http://www.bedside.org/ Clinical notes en-us 2006-02-02T06:48:54-05:00 http://www.bedside.org/archives/2006_02.html#000416 Shehryar Anjum was looking for reports of delayed recognition of post-traumatic ventricular aneurysm [1]. Here is one associated with blunt chest trauma 34 years earlier [2].... gandola 2006-02-02T06:48:54-05:00 http://www.bedside.org/archives/2006_02.html#000415 A current NEJM article on home testing for HIV broadens public health concepts of HIV testing [1]. They echo points Scott Friedstrom made at grand rounds last week. For the first time, the CDC no longer recommends prevention counseling at... gandola 2006-02-02T06:23:13-05:00 http://www.bedside.org/archives/2006_01.html#000414 This Morning’s Grand Rounds A patient with acute (primary) HIV infection with neurologic manifestion of clumsy left hand and demyelination on MRI (which clears over time, untreated). Primary HIV (diagnosis, treatment, screening) Best reference on primary HIV is full-text online,... gandola 2006-01-25T07:21:51-05:00 http://www.bedside.org/archives/2006_01.html#000413 Today Elie Klam will discuss a case mentioned here last year. Here are links to other recent references [1,2,3]. About half the population of adults have been infected (less in some parts of the world; more as age advances.) Such... gandola 2006-01-04T07:00:56-05:00 http://www.bedside.org/archives/2005_11.html#000407 This summer Dame Cicely Saunders died in St. Christopher's Hospice, the orginal hospice she founded.... gandola 2005-11-07T15:57:45-05:00 http://www.bedside.org/archives/2005_11.html#000406 The FDA has approved muraglitazar (Pargluva), a hypoglycemic agent. It has been associated with increased cardiovascular mortality. Here is Public Citizen testimony before the FDA (Sept 9, 2005). A subsequent JAMA editorial cautions about cardiovascular adverse effects and the insufficiency... Pharmacology gandola 2005-11-04T06:05:08-05:00 http://www.bedside.org/archives/2005_11.html#000405 ACOG's clarification. JAMA this week goes into detail about Papanicolaou (Pap) smear strategies [1, 2]. 1. Before a woman gets her annual birth-control pill refill she needs a Pap smear. a. true b. false 2. A teenager's routine Pap smear... gandola 2005-11-03T06:07:11-05:00 http://www.bedside.org/archives/2005_11.html#000404 Here is a drawing of the celiac plexus, also known as the solar plexus. Radiologist, and others, can do celiac axis blocks to relieve chronic pain. Pancreas, esophagus and other gastrointestinal malignancies can lead to such pain. The relative benefit... Palliative Care gandola 2005-11-01T14:53:00-05:00 http://www.bedside.org/archives/2005_10.html#000403 This is a technical note on how to link to a pdf file stored on your webserver.... Technology gandola 2005-10-29T12:21:57-05:00 http://www.bedside.org/archives/2005_09.html#000402 Volunteering, donating and more can be found at this site from the American College of Physicians (ACP).... Public Health gandola 2005-09-02T19:25:51-05:00 http://www.bedside.org/archives/2005_08.html#000401 ...a link to a review article on hyponatremia [1]. Use of demeclocyline came up this morning. (One month of this medicine would cost around $1200.00.)... Pharmacology gandola 2005-08-11T08:14:53-05:00 http://www.bedside.org/archives/2005_08.html#000400 Speaking of the library at Alexandria... ...Mohammad Al-Ubaydli in PLoS Medicine [1], writes about online searches and gives tips for narrow googling (try using "site:") [2], or google Scholar [3], or other search engines such as Yahoo Creative Commons [4].... gandola 2005-08-06T07:02:49-05:00 http://www.bedside.org/archives/2005_07.html#000399 Fariba raised questions about Lyme disease in our patient with cranial nerve and peripheral sensory findings. Most of Ohio is in a minimal or no risk zone. (This CDC map is helpful [1]). More narrowly, Cincinnati is in a “low... Diagnosis gandola 2005-07-31T05:24:17-05:00 http://www.bedside.org/archives/2005_07.html#000398 When talking about patients as individuals we touched on the principle of autonomy. Judge Sandra Beckwith discusses autonomy and informed consent in her 1995 decision on the University of Cincinnati's radiation research [1]. Physicians had asked that charges be dropped... gandola 2005-07-29T07:57:05-05:00 http://www.bedside.org/archives/2005_07.html#000397 Our patient had hip pads on when she fell. She broke her hip. Do hip pads reduce hip fracture? This Canadian community-based trial found that many people discontinue hip pad use, but that they did reduce fracture risk with a... gandola 2005-07-28T08:32:02-05:00