Primecuts – This Week In The Journals

February 18, 2014
Primecuts – This Week In The Journals

By Miguel A. Saldivar, MD

Peer Reviewed

While walking through snowy streets of NYC, the sight of one or two innocent bystanders sliding on a patch of ice on the road is not uncommon. However, these unfortunate folks are far from being the only ones with a bruise or two: this week a widely accepted screening tool, the mammogram, received more than a few punches in the media.

The Cost of Mammography

The utility of mammography as a screening tool, questioned in a Canadian study…

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Mammograms in the News, Yet Again

February 13, 2014
Mammograms in the News, Yet Again

By Miguel A. Saldivar, MD

Peer Reviewed

Mammograms are far from strangers to the paparazzi. It was only recently that a television news reporter from a prominent broadcasting company reluctantly agreed to have a mammogram performed on live television to promote breast cancer screening and help “save lives” . That same study diagnosed her with breast cancer, which was followed by the impressive statement from her physicians: “that mammogram just saved your life”. But over the last day or two several major newspapers are presenting…

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Primecuts – This Week In The Journals

February 10, 2014
Primecuts – This Week In The Journals

By Luke O’Donnell, MD

Peer Reviewed

I guess being single in New York should make me dread Valentine’s Day. But I don’t. Maybe it is my years of studying a language that has words to distinguish love in all its manifestations: the once-in-a-lifetime stuff (amour) versus the form with the same amount of intimacy but less commitment (amant). Anyway, enjoy the first article; it is about an emerging communicable disease. Kisses everyone.

If the ever-looming scare of H5N1 was not enough, the New England Journal…

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From The Archives: Low Dose Vitamin K Supplementation and Anticoagulation Control

February 6, 2014
From The Archives: Low Dose Vitamin K Supplementation and Anticoagulation Control

Please enjoy this post from the archives dated July 21, 2011

By Joanna Becker

Faculty Peer Reviewed

Patients who are placed on long-term warfarin (Coumadin) therapy are sent home with a lengthy list of restrictions to minimize variations in warfarin efficacy. The agents that can alter warfarin levels can be divided into 2 categories: (1) those that interact with cytochrome P450, which metabolizes warfarin and (2) those that alter phytonadione (vitamin K) levels.  The majority of inter- and intra-individual warfarin dose variability is attributable to…

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Should Beta-Blockers Be Used In The Setting Of Cocaine-Related Chest Pain?

February 5, 2014
Should Beta-Blockers Be Used In The Setting Of Cocaine-Related Chest Pain?

By Matthew A. Haber

Peer Reviewed

The following is a hypothetical example of a classic exam question that one might come across as a medical student:

A 50-year-old male presents to the emergency department with severe chest pain. His past medical history is significant for congestive heart failure and stent placement. His vitals are significant for a blood pressure of 220/110 and a heart rate of 170. On physical exam he appears to be profusely sweating, and his pupils are markedly dilated. Troponin I is…

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Primecuts – This Week In The Journals

February 3, 2014
Primecuts – This Week In The Journals

By Elizabeth Park, MD

Peer reviewed

Super Bowl fever also hit Times Square this week as tens of thousands of people headed to the New York metropolitan area for the Super Bowl. The Super Bowl is more than just a football game. Like Thanksgiving, it’s the day for friends and family to get together, sit down in front of TV with accompanying chips, pizza, chicken wings and beer. You can easily consume 2000 calories during the game, interrupting your New Year’s diet plan.

Speaking of…

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Tales of Survival: A Dose of Perspective

January 31, 2014
Tales of Survival: A Dose of Perspective

By Kaitlyn Dugan

My steps echoed in the hallway of the 17th floor of Bellevue Hospital as my head remained buried in the H&P my resident handed me only a few seconds earlier. Mr. W was a 64 year-old African American male with an extensive medical history including CAD with CABG, CHF with an EF of 30%, COPD, stage 4 squamous cell carcinoma of the lung (status-post chemotherapy and radiation), who was in his usual stage of chronically ill health until 3 days prior to…

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From The Archives: Forgoing the Fear: Contrast Nephropathy

January 30, 2014
From The Archives: Forgoing the Fear: Contrast Nephropathy

Please enjoy this post from the archives, dated June 15, 2011

By Mario V Fusaro, MD

Faculty Peer Reviewed

There are certain laws in the universe that are just not meant to be broken.  One is gravity.  Another one is relativity.  The third, don’t give contrast to people with bad kidneys.   Perhaps the last one is not so much a law as something we seem to be terrified of doing.  While recently on service, I had a patient with unexplained right lower quadrant pain.  The…

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