A 76 year old man with a history of coronary artery disease, diabetes and hypertension was brought in by his wife with two days of lethargy, slurred speech and right arm weakness. On presentation, the patient was awake and intermittently …
Author: Neil.Shapiro@nyulangone.org
Clinical Correlations
Bedside Rounds #1: Why is a pulsus paradoxus not a paradox?
February 1, 2007
Welcome to our inaugural Bedside Rounds a new regular feature of Clinical Correlations. Here you will learn not only practical physical diagnosis pearls, but also the historical context in which these findings were discovered.
Commentary By: Judith Brenner MD, Associate …
Mystery Quiz #2 (with a hint…)
January 30, 2007Since we received little in the way of responses to our mystery quiz, we thought a hint might be in order, so here's the case again this time with a hint. Please submit your answers by clicking on the "comments" link below this post. As always, for those of you who are …
How Should You Treat Agitation in Patients with Dementia?
January 29, 2007
Case: A 74 year old male with a history of hyperthyroidism, now treated and euthyroid, and with longstanding slowly progressive Alzheimer’s, has now become increasingly agitated at home, pacing the floors and not sleeping. In light of side effects and …
A New Take on Quitting Smoking…
January 26, 2007
Landing on the front page of the New York Times today is a study from Science that may turn addiction medicine on its head…no pun intended. Of 32 smokers who had suffered a brain injury, they found that 16 who …
When Should You Order a T Wave Alternans Test?
January 25, 2007
A 58 year old male is admitted for "presyncope". He has not had chest pain and his baseline ECG is unchanged. The patient has an ischemic cardiomyopathy with an ejection fraction of …
A drug for NASH that may work?
January 24, 2007
Commentary By: Sandra D'Angelo, PGY-3
Nonalcoholic steatohepatitis (NASH) is a disease in which patients have features of alcoholic hepatitis on liver biopsy without a prior history of significant alcohol consumption and negative hepatitis serologies. It is …
Mystery Quiz #2
January 22, 2007Posted By Robert Smith, MD Associate Professor of Medicine, Division Pulmonary and Critical Care Medicine
The patient is a 77 year old male whose chief complaint was severe left hip pain of five years duration. As part of a preoperative evaluation for hip surgery, a routine chest x-ray was obtained as …