Commentary by Sean Cavanaugh MD, Associate Editor, Clinical Correlations
A 51-year-old man with a history of DVT diagnosed seven months ago presents to your clinic for follow up. He has no family history of blood clots. He has …
Category: Clinical Questions
Clinical Correlations
Should All Patients with Hepatitis C Be Screened for Hepatocelluar Carcinoma?
July 3, 2007
Should patients with Hepatitis C (HCV) with no evidence of cirrhosis undergo screening for hepatocellular carcinoma (HCC)? Is there any reason to check for HCC when the liver associated enzymes (LAEs) are normal?
-Sandeep Mangalmurti, PGY-2
Commentary by Mike Poles MD, …
How Do you Approach a Patient with Primary Hyperaldosteronism?
June 28, 2007
An 80 year old male with atrial fibrillation, hypertension, hypokalemia is diagnosed with hyperaldosteronism with an aldosterone to renin ratio of 34.5/0.15=230 . CT scan reveals a right adrenal 1 cm presumed adenoma
Questions:
1. How do you accurately …
Can You Give A Cephalosporin to a Patient Who is Allergic to Penicillin?
June 21, 2007
–Commentary by Susan Morey, PharmD. Pharmacy Practice Resident
A true allergy to penicillin is known to occur in less than 10% of patients exposed to penicillin. 1, 2 The cross-reactivity to cephalosporins has been reported to …
Hyperparathyroidism in Chronic Kidney Disease
June 13, 2007
Commentary by Sarah Berry MD, PGY-3 and Joseph Weisstuch, MD Clinical Assistant Professor of Medicine, Divsion of Nephrology
Case: Mr. K is a 59 year old gentleman with a past medical history of hypertension, non-insulin dependent diabetes mellitus, …
Can you switch a patient from insulin to oral agents?
June 6, 2007Â 
A 48 year old male is diagnosed with type 2 Diabetes Mellitus after presenting to the emergency room with symptoms of hyperglycemia. He was immediately started on insulin and has been very compliant with his regimen. His …
How should you approach a pregnant patient with chronic kidney disease?
May 25, 2007
A 31 year old female with hypertension and proteinuria secondary to IgA nephropathy, currently treated with an ARB, presents to clinic stating that she would like to become pregnant.
What is the risk of fetal morbidity in the …
Is the PPD obsolete?
May 1, 2007
In February of this year the New York City Department of Health released a new policy paper indicating that they will no longer use the PPD as a screening tool for tuberculosis in their clinics.They have switched to the QuantiFERON-TB Gold, (QFT-G), a …