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: 1. When …
Category: Clinical Questions
Clinical Correlations
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 which …
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 that …
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 2006, …
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 epidemiological …
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. …
Does the Existence of Community Acquired MRSA Change Empiric Therapy for Skin and Soft Tissue Infections?
January 3, 2007
A 58 year old man with type 2 diabetes and chronic venous insufficiency/recurrent lower extremity cellulitis presents with fever and a left lower extrmity ulcer with purulent drainage. He’s been successfully treated in the past with both Unasyn/Augmentin …
Who Should Receive Prophylaxis for Gout?
December 26, 2006
A 70 year old male, former alcoholic, with a past history of gout diagnosed by joint aspiration, presents with his second episode of right 1st metatarsal erythema, swelling and severe pain in the last 6 months.