A 58 year old man with type 2 diabetes and chronic venous insufficiency/recurrent lower extremity cellulitis presents with fever and a left lower extrmity ulcer with purulent drainage. He’s been successfully treated in the past with both Unasyn/Augmentin or …
Category: ID
Clinical Correlations
Morning Report-A Frequently Overlooked Diagnosis
December 28, 2006
A 57 year old female with a past medical history of hypertension, obesity, remote intravenous drug use and several years of chronic low back pain, with both intermittent radiation to her lower extremities and decreased sensation in her …
Does Circumcision Decrease the Transmission of HIV?
December 18, 2006
Recently, two large clinical trials in Kenya and Uganda that examined the role of circumcision in men to prevent the spread of HIV were halted on the grounds that not offering circumcision to men taking part in the trial would be unethical. …
Outbreak: Toxic Tacos
December 7, 2006
Update 12/12/06 Download new NY DOH Alert
Several Taco Bell restaurants in our area have been shut down recently due to an outbreak of E. Coli O157:H7. At least 22 people are infected, and most are under age 18. Interestingly, at …
Fast Facts-Rheumatology
November 30, 2006Bellevue Morning Report Teaching Points 11/27
CC: Left knee swelling and pain x 1 week
54 yo male without past medical history in his usual state of health until 5 weeks prior when he had painful ejaculation and intermittent dysuria, denies penile …
Diagnostic Dilemma #2 How Should You Approach a Low Titer +RPR?
November 28, 2006
45 year old male with history of Hep B ( Hep B Surf Ag + but Hep E Ab+ and E Ag – and DNA viral load was not sent) and syphilis treated in the past. He has …
Fast Facts-Critical Care
November 22, 2006
VA MICU Conference 11/22/06
56 y.o. male with PMH ETOH abuse and COPD presented with a LUL PNA and BCx positive for penicillin-resistant pneumococcus.
Early Goal-Directed Therapy in Severe Sepsis and Septic Shock
- Early broad spectrum antibiotics.
- Goal directed hemodynamic resuscitation with
- IV fluids
- pressors
- PRBCs (for …
Tamiflu Patients Need Monitoring
November 14, 2006
Over 100 cases have been reported to the FDA involving the use of Tamiflu and the development of hallucinations, delerium and other unusual behavior mainly in Japanese children. From the Chicago Tribune article "Health officials have been sensitive about …