Landing on the front page of the New York Times today is a study from Science that may turn addiction medicine on its head…no pun intended. Of 32 smokers who had suffered a brain injury, they found that 16 who had …
Clinical Correlations
The NYU Langone Health Online Journal of Medicine
When Should You Order a T Wave Alternans Test?
January 25, 2007
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 …
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 …
Medical Malpractice 101
January 19, 2007Commentary By: Sandeep Mangalmurti, MD, JD PGY-1
For many physicians, medical malpractice is like paying taxes; inevitable, but incomprehensible. This is unfortunate, since most physicians offer unique insights into the current debate on malpractice reform. Hopefully this article will …
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: 1. …
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 which …
A Debate: Should Smokers be Denied Surgery?
January 12, 2007
In last week’s issue of the British Medical Journal, two physicians argue about the merits of refusing to perform elective surgeries on smokers. The debate has been spurred by a primary care group in the UK who announced last year that …