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 …
Category: Clinical Questions
Clinical Correlations
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 …
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. …
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 …
Safety of Long-Acting Beta-Agonists in the Treatment of Asthma: Should they be used?
February 21, 2007
Commentary By: Sarah Huen, PGY-3 and David Chong, Director of Critical Care, Bellevue Hospital, Associate NYU Internal Medicine Residency Program Director
The role of long-acting b-agonists (LABAs) in the treatment of asthma continues to be controversial. Growing evidence that LABAs may cause …
How Should You Approach A Patient with an Incidental Finding of a Portal Vein Thrombosis?
February 7, 2007
A 70 year old man with a history of prostate cancer, status post radiation treatment in August 2003, a history of abdominal surgery for unknown reasons, and a history of heavy alcohol use was seen at the VA. The patient …
Ethics 101-How Do You Approach a Jehovah’s Witness Patient Who Needs a Transfusion?
February 5, 2007
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 …
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, …