Tales of the Bellevue Hospital Internal Medicine House Staff from the ‘60s to Now-Part 2 The 1970’s

November 3, 2017
Tales of the Bellevue Hospital Internal Medicine House Staff from the ‘60s to Now-Part 2 The 1970’s

In honor of the 10th Anniversary of Clinical Correlations we are presenting a wonderful 4 part series of life as a house officer at Bellevue Hospital in the 60’s, 70’s, 80’s and 90’s.   Former resident Olivia Begasse de Dhaem conducted extensive interviews with our faculty who worked at Bellevue in each of these decades.   With guidance from David Oshinksy, Olivia has written a story of what binds our students, residents and faculty and patients together through Bellevue’s rich history.  While much has changed in our …

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CORE IM podcast: Mind The Gap on Admission Paracentesis

November 1, 2017

You have always been told to do a diagnostic paracentesis on admission in cirrhotics with ascites, but why? Can you just get away with clinical judgment to rule out SBP? Is faculty judgment any better? And if you’re going to do a paracentesis on admission, do you need to do it right away? Go deeper with Dr. Steven Liu and Dr. Janine Knudsen! 

 

Time Stamps

  1. What do guidelines say about diagnostic paracentesis in cirrhotics with ascites? (1:51)
  2. Can we just use clinical judgment to decide if paracentesis is warranted? (3:13)
    • Do attendings have better clinical judgment than residents to rule out SBP?
  3.  Does timing of paracentesis on admission matter for mortality? (6:33)

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PrimeCuts – This Week in the Journals

October 30, 2017
PrimeCuts – This Week in the Journals

By Ian Yarrett, MD

Peer Reviewed

As uncertainty continues to swirl around the future of Obamacare and the stability of the nation’s health insurance markets , President Trump took a promising step last week in officially declaring the opioid crisis a public health emergency .  Whether new federal funding to combat the problem will follow remains an open question.  In the meanwhile, let’s review the latest updates from the medical literature in this week’s edition of PrimeCuts.

Active referral to smoking cessation services more effective

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Is Potassium Supplementation Beneficial in Hospitalized Patients?

October 25, 2017
Is Potassium Supplementation Beneficial in Hospitalized Patients?

By Sara Stream, MD

Peer Reviewed

As resident physicians, we are taught to supplement serum potassium to a goal level of 4.0 mEq/L in all hospitalized patients. While the dangers of severe potassium abnormalities are well established, the benefit of routine potassium supplementation of normal serum levels in the general hospitalized population is unclear.

Potassium is predominantly an intracellular ion with 98% of total body potassium located in the intracellular space. The accepted reference range for serum potassium levels is 3.5 to 5.0 mEq/L. The …

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PrimeCuts – This Week in the Journals

October 23, 2017
PrimeCuts – This Week in the Journals

By Jennifer Riggs, MD

Peer Reviewed

The NBA season literally got off on the wrong foot last week as Celtics player Gordon Hayward suffered a broken ankle in the league’s opening game . In baseball, the Houston Astros blanked the New York Yankees this weekend to advance to the World Series setting up a showdown with the Los Angeles Dodgers . In Washington, it’s business as usual as Congressman Tom Marino, President Trump’s nominee for drug czar, withdrew his name after a damaging opioid report …

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Tales of the Bellevue Hospital Internal Medicine House Staff from the ‘60s to Now

October 20, 2017
Tales of the Bellevue Hospital Internal Medicine House Staff from the ‘60s to Now

In honor of the 10th Anniversary of Clinical Correlations over the next four weeks we are presenting a wonderful 4 part series of life as a house officer at Bellevue Hospital in the 60’s, 70’s, 80’s and 90’s.   Former resident Olivia Begasse de Dhaem conducted extensive interviews with our faculty who worked at Bellevue in each of these decades.   With guidance from David Oshinksy, Olivia has written a story of what binds our students, residents and faculty and patients together through Bellevue’s rich history.  While …

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Core IM Podcast: 5 pearls on Headaches

October 18, 2017

Listen to CORE IM’s first 5 Pearls segment on Headaches!

Time Stamps

  1.   What are the indications for imaging for HA? (1:36)
  2.   What is your approach to abortive therapy for migraines? (4:45)
  3.   How do you diagnose medication overuse HA? (6:41)
  4.  What is your approach to migraine prophylaxis? (8:29)
  5. What are some evidence based nonpharmacological therapies for migraines?  (10:42)

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PrimeCuts – This Week in the Journals

October 16, 2017
PrimeCuts – This Week in the Journals

By Christian Torres, MD

Peer Reviewed

It’s another week, which means there’s been another attempt by President Trump to undermine Obamacare. On Thursday, Trump signed an executive order that would cut subsidies to insurers providing coverage to low-income individuals . It’s already drawn swift criticism from the American Medical Association, among other health care groups . We’ll see in the coming days if there’s any effort by Congress to keep the subsidies going. Meanwhile, we’ll keep going with a recap of the latest research.

Romosozumab

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