From The Archives: To Premed or Not to Premed: Are Tylenol and Benadryl Really Necessary Prior to All Transfusions?

January 14, 2015
From The Archives: To Premed or Not to Premed: Are Tylenol and Benadryl Really Necessary Prior to All Transfusions?

Please enjoy this post from the archives dated January 19, 2012

By Robert Gianotti, MD

Faculty Peer Reviewed

Case: Mr. T is a 32-year-old male being treated by the oncology service for Acute Myelogenous Leukemia. You are the night float intern covering overnight when you are called by the nurse to inform you that his CMV negative platelets have finally arrived from the blood bank. The nurse notices that the day team has not ordered Benadryl or Tylenol to be given prior…

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Primecuts – This Week In The Journals

January 12, 2015
Primecuts – This Week In The Journals

By Jessica Yee, MD

Peer Reviewed

Welcome to the first PrimeCuts of 2015!

Welcome to the first PrimeCuts of 2015! The year started with a shout-out from 200 years ago in the form of a time capsule buried by Paul Revere and Samuel Adams in 1797 (1)! While the general public will be able to visit treasured items such as newspapers from the period, colony records and preserved coins for some time, the city plans to eventually rebury the time capsule at the Massachusetts State…

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Acupuncture and Immune Modulation

January 9, 2015
Acupuncture and Immune Modulation

By Michael Lee, MD

Peer Reviewed

Clinical Case: Ms. A, an 84-year-old retired physician with a history of bronchiectasis of unclear etiology, is admitted with the chief complaint of chronic cough. Further inquiry into her medical history reveals that she contracted malaria as a child while living in Korea. She had been prescribed chloroquine by multiple doctors, but her symptoms of fevers and night sweats did not improve. It was a trial of acupuncture therapy, she says, that finally cured her of malaria.

Acupuncture refers…

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From The Archives: Why Are Asthma Patients Noncompliant With Their Inhalers?

January 8, 2015
From The Archives: Why Are Asthma Patients Noncompliant With Their Inhalers?

Please enjoy this post from the archives, dated January 11, 2012

By Kristen Mattei

Faculty Peer Reviewed

I distinctly remember being 9 years old, sitting in my doctor’s office after a cold left me struggling for breath, doubled over and wheezing, when he told me that I had asthma. At first I didn’t believe the diagnosis, despite the fact that the albuterol inhaler he had given me was like a breath of life after running suicides on the soccer field. I wasn’t sick or weak!…

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Clinical Correlations Top 10 Articles of 2014

January 6, 2015
Clinical Correlations Top 10 Articles of 2014

Sick and tired of all those top 10 lists? We beg your indulgence and hope you will tolerate just one more, the Clinical Correlations Top 10 List for 2014. Limiting this selection to 10 articles was a true challenge. There are many outstanding, creative and enlightening pieces that did not make our list, so please take a moment and dig through our archives to review those articles you may have missed. And now as voted on by the editors…This Year’s top 10 list in no…

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A Clinical Correlations Holiday Break

December 27, 2014
A Clinical Correlations Holiday Break

From all of us to all of you …Happy Holidays and Happy New Year! Clinical Correlations will be on a short hiatus. We will resume publishing 1/6/2015.

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Primecuts-This Week in the Journals

December 23, 2014
Primecuts-This Week in the Journals

By: Kristina Cieslak

This Wednesday, President Obama announced plans to “end an outdated approach, that for decades, has failed to advance our interests,” ordering restoration of full diplomatic relations between the United States and Cuba.1 This step marks a momentous reversal of an embargo first initiated by former president Dwight D. Eisenhower in 1960, with full break of diplomatic relations in January, 1961.  Citing the previous embargo as “a rigid policy rooted in events that took place before most of us were born,” Obama spoke…

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Mystery Quiz-The Answer

December 17, 2014
Mystery Quiz-The Answer

Vivian Hayashi MD, Robert Smith MD

The answer to the mystery quiz is pleural effusions, specifically, bilateral subpulmonic effusions. The chest radiograph shows a number of findings: (1) the apparent diaphragm shadow is in fact fluid sandwiched between the undersurface of the lung and the actual diaphragm (Image 2a, arrow); (2) the density of this shadow is homogenously white (Image 2a, asterisk) and differs from a normal diaphragm which has a graded density (Image 2b, triangle) due to superimposed air that progressively decreases towards the…

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