Vivian Hayashi MD, Robert Smith MD
The answer to the mystery quiz is rhabdomyolysis due to legionella pneumonia (LP). The presentation of the patient, namely severe rhabdomyolysis complicated by acute kidney injury, obscured the presence of a subtle retrocardiac density that is visible on the CXR (Image 2, asterisk). …
By Miguel A. Saldivar, MD
Peer Reviewed
Last week the US team bowed out of the World Cup, but not without a valiant final effort. Particularly noteworthy was goalie Tim Howards’ performance, leading some …
Vivian Hayashi MD, Robert Smith MD
A 51 year old man presented to the emergency room with fever and myalgias for four days. The patient was previously in good health except for occasional asthmatic exacerbations. He noted thigh pain in the few days prior to admission, for which he took …
By Dana Zalkin
Peer Reviewed
Former Mayor Michael Bloomberg’s proposal to limit sales of sugary drinks over 16 ounces was rejected by New York’s highest court this week [1]. Given that this …
By Ian Henderson, MD
Peer Reviewed
This week we lost an outspoken, revolutionary leader in medicine [1], Dr. Arnold Relman. A former Editor in chief of the New England …
By Reed Magleby, MD
Peer Reviewed
For many with type II diabetes, initiation of insulin therapy represents a devastating progression of their disease. Patients who are dependent on insulin require constant blood sugar monitoring, adherence to strict dosing algorithms, and up to 4 self-administered injections every day. According to a 2010 survey …
By Christopher Maulion, MD
Peer Reviewed
The last week was certainly a treat for sports fans. Thursday marked the start of the World Cup, and the month where the …
By Dana Zalkin
Peer Reviewed
In the late 1970s evidence began to emerge that a newly discovered pump, a H+/K+ ATPase in the gastric mucosa, was the final step in the process of acid …