Clinical Correlations Top 10 Articles of 2014

January 6, 2015
Clinical Correlations Top 10 Articles of 2014

Sick and tired of all those top 10 lists? We beg your indulgence and hope you will tolerate just one more, the Clinical Correlations Top 10 List for 2014. Limiting this selection to 10 articles was a true challenge. There are many outstanding, creative and enlightening pieces that did not make our list, so please take a moment and dig through our archives to review those articles you may have missed. And now as voted on by the editors…This Year’s top 10 list in no …

Read more »

A Clinical Correlations Holiday Break

December 27, 2014
A Clinical Correlations Holiday Break

From all of us to all of you …Happy Holidays and Happy New Year! Clinical Correlations will be on a short hiatus. We will resume publishing 1/6/2015.…

Read more »

Primecuts-This Week in the Journals

December 23, 2014
Primecuts-This Week in the Journals

By: Kristina Cieslak

This Wednesday, President Obama announced plans to “end an outdated approach, that for decades, has failed to advance our interests,” ordering restoration of full diplomatic relations between the United States and Cuba.1 This step marks a momentous reversal of an embargo first initiated by former president Dwight D. Eisenhower in 1960, with full break of diplomatic relations in January, 1961.  Citing the previous embargo as “a rigid policy rooted in events that took place before most of us were born,” Obama spoke …

Read more »

Mystery Quiz-The Answer

December 17, 2014
Mystery Quiz-The Answer

Vivian Hayashi MD, Robert Smith MD

The answer to the mystery quiz is pleural effusions, specifically, bilateral subpulmonic effusions. The chest radiograph shows a number of findings: (1) the apparent diaphragm shadow is in fact fluid sandwiched between the undersurface of the lung and the actual diaphragm (Image 2a, arrow); (2) the density of this shadow is homogenously white (Image 2a, asterisk) and differs from a normal diaphragm which has a graded density (Image 2b, triangle) due to superimposed air that progressively decreases towards the …

Read more »

Primecuts – This Week In The Journals

December 15, 2014
Primecuts – This Week In The Journals

By Joseph Plaksin

Peer Reviewed

This week, the Senate Intelligence Committee declassified a 500-page report that outlined and described uses of torture by the CIA to interrogate suspected terrorists after the attacks of 9/11 . While CIA Director John Brennan tried to defend his agency’s actions, Senator Dianne Feinstein, who chaired the committee that released the report, described the CIA’s interrogation program “a stain on our values and our history.”

Amidst these new revelations, protests in response to the grand jury decisions in the deaths …

Read more »

Mechanisms of Angiotensin Blockade in the Management of Diabetic Nephropathy

December 11, 2014
Mechanisms of Angiotensin Blockade in the Management of Diabetic Nephropathy

By Miguel A. Saldivar, MD

Peer Reviewed 

When a patient with diabetes comes into a clinic or hospital, it is not uncommon to hear the question, “Is he/she on an angiotensin-converting-enzyme (ACE) inhibitor (ACEI) or an angiotensin-receptor blocker (ARB)?” Most clinicians know the mantra: ACEIs are renoprotective in diabetes. Most are aware that clinical studies dating back to the 1990s have indeed shown the protective effects of ACEIs, such as captopril, against renal function deterioration in diabetes . Most are even aware that there are …

Read more »

Primecuts – This Week In The Journals

December 8, 2014
Primecuts – This Week In The Journals

By Amar Parikh, MD

Peer Reviewed

This week, the nation was rocked by the decision of a Staten Island grand jury to not indict Officer Daniel Pantaleo in the death of Eric Garner, who was killed after resisting arrest for suspicion of selling “loosies”, or single cigarettes from packs. This comes on the heels of the recent decision by the grand jury in Ferguson, Missouri to not indict Officer Darren Wilson in the shooting death of unarmed black teenager Michael Brown. In cities across the …

Read more »

From The Archives: Does Perioperative Smoking Cessation Improve outcomes?

December 4, 2014
From The Archives: Does Perioperative Smoking Cessation Improve outcomes?

Please enjoy this Post from the archives dated January 6, 2012

By Benjamin Wu, MD

Faculty Peer Reviewed

Mr. T is a 53-year-old man, with history significant for cholelithiasis. He decides to have an elective cholecystectomy after years of biliary colic. Mr. T is an active smoker and wanted to know if he should stop smoking prior to surgery?

Smoking is associated with adverse outcomes in surgery, however debate continues regarding the safety of perioperative smoking cessation. The current understanding of perioperative smoking cessation follows …

Read more »