Outpatient Rhythm Monitoring: Available Options and Diagnostic Yield

March 29, 2016
Outpatient Rhythm Monitoring: Available Options and Diagnostic Yield

By Iulia Giuroiu, MD

Peer Reviewed

A 70-year-old woman with hypertension, early dementia, and non-specific chest pain of unclear etiology presents with recurrent left-sided chest pain. Unfortunately, she is a poor historian; it appears that her chest pain is similar to past episodes. Prior workups, which included an echocardiogram, had been unremarkable. To confound matters further, the patient’s current pain appears to be reproducible when pressure is applied to her chest. She is admitted overnight for close observation. No electrocardiogram (ECG) changes are found and …

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Presidential Politics-How Do the Candidates Healthcare Policies Measure Up?

March 25, 2016
Presidential Politics-How Do the Candidates Healthcare Policies Measure Up?

By Ajay Prakash, MD

Peer Reviewed

Discussions about healthcare policy have played a central role throughout the presidential primaries. It is incredibly important for healthcare providers to have an understanding of healthcare’s current state and the manner in which each of the presidential candidates intends to reform it. This work will describe the public positions espoused by the presidential candidates in both the Republican and Democratic primaries. Where specifics are available, we will provide them. Where they are not, we will attempt to highlight those …

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Primecuts – This Week In The Journals

March 22, 2016
Primecuts – This Week In The Journals

By Vaughan Tuohy, MD

Peer Reviewed

This week saw the beginning of March Madness  with major upsets by 15-seed Middle Tennessee over 2-seed (and perennial contender) Michigan State, Hawaii over California, Stephen F. Austin over West Virginia, Little Rock over Purdue, and Yale over Baylor. Although in the 30+ years of the NCAA tournament, a 16-seed has yet to defeat a 1-seed, popular statistics wizard Nate Silver determined that the Middle Tennessee victory was perhaps the third biggest tournament upset of all time.  He …

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Exercise-Induced Rhabdomyolysis: How Fitness May Actually Be Hurting You

March 17, 2016
Exercise-Induced Rhabdomyolysis: How Fitness May Actually Be Hurting You

By Jessica Morgan

Peer Reviewed

CrossFit and SoulCycle. To many people these words mean nothing. However, ask any twenty-something or college student and they will probably tell you they have participated in a class or two, or have a friend who participates. Depending on whom you approach, you might even get the sense that these are not just exercise classes, but more like a spiritual experience or a tight-knit community of like-minded individuals, all striving for physical excellence. Some have accused these programs of being …

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Primecuts-This Week in the Journals

March 15, 2016
Primecuts-This Week in the Journals

By Jafar Al-Mondhiry, MD MA

This week saw the passing of former first lady Nancy Reagan, a national icon during and after her time, and a pioneer of many social and health-related movements.  Her “Just Say No” campaign became an international catch phrase, something featured in newspapers, magazines, TV commercials, and even music videos . Even while the nation struggles more than ever with drug abuse and new ways to address it – now with drug overdose eclipsing car accidents as the leading cause of …

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Primecuts – This Week In The Journals

March 9, 2016
Primecuts – This Week In The Journals

By: Alexandra Price, MD

Peer Reviewed

This past Super Tuesday made clear that Donald Trump and Hilary Clinton are dominating the race to the White House, with both candidates winning a total of 7 out of 11 states. Ted Cruz is trailing behind Trump as the 2nd place Republican nominee, with 3 campaign wins in Alaska, Oklahama, and his home state of Texas. Marco Rubio is in 3rd place with his win in Minnesota. Dr. Ben Carson dropped out of the race after his Super …

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PTH versus PTHrP — Small Differences, Big Implications

March 3, 2016
PTH versus PTHrP — Small Differences, Big Implications

Samantha Kass Newman, MD

Peer Reviewed 

A 48-year-old depressed male smoker with a bit of an alcohol problem presents to the emergency department with worsening fatigue, severe lower back pain, constipation, abdominal pain, and 4 days of coffee ground emesis.

This could be anything. Viral gastroenteritis? Perhaps. Food poisoning? Probably not. Upper GI bleed? Likely, given his alcohol use. You send off routine labs, and then are called for a critical value: his calcium is 13.8 mg/dL. The albumin is normal. Next, you check the …

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Primecuts – This Week In The Journals

February 29, 2016
Primecuts – This Week In The Journals

By Monil Shah, MD

Peer Reviewed

Last week Virgin Galactic, a spaceflight company that aims to bring space tourism to reality, unveiled a new spaceship at the Mojave Air and Space Port in California. The new spaceship has been named Virgin Spaceship (VSS) Unity by Professor Stephen Hawking . VSS Unity is still undergoing preliminary test flights. A seat with VSS Unity will cost around US $250,000. On an interesting note, the world’s first space tourist was an American business man and former NASA engineer …

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