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. When …
Clinical Correlations
The NYU Langone Health Online Journal of Medicine
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 …
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 2006, …
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 epidemiological …
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 Fracture.” …
Links: Dermis.net-An Online Dermatology Atlas
January 5, 2007
The best online dermatology atlas I have come across is dermIS.net. The site originates from Germany and includes an excellent, easily searchable database with terrific pictures and clinical information. The most useful feature of the site however is the differential …
Do Statins Get Along With Hepatitis C?
January 4, 2007
A 53 year old male with chronic hepatitis C and type 2 diabetes is found to have a moderately elevated cholesterol.
1. Is it safe to start a statin?
2. Do statins have any effect on viral replication?
Comentary By Ed Bini, M.D. …