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 initial Hemoglobin …
Category: Clinical Questions
Clinical Correlations
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 setting of …
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 blood …
Morning Report-How Do You Approach a Patient with a Significant Transaminitis?
March 23, 2007
Consultant: Robert Raicht, MD Professor of Medicine, Chief Division of Gastroenterology
Clinical Vignette:
The patient is a 50 year old male with a past medical history notable for type II diabetes, hypertension and recently treated right foot cellulitis and c.difficile colitis who presented …
Will my breast cancer patient need adjuvant chemotherapy? Gene Micro array technology may help answer this question��
March 20, 2007
Commentary By Sandra D’Angelo, PGY-3
Breast cancer is the most common cancer diagnosed in women, second only to lung cancer as a leading cause of death from cancer. Experts state that approximately 210, 000 women will be diagnosed in 2006 …
When Should You Order a Serum Fructosamine Level for a Diabetic Patient?
March 14, 2007
Commentary By: Christopher Johnson, MSIV and Glenn Matfin, MD Clinical Associate Professor of Medicine, Divsion of Endocrinology
When was the last time you had a diabetic patient in clinic whose hemoglobin A1C was elevated, prompting you to modify their diabetic regimen? …
Does the Overuse of Macrolides Lead to Antibiotic Resistance?
March 12, 2007
Commentary By: Danise Schiliro, PGY-3
Although intuitively we always worry about creating drug resistance when using antibiotics, there is a surprising lack of well done studies that show a clear causal effect of antibiotic use on the development of subsequent drug resistance. A …
How Do You Approach A Patient with a Non-Ischemic Cardiomyopathy
March 7, 2007
A 26 year old woman developed uncontrolled hypertension peripartum 5 years prior to this presentation After diagnosis she was intermittently compliant with her medication although remained asymptomatic. She now presents with new onset congestive heart failure. On admission, she was in …