Diagnostic Dilemma #1

November 7, 2006
Diagnostic Dilemma #1

The first in our series of clinical cases with difficult management questions… Question: 59 y.o. male with pmh notable for hyperlipidemia. Pt had normal lft's, which increased mildly when he was put on a statin. His basic hepatitis screen including A, B and C were all negative, but an iron/tibc was 61% with a nl ferritin. A hemochromatosis gene analysis was sent which revealed a single mutation c282y-and he was designated a carrier. U/s showed a midly heterogeneous hepatic echotexture with no discrete lesions.
Questions
1:…

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Palm Pilot Software

November 6, 2006
Palm Pilot Software

For those of you with palmpilots or treos this site Ectopic Brain is an excelent resource for all medical software written for the pda. Updated almost daily it features palm specific software with full well written reviews. We’ll be highlighting useful pda software over the next several weeks so stay tuned…

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Statins and CHF

November 3, 2006
Statins and CHF

This week’s JAMA has an enormous study that looks at chf patients and the use of statins. Data from ~25,000 patients with chf were analyzed for use of statin in the 120 days prior to the initial chf diagnosis. Mortality risk was significantly lower for statin users than nonusers (hazard ratio 0.79), as was hospitalization (hr 0.80). Findings did not change by etiology of chf or whether the patient had cad. The press is taking this study to mean all patients with chf should be

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Headlines: Salmonella Outbreak

November 2, 2006

The CDC and the FDA announced yesterday that they are investigating an outbreak of Salmonella typhimurium illness that has affected at least 171 people in 19 states. Symptoms include fever and nonbloody diarrhea. The outbreak seems to be subsiding and they are still unclear as to the source suspecting tomatoes or letuce. No deaths as of yet, 11 patients hosptialized. Cases have been seen in Arkansas, Connecticut, Georgia, Indiana, Kentucky, Maine, Massachusetts, Michigan, Minnesota, North Carolina, New Hampshire, Ohio, Pennsylvania, Rhode Island, Tennessee, Virginia, Vermont,

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Syncope W/U

November 1, 2006
Syncope W/U

Don’t forget to ask your patients whether they recently attended a screening of Saw III when they are admitted with syncope…

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Listen Now to Thyroid Disorders

October 31, 2006

Check out this example of the Cleveland Clinic podcast from their intensive internal medicine review course. Thyroid Disorders.

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Podcasts

October 30, 2006
Podcasts

Great board review possibilities…exercise your mind while you work out with the Cleveland Clinic Board Review podcasts

Podcasts are downloadable mp3 files that you can subscribe to on itunes. Everytime a new podcast is available, it will automatically download into itunes and then sync with your ipod. These are free review sessions from their 18th annual intensive review of internal medicine.


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Hello world!

October 27, 2006
Hello world!

Welcome to day 1 of the NYU Internal Medicine Residency Program Blog. Our vision is that this site will become your primary source for education and news of the world of internal medicine. We will be blogging several times a week posting interesting cases, clinical questions (with answers), links to outstanding web sites, journal club discussions, important noteworthy news items and more. Feel free to explore the site and definitely give us feedback. If you are interested in helping develop Clinical Correlations email us…Thanks.

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