Last week, the FDA issued a public health advisory regarding the use of methadone (trade name Dolophine) for chronic pain. Death and life threatening side effects have been reported in patients newly starting …
Category: Systems
Clinical Correlations
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 …
Outbreak: Toxic Tacos
December 7, 2006
Update 12/12/06 Download new NY DOH Alert
Several Taco Bell restaurants in our area have been shut down recently due to an outbreak of E. Coli O157:H7. At least 22 people are infected, and most are under age 18. Interestingly, …
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 …
Pfizer Shutting Lights on ILLUMINATE Study
December 4, 2006
Low HDL is a well known independent risk factor for atherosclerotic disease. As a result, there have been several attempts to develop medications to raise HDL. Specific targets include the inhibition of cholesteryl ester transfer protein, which …
Fast Facts-Rheumatology
November 30, 2006Bellevue Morning Report Teaching Points 11/27
CC: Left knee swelling and pain x 1 week
54 yo male without past medical history in his usual state of health until 5 weeks prior when he had painful ejaculation and intermittent dysuria, denies …
Should You Recommend Surgery or Conservative Care for Disc Herniation?
November 29, 2006
In the November 22nd issue of JAMA, the results of two studies from the Spine Patient Outcomes Research Trial (SPORT) on lumbar disk surgery for persistent radicular pain are reported. Both these studies sought to assess the …
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 …