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. …
Category: Clinical Questions
Clinical Correlations
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 …
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.
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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 …
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 …
Does Circumcision Decrease the Transmission of HIV?
December 18, 2006
Recently, two large clinical trials in Kenya and Uganda that examined the role of circumcision in men to prevent the spread of HIV were halted on the grounds that not offering circumcision to men taking part in the trial would …
When Can You Safely Anticoagulate a Patient after an Intracranial Hemorrhage?
December 15, 2006
55 year old white male falls down a flight of stairs and sustains a subdural hemorrhage and a subarachnoid hemorhage with significant neurological changes. Hospital course was notable for 1 episode of chest pain without ekg changes …
Epogen and Anemia-Less is More (Part 2)
December 14, 2006Commentary By David Goldfarb, M.D. Professor of Medicine, NYU Medical Center, Chief Nephrology Section VA New York Harbor
2 weeks ago we reported on 2 lead …