Author: senior-chief

Clinical Correlations


Chiefs’ Inquiry Corner — 8/2/2021

  •  NYU Brooklyn: How does leucovorin reverse methotrexate toxicity?
  •  Bellevue Outpatient: Should patients who received the Zostavax vaccine in the past still get Shingrix?
  •  Bellevue Inpatient: In evaluating patients with community acquired pneumonia (CAP), should lab tests be sent to attempt to determine a specific etiology? Specifically, how do we use tests such as Mycoplasma PCR vs IgG/IgM?

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Chiefs’ Inquiry Corner — 7/26/21

  • Tisch-Kimmel Inpatient: In patients with esophageal varices, is there any harm or decreased benefit to using B1-selective beta blockers with easier dosing schedules (such as metoprolol XL) over propranolol?
  • Bellevue Inpatient: In patients with tachycardia-induced cardiomyopathy, how long on average does it take for the ejection fraction to improve after treating the underlying arrhythmia?
  • NYU Brooklyn:  Are high sensitivity troponins reliable in patients with kidney impairment?

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Chiefs’ Inquiry Corner — 7/19/21

  • Tisch-Kimmel Inpatient: Does the addition of antimicrobial therapy confer any benefit on mortality or nonelective respiratory hospitalization in adults with idiopathic pulmonary fibrosis?
  • Bellevue Inpatient: What are the guidelines/consensus statement on perioperative management of endocrine medications?
  • VA Outpatient: Is there a relationship between intensity of statin therapy and muscle symptoms?

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Chiefs’ Inquiry Corner – 7/12/21

  • NYU Brooklyn: What is the triad characterized by Felty Syndrome (FS)?
  • Bellevue Inpatient: In patients with systemic lupus erythematosus (SLE), is there an increased risk for coronary artery disease? 
  • VA Outpatient: How should recent changes in guidelines affect our colorectal cancer (CRC) screening practices?

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Chiefs’ Inquiry Corner – 3/16/20

  • NYU Brooklyn: Does mitral annuloplasty fall under the definition of “valvular atrial fibrillation”?
  • VA Clinic: Is perioperative smoking cessation associated with increased risk for perioperative pulmonary complications?
  • VA Hospital: What is the appropriate management for patients with dysphonia?

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Chiefs’ Inquiry Corner – 3/9/20

  • VA Clinic: Is there any benefit to increasing the dose of tamsulosin from 0.4 mg to 0.8 mg for the treatment of benign prostatic hypertrophy?
  • Bellevue Hospital: Can fentanyl cause serotonin syndrome?
  • VA Hospital: What is the significance of positive antiphospholipid antibodies?

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Chiefs’ Inquiry Corner – 3/2/20

  • Bellevue Hospital: What is the appropriate initial workup for a patient with newly diagnosed atrial fibrillation?
  • VA Clinic: Why did recommendations for PCV13 (Prevnar) vaccination in older adults change?
  • Tisch/Kimmel: Which malignancies are people with HIV most at risk of developing?

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Chiefs’ Inquiry Corner – 2/10/20

  • NYU Brooklyn: How does vitamin C deficiency result in bleeding?
  • Tisch/Kimmel: What is the recommendation for Mycobacterium avium complex (MAC) prophylaxis in HIV patients with CD4 count <50? 
  • Bellevue Hospital: What is the correct way to collect a sample for cryoglobulin testing?

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