By Lauren Strazzulla
Current FDA guidelines for the use of metformin stipulate that it not be prescribed to those with an elevated creatinine (at or above 1.5 mg/dL for men and 1.4 mg/dL for women). It is also …
Category: Systems
Clinical Correlations
Are We Overusing Proton Pump Inhibitors?
November 13, 2015
By Shimwoo Lee
Peer Reviewed
Case: A 31-year-old man with poorly controlled type 2 diabetes was hospitalized for community-acquired pneumonia. His home medications included esomeprazole. When asked why he was receiving this medication, …
HDL Quantity, Necessary But Not Sufficient For Cardioprotection
September 30, 2015
By Kerrilynn Carney, MD
Peer Reviewed
Coronary heart disease remains the leading cause of death globally despite the use of statin therapy. Although major statin studies suggest an average 31% reduction in relative …
The Great Marijuana Debate – Effects on Psychosis and Cognition
August 13, 2015
By Kristina Cieslak, MD
Peer ReviewedÂ
The heavily debated gradual decriminalization and legalization of marijuana will likely result in easier access for all ages. An informed debate has been stymied, however, by a …
The Role of Fish Oil in Arrhythmia Prevention
July 29, 2015
By Steven Bolger
Peer Reviewed
Omega-3 fatty acids were first identified as a potential agent to prevent and treat cardiovascular disease through several epidemiologic studies of the Greenlandic Inuit in the 1970s suggesting …
UV Nail Lamps and Cancer: A Correlation?
July 24, 2015
By Jennifer Ng, MD
Peer ReviewedÂ
Beauty and suffering are often thought to be intertwined. It is hard to have your cake and eat it too. In the quest for beauty, women (and …
A Primer on CRP and Cardiovascular Risk
July 22, 2015
Cindy Fei, MD
Peer Reviewed
A 63-year-old woman with hypertension presents to your clinic for routine follow-up. She came across an online article regarding C-reactive protein and its purported link to heart disease, and she asks you whether she should be tested …
Diagnostic Challenges in Latent Tuberculosis Infection: A Brief Review of Available Tests and their Appropriate Use
July 15, 2015
By: Miguel A. Saldivar, MD
Peer ReviewedÂ
“Indeterminate.” Many clinicians have expressed frustration when reading this word on a Quantiferon-TB Gold test result. The obligate follow-up question is: what is the next best …