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 it …
Category: Clinical Questions
Clinical Correlations
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, during …
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 facts …
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. Associate …
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 or …
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.
Should we recommend mammography screening for women between the ages of 40-50?
December 22, 2006
In a recent article in the Lancet, this question was addressed by a group of investigators led by Sue Moss, Ph.D. from the University of Leeds. Currently, the National Cancer Institute, U.S. Preventative Health Services Task Force and …
How do you approach a patient with Pneumomediastinum?
December 19, 2006
BH Morning Report Fast Facts
29 year old male presents with anuria, vomiting, and pneumomediastinum. 1 month prior to admission the patient traveled to South America and developed an upper respiratory infection. He returned to the US after traveling for two weeks …