Hyperparathyroidism in Chronic Kidney Disease

June 13, 2007
Hyperparathyroidism in Chronic Kidney Disease

Commentary by Sarah Berry MD, PGY-3 and Joseph Weisstuch, MD Clinical Assistant Professor of Medicine, Divsion of Nephrology

Case: Mr. K is a 59 year old gentleman with a past medical history of hypertension, non-insulin dependent diabetes mellitus, dyslipidemia and worsening chronic kidney disease (CKD) over the last six years, despite compliance with his medications and optimized glucose and blood pressure control. His current medication regimen includes metoprolol, hydrochlorothiazide, aspirin, simvastatin, glyburide, and monopril. Mr. K’s most recent lab work indicates that his…

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Clinical Commentary: The Travesty of Grinding Axes with Science: Rosiglitazone and Cardiac Risk

June 12, 2007
Clinical Commentary: The Travesty of Grinding Axes with Science: Rosiglitazone and Cardiac Risk

Welcome to our first blog commentary. One of the purposes of the blog is to generate discussion about issues in health care. This “Clinical Commentary” section is an invitation to our housestaff and faculty to submit their own thoughts and viewpoints on current issues. The views expressed in this section are soley those of the authors and do not necessarily represent the views of Clinical Correlations.

Commentary by Gregory Mints MD and Nirav Shah MD, MPH

The meta-analysis of Rosiglitazone’s effect on cardiovascular events…

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ShortCuts- This Week in the Journals

June 11, 2007
ShortCuts- This Week in the Journals

It has been a little while, but stem cells are back in the news. Congress has passed legislation to provide more money for stem cell research, but did not reach a veto-proof majority. Meanwhile, scientists at MIT have successfully transformed mice skin cells into the equivalent of embryonic stem cells. The presumption is that these cells, which are indistinguishable from embryonic stems cells can then be forced to develop into any tissue under the proper stimulation. While this approach might obviate the need to…

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Clinical Pathology Conference 6/8/07

June 7, 2007
Clinical Pathology Conference 6/8/07

Welcome to the monthly posting of our NYU Department of Medicine’s Clinical Pathology Conference. Use the links below to review the case and the radiological findings. Our faculty and medical students will be attempting to diagnose this unknown case Friday in the 17 West Conference Room at Bellevue Hospital. Feel free to make your diagnosis by clicking the comment field below. For those who are unable to attend the live conference, we will reveal the answer next week.

CPC 6/8/07

CPC Radiology 6/8/07…

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Can you switch a patient from insulin to oral agents?

June 6, 2007
Can you switch a patient from insulin to oral agents?

  A 48 year old male is diagnosed with type 2 Diabetes Mellitus after presenting to the emergency room with symptoms of hyperglycemia. He was immediately started on insulin and has been very compliant with his regimen. His initial Hemoglobin A1C at the time of diagnosis was 15.  However, over the past few months, due to hypoglycemia, his insulin dosage has been titrated down. He is currently on low doses of NPH and aspart, with an A1C of 6.6. Would it be possible to

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Meeting Perspectives: 2007 American Thoracic Society International Conference

June 5, 2007
Meeting Perspectives: 2007 American Thoracic Society International Conference

Commentary by Doreen Addrizzo-Harris MD, Associate Professor, Division of Pulmonary and Critical Care Medicine

The 2007 American Thoracic Society (ATS) meeting took place between May18-23 in San Francisco, California at the Moscone Conference center.  There were more than 400 sessions, 800 speakers and 5,500 original research abstracts.  The meeting is concentrated in the areas of pulmonary, critical care and sleep medicine.

The NYU Division of Pulmonary and Critical Care medicine, under the direction of Dr. William N. Rom, presented more than 30…

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ShortCuts-This Week in the Journals

June 4, 2007
ShortCuts-This Week in the Journals

Much of the week in the media was spent discussing XDR TB. Andrew Speaker, a man on his way to his wedding in Santorini Greece (the picture of his wedding is to the right) managed to evade US security multiple times. The story is convoluted with many people telling different versions. It appears that he has smear negative, culture positive XDR-TB. His now father-in-law is a TB researcher, who insists that his new son-in-law did not catch it from his lab. Most importantly, when officials…

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Meeting Perspectives-Internal Medicine 2007-The American College of Physicians,Part 2 (continued)

June 1, 2007
Meeting Perspectives-Internal Medicine 2007-The American College of Physicians,Part 2 (continued)

Commentary by Mitchell Charap, MD Senior Associate Program Director, NYU Internal Medicine Residency Program

I now return (See previous post) to my discussion of the STAR *D report (Am J Psychiatry. 2006;106) which is a very important study of antidepressant therapy conducted by NIMH. 4000 patients at 41 sites (18 general medical settings). There was no placebo control. Those patients who failed monotherapy with citalopram (up to 60 mg) were offered two options: switching to another therapy or…

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