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 be unethical. …
Category: Clinical Questions
Clinical Correlations
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 and negative …
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 articles in …
What Is Sezary Syndrome?
December 11, 2006
Morning Report-Tisch Hospital
Case Presentation: 83 year old with a past medical history of hypertension noted erytematous plaques with scale about 1 year ago. The rash was associated with diffuse pruritis at that time. The patient subsequently underwent several …
How do you approach a patient with asymptomatic primary hyperparathyroidism?
December 6, 2006
56 year old Hispanic female with a history of hypertension, type 2 diabetes on oral medications, hyperlipidemia and normal renal function. Over the past 2 years she has been noted to have mild …
Diagnostic Dilemma #2 How Should You Approach a Low Titer +RPR?
November 28, 2006
45 year old male with history of Hep B ( Hep B Surf Ag + but Hep E Ab+ and E Ag – and DNA viral load was not sent) and syphilis treated in the past. He has …
Fast Facts-Critical Care
November 22, 2006
VA MICU Conference 11/22/06
56 y.o. male with PMH ETOH abuse and COPD presented with a LUL PNA and BCx positive for penicillin-resistant pneumococcus.
Early Goal-Directed Therapy in Severe Sepsis and Septic Shock
- Early broad spectrum antibiotics.
- Goal directed hemodynamic resuscitation with
- IV fluids
- pressors
- PRBCs (for …
Epogen and Anemia-Less is More
November 17, 2006
Singh AK et al. Correction of anemia with epoetin alfa in chronic kidney disease. N Engl J Med 2006 Nov 16; 355:2085-98.
Drüeke TB et al. Normalization of hemoglobin level in patients with chronic kidney disease and anemia. …