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 has …
Category: Systems
Clinical Correlations
Fast Facts-Critical Care
November 22, 2006
VA MICU Conference 11/22/06
56 y.o. male with PMH ETOH abuse and COPD presented with a LUL PNA and BCx positive for penicillin-resistant pneumococcus.
Early Goal-Directed Therapy in Severe Sepsis and Septic Shock
- Early broad spectrum antibiotics.
- Goal directed hemodynamic resuscitation with
- IV fluids
- pressors
- PRBCs (for …
Fast Facts-Cardiology
November 20, 2006
Welcome to Fast Facts-a new feature of Clinical Correlations. Look for frequent posts summarizing key teaching points from Morning Reports and Noon Conferences from Bellevue, Tisch and the VA.
Bellevue 11/16/08-William Slater M.D.
34 yo female, 4 weeks post-partum, presents …
Epogen and Anemia-Less is More
November 17, 2006
Singh AK et al. Correction of anemia with epoetin alfa in chronic kidney disease. N Engl J Med 2006 Nov 16; 355:2085-98.
Drüeke TB et al. Normalization of hemoglobin level in patients with chronic kidney disease and anemia. …
NYU’s Dr. Hochman Releases OAT Results
November 16, 2006 
Hochman JS et al. for the Occluded Artery Trial Investigators. Coronary intervention for persistent occlusion after myocardial infarction. N Engl J Med 2006 Nov 14; 355.
Reperfusion via thrombolytics or PCI in patients with acute STEMI has been shown …
Should We Screen All Smokers for Lung Cancer?
November 15, 2006Commentary by Deborah Shapiro, M.D. Attending Physician, Dept. Veterans Affairs
The International Early Lung Cancer Action Program Investigators. Survival of patients with stage I lung cancer detected on CT screening. N Engl J Med 2006;355:1763-1771
Over the last few weeks there has been major …
Tamiflu Patients Need Monitoring
November 14, 2006
Over 100 cases have been reported to the FDA involving the use of Tamiflu and the development of hallucinations, delerium and other unusual behavior mainly in Japanese children. From the Chicago Tribune article "Health officials have been sensitive about …
Improving Stroke Recovery-The EXCITE Trial
November 9, 2006The EXCITE trial was the lead article in last week’s JAMA. It looks at a 2 week program of contstraint induced movement therapy vs. usual care in patients suffering a cva within the previous 3-9 months. Pt’s in the treatment arm wore a restraining mitt on …