Tales of Survival: Bellevue Night Float Routine

May 5, 2017
Tales of Survival: Bellevue Night Float Routine

By Olivia Begasse de Dhaem MD, Palak Patel MD, Shreya Trivedi MD

Peer Reviewed

Hypotension in a patient with a pericardial effusion, sustained tachycardia in a post-MI patient, hypoxia in a patient with metastatic cancer… the Bellevue night float intern pager can get frantic. After trial and error, our group of interns have come up with a cohesive routine to balance the strain that night float forces on our circadian rhythms, eating habits, work pattern, and social life. Given the paucity of information on night …

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From the Archives: Decoding the APOL1 Kidney

May 4, 2017
From the Archives: Decoding the APOL1 Kidney

Please enjoy this post from the archives dated September 25, 2013

By Areeba Sadiq

Faculty Peer Reviewed

African American patients have a higher risk of developing end-stage renal disease (ESRD) than their Caucasian counterparts . If over the age of 70, that risk is 3 times higher. If between the ages of 60-69, the risk is 8 times higher. And, if between 30 and 39, African American patients are an astounding 11 times more likely to develop ESRD . Why are African Americans more likely …

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Primecuts – This Week in the Journals

May 1, 2017
Primecuts – This Week in the Journals

By Janine Knudsen, MD

Peer Reviewed

In the first major demonstration of scientists and science-lovers in the US, last Saturday thousands of people descended on the Mall in Washington, DC, and rallied in the March for Science. Clever signs abounded as the marchers protested against the threats to governmental science funding, the use of “alternative facts”, and many issues in between. Down the street at the White House, Trump was busy turning out new policies before April 29th, his 100th day in office. This past …

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Spotlight: Hepatic Encephalopathy and TIPS: A Clinical Vignette

April 26, 2017
Spotlight: Hepatic Encephalopathy and TIPS: A Clinical Vignette

By Samantha Kass Newman, MD

Peer Reviewed

Today marks the first publication of the new Spotlight series in Clinical Correlations. This series uses case vignettes to explore diagnosis, pathophysiology, and management of a wide variety of diseases seen in the outpatient and inpatient settings.  Articles in the Spotlight section contain clinical pearls that will be highlighted in the case discussion.  While the occasional zebra may appear, the goal of the series is to provide clinically relevant information, and each case has been selected specifically for …

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Primecuts – This Week in the Journals

April 20, 2017
Primecuts – This Week in the Journals

By Sakinah Sabadia, MD

Peer Reviewed

Since we’re late to press this week, let’s turn straight to news on the medical front.

Revascularization Targets in Chronic Total Occlusions:

This review article summarizes the data regarding percutaneous coronary intervention (PCI) in chronic total occlusions (CTO). CTOs exist in up to 20% of patients with CAD (1), however the outcomes of PCI on these lesions have not been extensively studied, and thus limited data is available regarding the utility of such interventions.

The majority of patients who …

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From the Archives: Did Abraham Lincoln Have Marfan Syndrome?

April 13, 2017
From the Archives: Did Abraham Lincoln Have Marfan Syndrome?

Please enjoy this post from the archives dated April 19, 2013

By Anna Krigel Faculty Peer Reviewed The iconic image of Abraham Lincoln is ubiquitous in our lives, from his small face on the penny to his large figure looming over the National Mall in Washington, D.C. Lincoln fascinates historians because of his significant role in American history when our nation was bitterly divided, but he intrigues physicians because of his remarkable stature. A reporter once described the 16th president as a “tall, lank, lean…

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Oxygen Saturation Target of 88-92% in COPD: Evidence-based Medicine?

April 12, 2017
Oxygen Saturation Target of 88-92% in COPD: Evidence-based Medicine?

By Christopher V. Cosgriff

Peer Reviewed

The American College of Physicians (ACP) recommends supplemental long-term oxygen therapy (LTOT) in all patients who have severe resting hypoxemia, defined as a PaO2 ≤55 mmHg or an SpO2 ≤88%. In patients with cor pulmonale or polycythemia they recommend initiation of oxygen therapy at a PaO2 ≤59 mmHg.1 Absent from the ACP recommendation is a target range to which saturation should be restored. The accepted standard of practice is restoration to a range of 88%-92%, and there are British …

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Primecuts – This Week in the Journals

April 11, 2017
Primecuts – This Week in the Journals

Susan Creighton, MD

Peer Reviewed

Judge Neil M. Gorsuch was confirmed to the Supreme Court after Senate Republicans voted to lower the threshold required for Supreme Court nominations. Last week Senate Democrats used a filibuster to block the nomination, which would have required 60 votes before the rule change. At 49 years old, Justice Gorsuch could have a long tenure on the Supreme Court and shape the legal landscape for decades. Reproductive rights groups oppose Justice Gorsuch’s nomination because as part of the 10th Circuit …

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