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Title Specialty Votes Comments Rating

Are NG tubes messing with esophageal varices?

I have noticed a hesitant tendency in (some) emergency room physicians and other ER personnel (at least at our institution) to place NG tubes or OG tubes in pat...		 Gastroenterology 72 23

hypothermia for cardiac arrest

Our hospital has initated a new policy for cooling for cardiac arrest. The data is impressive for cooling. (New England Journal of Medicine 2002, 346:557-563) I...		 Emergency Medicine 60 72

Tension Pneumothorax in Pediatric Asthma

I had a case last week of a 9 yo girl with background of severe, poorly controlled asthma. She had increased nebulizer use for two days and parents were giving ...		 Emergency Medicine 88 78

Risk for recurrent cerebral venous thrombosis

26 year old female had an episode of cerebral venous thrombosis during her pregnancy 3 years ago. All the workup for hypercoagulable state was negative. She rec...		 Neurology 63 34

Psychosis and Lithium Overdose Emergency

In taking great care which patients we place on lithium for mood stablization, we must remember the consequences of overdosing. A patient can even have renal fa...		 Psychiatry 19 93

G6PD deficiency and Sickle Cell anemia

I had a 20 yo Saudi Arabian male patient with a history of sickle cell disease come into the hospital with pain in elbows, wrists, ankles and knees bilaterally,...		 Internal Medicine 42 95

Trazadone vs Ambien for insomnia

I have a patient, a 16 year old female, with a traumatic brain injury. He has a right hemiparesis and improving aphasia, and she's been suffering from insomnia ...		 Physiatry 47 62

Pneumonitis Intestinalis

When you have a perforated bowel with profuse amounts of stool in the abdomen, do you usually close the abdomen? Of course the skin stays open, but is there any...		 Surgery 60 51

Do you stop anticoagulation prior to cataract surgery?

There has been a lot of debate as to whether or not to stop anticoagulants (plavix, asa, coumadin) prior to cataract surgery. Part of this may be due to the ret...		 Ophthalmology 57 43

Ambulatory laparoscopic cholecystectomy

Laparoscopic cholecystectomy (LC) is the gold standard technique for symptomatic cholelithiasis and one of the most frequently procedures performed in Surgery....		 Surgery 16 51

Do you stop anticoagulation prior to cataract surgery?

There has been a lot of debate as to whether or not to stop anticoagulants (plavix, asa, coumadin) prior to cataract surgery. Part of this may be due to the ret...		 Ophthalmology 97 32

Pityriasis Rosea in an 80 year old?

An 80 year old female presented with a pruritic maculopapular rash of two weeks duration on her face, upper chest and entire back. Several of the papules, rangi...		 Allergy and Immunology 64 18

H. pylori eradication improves symptoms of Parkinson's disease

The following is the abstract of a recent article from Nature Clinical Practice Neurology (2006) 2, 523-524 The Helicobacter pylori bacterium lives in the mucus...		 Neurology 99 86

CT heart scan in the ER

A small study released by the American Heart Association (103 patients) showed that doing a multidetector CT (MDCT) of the heart on chest pain patients in the E...		 Internal Medicine 101 28

Use of High dose Lipitor after acute stroke (SPARCL trial)

Recently in NEJM a study was published N Engl J Med. 2006 Aug 10;355(6):549-59. In this study the conclusion was whether high dose lipitor can prevent a second ...		 Internal Medicine 76 88

Closure of Tracheoesophageal Fistula with Hyperbaric Oxygen

I would like to report the case of a 63 year old woman who had been treated with radical neck disection and radiation therapy for a squamous cell carcinoma of t...		 Otolaryngology 54 86

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