Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 38-year-old woman is evaluated during a follow-up visit for primary membranous glomerulopathy. Diagnosis was made by kidney biopsy 4 months…
Category: Conditions
I’ve prescribed opioids to patients. And I’m not a villain.
You’ve probably heard this one in one format or another: kid gets wisdom teeth yanked, dentist prescribes a handful of Vicodin, next thing you know, he’s on the street busking for change to pan the man for the big H. Meanwhile, the dentist is on cruise…
I’ve prescribed opioids to patients. And I’m not a villain.
You’ve probably heard this one in one format or another: kid gets wisdom teeth yanked, dentist prescribes a handful of Vicodin, next thing you know, he’s on the street busking for change to pan the man for the big H. Meanwhile, the dentist is on cruise…
A possibly fishy complication of an Alaskan cruise
A 69-year-old man with a medical history of hypertension, diabetes, and obesity with a body mass index of 33 was admitted with altered mental status. He and his wife were returning from a 14-day Alaskan cruise. On their return, the wife started noticin…
Should speed-eating contests be banned?
This eating contest season, there was only one death this year, as far as I can determine. A 41-year-old California man died in August while participating in a taco eating contest at a minor league baseball game. The coroner said he choked to death. In…
What a cardiologist wants you to know about loneliness
What is the unspoken fatal epidemic of our time? And the greatest predictor of overall health, happiness, job satisfaction, and resiliency? Loneliness. As a clinical cardiologist, I am committed to the health and well-being of my patients. As a recover…
What’s the X-factor in life or death medical situations?
I was a brand-new intern in the intensive care unit, and Cassandra was the very first patient I saw there. A petite, slender woman, she was rolled in on a stretcher, accompanied by her tall, athletic husband, Jack. Cassandra was in her 20s, like me — b…
MKSAP: 19-year-old man with lightheadedness and nightly fevers
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 19-year-old man is hospitalized with a 6-day history of lightheadedness and nightly fevers. He also reports sore throat, headache, joint an…
What does a cardiologist think of the keto diet?
Being a cardiologist, the most frequent question coming my way for the last few years is “Doc what do you think about the “keto” [ketogenic] diet.” All foods contain both micronutrients and macronutrients that are essential for the body to function opt…
Why diverticulitis can be an elusive diagnosis
I have been treating diverticulitis for 30 years the same way. When I suspect that a patient has this diagnosis, I prescribe antibiotics. This has been the standard treatment for this disorder for decades. I have found that diverticulitis is a slippery…
