The United States Preventive Services Task Force stands their ground in this week’s Annals of Internal Medicine and recommends against the routine use of the PSA as a screening tool for prostate cancer. This Class D recommendation is grounded in data that suggests a “very small” mortality benefit at the …
Category: Heme/Onc
Clinical Correlations
Should Patients With Nephrotic Syndrome Receive Anticoagulation?
May 9, 2012
By Jennifer Mulliken
Faculty Peer Reviewed
Case 1:
A 30-year-old African-American male with a history of bilateral pulmonary emboli presents with a 1-week history of bilateral lower extremity edema. Blood pressure is 138/83, cholesterol 385, …
What are the Barriers to Using Low Dose CT to Screen for Lung Cancer?
February 23, 2012
By Benjamin Lok
Faculty Peer Reviewed
Lung cancer is the most common cause of cancer deaths globally [1] and responsible for an estimated 221,120 new cases and 156,940 deaths in 2011 in …
To Premed or Not to Premed: Are Tylenol and Benadryl Really Necessary Prior to All Transfusions?
January 19, 2012
By Robert Gianotti, MD
Faculty Peer Reviewed
Case: Mr. T is a 32-year-old male being treated by the oncology service for Acute Myelogenous Leukemia. You are the night float intern covering overnight when you are …
What Is the Significance of Monoclonal Gammopathy of Undetermined Significance (MGUS)?
December 22, 2011
By Maryann Kwa, MD
Faculty Peer Reviewed
Clinical Case:
A.D. is a healthy 65-year-old African American male with no prior medical history who presents to his primary care physician for an annual check up. He feels …
Mystery Quiz- The Answer
December 14, 2011Vivian Hayashi MD and Robert Smith MD, Mystery Quiz Section Editors
The answer to the mystery quiz is Kaposi’s sarcoma. The CXR shows bilateral confluent airspaceopacities which have a wide differential diagnosis in this case. The CT narrows the differential. Specifically, the opacities appear to emanate from the central hilar …
Breast Self-Examination: Worth the Effort?
October 5, 2011
By Katherine Husk
Faculty Peer Reviewed
A healthy 40-year-old woman comes into your office for a routine health exam. After you have performed a clinical breast exam, she asks you whether she should be examining her breasts on her …
What is Sister Mary Joseph’s Nodule And Why Is It Significant?
September 15, 2011
By Keri Herzog, MD
Faculty Peer Reviewed
The patient is a 62-year-old male who presented to an outpatient medical clinic complaining of a growing, slightly painful, periumbilical mass, and mild lower gastrointestinal discomfort over the last 4 months. On examination, the patient …