Category: Spotlight

Clinical Correlations

Fava Beans and a Nice Chianti

By Matthew Vorsanger MD, David Kudlowitz MD, and Patrick Cocks MD

Peer Reviewed

 Learning objectives:

1. Describe the pathophysiology and clinical features of G6PD Deficiency.

2. Discuss susceptibility to favism.

3. Give a brief historical perspective on the fava bean.


You receive an emergency off-hours call from one of your outpatients.…

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Spotlight: A case of Metformin Associated Lactic Acidosis

By  Jasmine Nee and Martin Fried, MD

Peer Reviewed


1. What is metformin-associated lactic acidosis?
2. How does severe acidemia lead to acute kidney injury?
3. How do you treat metformin-associated lactic acidosis?


The patient is a 40-year-old man with alcohol dependence and type II diabetes who presented to the emergency department for alcohol intoxication.…

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Spotlight: Subacute Endocarditis: The Great Masquerader

By  Helen Ma, MD

Peer Reviewed

Our new Spotlight series uses case vignettes to explore diagnosis, pathophysiology, and management of a wide variety of diseases seen in the outpatient and inpatient settings.  Articles in the Spotlight section contain clinical pearls that will be highlighted in the case discussion. …

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