A 58 year old male is admitted for "presyncope". He has not had chest pain and his baseline ECG is unchanged. The patient has an ischemic cardiomyopathy with an ejection fraction of …
Category: Systems
Clinical Correlations
A drug for NASH that may work?
January 24, 2007
Commentary By: Sandra D'Angelo, PGY-3
Nonalcoholic steatohepatitis (NASH) is a disease in which patients have features of alcoholic hepatitis on liver biopsy without a prior history of significant alcohol consumption and negative hepatitis serologies. It is …
Mystery Quiz #2
January 22, 2007Posted By Robert Smith, MD Associate Professor of Medicine, Division Pulmonary and Critical Care Medicine
The patient is a 77 year old male whose chief complaint was severe left hip pain of five years duration. As part of a preoperative evaluation for hip surgery, a routine chest x-ray was obtained as …
How Aggressively Should You Treat a Patient with a Pulmonary Embolus?
January 17, 2007
An otherwise healthy 57 year old patient presents with shortness of breath and pleuritic chest pain. The patient is hemodynamically stable without evidence of shock. A chest CT reveals a pulmonary embolus.
Questions: …
Morning Report: How Do You Approach a Patient With Bronchiectasis
January 16, 2007
Chief complaint: 85 year old female presents with worsening shortness of breath for one day.
History of present illness:
The patient’s history of present illness begins at the age of 60 when she was diagnosed with asthma, for …
To Lavage or Not to Lavage?
January 10, 2007
Case and Commentary by Minisha Sood PGY-3 and Ilseung Cho Fellow, Division of Gastroenterology
The patient is a 57 year-old man with a past history of hypetension, hyperlipidemia, hepatitis B/C cirrhosis and coronary artery disease status/post a non-st-elevation mi in August …
Why Are Breast Cancer Rates Trending Down?
January 9, 2007
The recent finding of decreasing breast cancer rates made headlines throughout the media; including a NY Times article entitled, Reversing Trend, Big Drop is seen in Breast Cancer on December 15, 2006.
Striking …
A Bad Break for the Purple Pill…
January 8, 2007
Commentary By Josh Remick, PGY-2
In the December 27th 2006 issue of JAMA, Yang et al. reported the results of a nested case-control study of United Kingdom patients entitled “Long-term Proton Pump Inhibitor Therapy and Risk of Hip …