Primecuts – This Week In The Journals

July 7, 2015
Primecuts – This Week In The Journals

By Rina Mauricio, MD

Peer Reviewed

This past week saw the coming and going of one of the most significant and dreaded days of the year, at least within the healthcare system. July 1 signals a transition point in medical training, whether that be from student to intern, intern to resident, or resident to fellow/attending. This time last year a new class of interns bonded over the excitement of starting residency while trying to savor their last few days of summer. They soon after learned …

Read more »

From the Archives: Myth vs. Reality: The July Effect

July 1, 2015
From the Archives: Myth vs. Reality: The July Effect

Please enjoy this post from the archives dated August 12, 2012

By Mark Adelman, MD

Faculty Peer Reviewed

Another July 1st has come and gone, marking the yearly transition in US graduate medical education of interns to junior residents, junior residents to senior residents, and senior residents to fellows. With this annual mid-summer mass influx of nearly 37,000 interns and other trainees taking on new clinical responsibilities, learning to use different electronic medical record systems and navigating the other idiosyncrasies of unfamiliar institutions, one …

Read more »

Primecuts – This Week In The Journals

June 29, 2015
Primecuts – This Week In The Journals

By Olivia Begasse De Dhaem, MD

Peer Reviewed

According to the latest data from UNHCR, the United Nations Refugee Agency, war and persecution displaced a total of 59.4 million people in 2014, primarily in developing countries. As the number of asylum-seekers fleeing from countries like Syria and Eritrea to Europe increases, the E.U. gave up on the plan for mandatory quotas to spread the refugees across the 28 E.U. countries, and suggested a voluntary program instead. Although there was no mass deportation after …

Read more »

Mystery Quiz-The Answer

June 19, 2015
Mystery Quiz-The Answer

Vivian Hayashi MD, Robert Smith MD

The answer to the mystery quiz is methicillin-resistant S. aureus (MRSA) pneumonia. The initial CXR (image 4) showed increased density in the area of the left hilum, hinting at a process in the superior segment of the left lower lobe. The next CXR (image 5) showed an airspace process in the left lower lobe that had rapidly evolved over 2 days. An interstitial process can be seen, as well, along with airspace disease (image 5, arrow). In addition, there …

Read more »

Mystery Quiz

June 18, 2015
Mystery Quiz

Vivian Hayashi MD, Robert Smith MD

The patient is a 46 year old female who presented to the emergency room with breathlessness, productive cough, subjective fever, and myalgia for one week. Her history was notable for mild persistent asthma treated with tiotropium, mometasone, formoterol, and albuterol as needed. The patient was homeless and lived in a shelter. She was poorly compliant with her medications. In the ER, the patient had a pulse rate of 102 bpm, was afebrile with normal blood pressure, and had diffuse …

Read more »

Primecuts – This Week In The Journals

June 17, 2015
Primecuts – This Week In The Journals

By Arvind Reddy Devanabanda, MD

Peer Reviewed

Americans are anxiously awaiting a Supreme Court ruling in King v. Burwell. In this case, the existence of federal subsidies for health insurance coverage in 34 states is at risk. If the Supreme Court rules against the administration, average premiums in some states could double and this may lead to thousands dropping out of their health plans, which would hurt both Democrats and Republicans, and more importantly, American health care in general . This week, we also look …

Read more »

Spotlight Case Part 2: Hypergammaglobulinemia and defective humoral immunity in HIV-infected patients

June 12, 2015
Spotlight Case Part 2: Hypergammaglobulinemia and defective humoral immunity in HIV-infected patients

By Stephen Armenti, MD

Peer Reviewed

Please see Part 1 of this Spotlight Case which can be found here.

Case Report

A 45-year-old man with a history of mild intermittent asthma presented with two days of right knee pain and swelling accompanied by subjective fevers, shaking chills, and night sweats. He also reported one day of right calf and left groin pain. The patient denied a history of joint trauma, underlying joint disease, or surgery. There was no history of intravenous drug use, recent travel, …

Read more »

FROM THE ARCHIVES – Cardiac Murmur Websites: An Internet Review of Common Cardiac Auscultation Websites

June 11, 2015
FROM THE ARCHIVES – Cardiac Murmur Websites: An Internet Review of Common Cardiac Auscultation Websites

Please enjoy this Post from the archives dated February 29, 2012

By Rachel Bond, MD

Faculty Peer Reviewed

In the field of medicine including the art of physical diagnosis, there is nothing more nerve provoking then having to master the art of cardiac auscultation. Imagine the concern of medical students, residents, internists and freshly starting cardiologists all alike who are asked by patients time and time again, “does my heart sound okay?!” With the advancement in technology and the rapid surge of echocardiogram usage, the …

Read more »