Botox: Not Just for Wrinkles Anymore

July 28, 2016
Botox: Not Just for Wrinkles Anymore

Samantha Kass Newman, MD

Peer Reviewed

You can get a Botox injection almost anywhere these days. Internists, dermatologists, and even gynecologists have capitalized on an aging group of baby boomers who aren’t fans of their wrinkles. And it’s true that with an impressive safety profile, few contraindications, rapid effectiveness, and positive cash return for providers, botulinum toxin injections for cosmetic purposes can make everyone happy.

Botulinim toxin is produced by the anaerobic bacterium, Clostridium botulinum. This is the strongest toxin found in nature. When injected …

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Primecuts – This Week In The Journals

July 25, 2016
Primecuts – This Week In The Journals

By Vishal Shah, MD

Peer Reviewed

A lone 18-year-old gunman opened fire on the public in the vicinity of the Olympia Shopping mall in Munich, Germany this past Friday July 22nd . He carried a 9mm handgun and roughly 300 rounds of ammunition. Nine victims lost their lives and 35 were wounded . The shooter died of a self-inflicted gunshot wound.

Germany has some of the strictest firearm laws in the world . Those younger than 25 who attempt to buy a gun must have …

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From The Archives – Fractional Excretion of Sodium (FENa): Diagnostic Godsend or Gimmick?

July 22, 2016
From The Archives – Fractional Excretion of Sodium (FENa): Diagnostic Godsend or Gimmick?

Please enjoy this post from the archives dated September 5, 2012

By Jon-Emile S Kenny, MD

Faculty Peer Reviewed

A 62- year-old man with a history of hypertension, diastolic dysfunction and chronic kidney disease is admitted 4 days after beginning outpatient treatment of community acquired pneumonia with cefpodoxime and azithromycin; he had been intermittently vomiting for two days, but proudly states that he has been keeping all of his home medications down, including hydrochlorothiazide. The morning after his admission, he was noted to have a …

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Measles in 2016

July 20, 2016
Measles in 2016

By Chio Yokose, MD

Peer Reviewed

On March 13, 2013, a young traveler returned home from London to our neighboring borough of Brooklyn, NY. Among this individual’s possessions was an active measles infection, one which subsequently led to one of the largest outbreaks of measles in the United States since 1996 .  The individual was an intentionally unvaccinated 17-year-old member of the Orthodox Jewish community in Brooklyn.  A total of 58 cases were eventually identified, and all of them were in the Brooklyn Orthodox Jewish …

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Primecuts – This Week In The Journals

July 18, 2016
Primecuts – This Week In The Journals

By Dana Zalkin, MD 

Peer Reviewed

This week the world witnessed a deadly attack in France, a tumultuous coup attempt in Turkey, and the announcement of the Trump-Pence GOP presidential ticket. As crowds gathered to watch the Bastille Day fireworks display in Nice, France, a massacre ensued when a truck plowed through the crowd killing 84 individuals .  While the world attempted to come to terms with what had occurred in France, the presumptive US Republican presidential candidate, Donald Trump, officially announced his running mate …

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More Than A Medical Note

July 15, 2016
More Than A Medical Note

By Alicia Cowley, MD

Ms. R had been admitted late the previous night so I expected that I would have to gently nudge her from her sleep. So as I peeked around the curtain separating her bed from her roommate’s, I was surprised to find a woman alert and freshly bathed. She had assembled a makeshift vanity with a mirror and a small cosmetics pouch that she had propped conspicuously atop her overbed table.

She was about to apply some lipstick when she noticed me. …

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Does Stress Cause Stress Ulcers? The Etiology and Pathophysiology of Stress Ulcers

July 14, 2016
Does Stress Cause Stress Ulcers? The Etiology and Pathophysiology of Stress Ulcers

Please enjoy this post from the archives dated August 22, 2012

Sara-Megumi Naylor, MD

Faculty Peer Reviewed

When Warren and Marshall were awarded the Nobel Prize in Physiology or Medicine in 2005 for their work on Helicobacter pylori and peptic ulcer disease , a long-standing controversy concerning the major cause of peptic ulcers was settled. They are not due to the reasons—spicy food, excessive coffee consumption, poor sleep, a stressful lifestyle—that we have heard from relatives and perhaps believed over the years. It is now …

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Sex or Drugs: Why Do We See An Increased Incidence of Oropharyngeal Cancer?

July 13, 2016
Sex or Drugs: Why Do We See An Increased Incidence of Oropharyngeal Cancer?

By Tyler Litton, MD

Peer Reviewed

Oropharyngeal squamous cell carcinoma (OPSCC) is relatively rare but incidence has increased in the US over the past 40 years. Tonsillar cancer is the most common type of OPSCC followed by base of tongue cancer, which together account for 90% of all OPSCCs. The incidence of both tonsillar and base of tongue cancers individually have also increased in the US. OPSCC is more common in men than women and smoking and alcohol are well known risk factors for …

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