Patients With Nephrotic Syndrome Receive Anticoagulation?

Please enjoy this post from the Archives dated May 9, 2012 By Jennifer Mulliken

Faculty Peer Reviewed

Case 1:

A 30-year-old African-American male with a history of bilateral pulmonary emboli presents with a 1-week history of bilateral lower extremity edema. Blood pressure is 138/83, cholesterol 385, LDL 250, albumin 2.9. Urinalysis shows 3+ protein. Twenty-four hour urinary protein is 7.2 grams.

Case 2:

A 47-year-old Hispanic male with a history of mild hypertension and venous insufficiency presents with a 3-month history of bilateral lower extremity …

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Outpatient Rhythm Monitoring: Available Options and Diagnostic Yield

March 29, 2016
Outpatient Rhythm Monitoring: Available Options and Diagnostic Yield

By Iulia Giuroiu, MD

Peer Reviewed

A 70-year-old woman with hypertension, early dementia, and non-specific chest pain of unclear etiology presents with recurrent left-sided chest pain. Unfortunately, she is a poor historian; it appears that her chest pain is similar to past episodes. Prior workups, which included an echocardiogram, had been unremarkable. To confound matters further, the patient’s current pain appears to be reproducible when pressure is applied to her chest. She is admitted overnight for close observation. No electrocardiogram (ECG) changes are found and …

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Presidential Politics-How Do the Candidates Healthcare Policies Measure Up?

March 25, 2016
Presidential Politics-How Do the Candidates Healthcare Policies Measure Up?

By Ajay Prakash, MD

Peer Reviewed

Discussions about healthcare policy have played a central role throughout the presidential primaries. It is incredibly important for healthcare providers to have an understanding of healthcare’s current state and the manner in which each of the presidential candidates intends to reform it. This work will describe the public positions espoused by the presidential candidates in both the Republican and Democratic primaries. Where specifics are available, we will provide them. Where they are not, we will attempt to highlight those …

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Primecuts – This Week In The Journals

March 22, 2016
Primecuts – This Week In The Journals

By Vaughan Tuohy, MD

Peer Reviewed

This week saw the beginning of March Madness  with major upsets by 15-seed Middle Tennessee over 2-seed (and perennial contender) Michigan State, Hawaii over California, Stephen F. Austin over West Virginia, Little Rock over Purdue, and Yale over Baylor. Although in the 30+ years of the NCAA tournament, a 16-seed has yet to defeat a 1-seed, popular statistics wizard Nate Silver determined that the Middle Tennessee victory was perhaps the third biggest tournament upset of all time.  He …

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Exercise-Induced Rhabdomyolysis: How Fitness May Actually Be Hurting You

March 17, 2016
Exercise-Induced Rhabdomyolysis: How Fitness May Actually Be Hurting You

By Jessica Morgan

Peer Reviewed

CrossFit and SoulCycle. To many people these words mean nothing. However, ask any twenty-something or college student and they will probably tell you they have participated in a class or two, or have a friend who participates. Depending on whom you approach, you might even get the sense that these are not just exercise classes, but more like a spiritual experience or a tight-knit community of like-minded individuals, all striving for physical excellence. Some have accused these programs of being …

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