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 …
Category: Clinical Questions
Clinical Correlations
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 …
How Aggressively Should You Treat a Patient with a Pulmonary Embolus?
January 17, 2007
An otherwise healthy 57 year old patient presents with shortness of breath and pleuritic chest pain. The patient is hemodynamically stable without evidence of shock. A chest CT reveals a pulmonary embolus.
Questions: …
Morning Report: How Do You Approach a Patient With Bronchiectasis
January 16, 2007
Chief complaint: 85 year old female presents with worsening shortness of breath for one day.
History of present illness:
The patient’s history of present illness begins at the age of 60 when she was diagnosed with asthma, for …
A Debate: Should Smokers be Denied Surgery?
January 12, 2007
In last week’s issue of the British Medical Journal, two physicians argue about the merits of refusing to perform elective surgeries on smokers. The debate has been spurred by a primary care group in the UK who announced last year …
To Lavage or Not to Lavage?
January 10, 2007
Case and Commentary by Minisha Sood PGY-3 and Ilseung Cho Fellow, Division of Gastroenterology
The patient is a 57 year-old man with a past history of hypetension, hyperlipidemia, hepatitis B/C cirrhosis and coronary artery disease status/post a non-st-elevation mi in August …
Why Are Breast Cancer Rates Trending Down?
January 9, 2007
The recent finding of decreasing breast cancer rates made headlines throughout the media; including a NY Times article entitled, Reversing Trend, Big Drop is seen in Breast Cancer on December 15, 2006.
Striking …
Do Statins Get Along With Hepatitis C?
January 4, 2007
A 53 year old male with chronic hepatitis C and type 2 diabetes is found to have a moderately elevated cholesterol.
1. Is it safe to start a statin?
2. Do statins have any effect on viral replication?
Comentary By Ed Bini, M.D. …