General Internal Medicine

Spitting Out Worms The lab confirmed the "worm" to be an insect larva. The patient recently called to say she spat out some more worms and is coming back for another office visit. How does one approach this case?
Experts And Viewpoints, August 19, 2004
Recurrent Pulmonary Emboli With IVC Filter Placement What is the best course of treatment for a patient with recent PE and gastrointestinal bleeding (resulting from anticoagulation) who has a recurrent PE despite recent IVC filter placement?
Experts And Viewpoints, June 22, 2004
Vaccination Effectiveness During Treatment With Corticosteroids If a patient is being treated with corticosteroids for idiopathic thrombocytopenic purpura and undergoes a splenectomy, will the vaccination be effective while on the steroids?
Experts And Viewpoints, June 17, 2004
Elderly Man With Progressive Nephrotic Syndrome and Jaundice I am currently caring for a 74-year-old man with a 2-month history of progressive nephrotic syndrome and cholestatic jaundice. What are the most likely diagnoses to consider?
Experts And Viewpoints, June 11, 2004
Hypersalivation What are the common or uncommon etiologies for hypersalivation? Is there any specific treatment?
Experts And Viewpoints, May 18, 2004
Decreased Response to Oral Anticoagulants What is the best approach to a patient who, after initial heparinization, does not respond to large doses of habitual oral anticoagulants?
Experts And Viewpoints, May 06, 2004
Vaccinations and Antibiotic Treatment Post Splenectomy In a splenectomized adult, what are the appropriate vaccinations and frequency of vaccination? Also, should antibiotics be given to the patient to use in case a fever develops?
Experts And Viewpoints, May 07, 2004
Measuring Blood Pressure in Legs What is the proper technique for measuring blood pressure in the legs? How do standard readings in the legs compare with those obtained in the arms?
Experts And Viewpoints, March 26, 2004
Recommended Dose of IV Corticosteroids for COPD Exacerbation? What is the recommended dose of IV corticosteroids for an exacerbation of chronic obstructive pulmonary disease severe enough to warrant hospitalization?
Experts And Viewpoints, March 02, 2004
Sudden-Onset Enuresis in Young Adult A man presents with sudden-onset bedwetting -- might there be a psychological component?
Experts And Viewpoints, November 18, 2003
Medication for Hemodialysis-Induced Hypotension Is there any oral medication to prevent or treat hypotension induced by hemodialysis?
Experts And Viewpoints, November 13, 2003
Treatment of Blood Pressure Nondippers In assessing ambulatory blood pressure, do you treat patients who are nondippers even if the rest of their readings average out in the normal range?
Experts And Viewpoints, November 11, 2003
Ask the Expert: Elevated Chloride Level My patient is a 74-year-old white woman who experienced recent atrial fibrillation with RVR that converted to normal sinus rhythm. She was found to have an elevated chloride level (85)...
Experts And Viewpoints, July 15, 2003
Preoperative Anticoagulation for Patients With Atrial Fib Do you use a low-molecular-weight heparin for preoperative AF patients?
Experts And Viewpoints, February 03, 2003
Should Isoniazid Be Prescribed? He is currently taking 9 drugs in the following amounts for a variety of conditions...
Experts And Viewpoints, September 23, 2002
Herpes Simplex Esophagitis in an Immunocompetent Male What is the natural history of herpes simplex virus (HSV) in immunocompetent individuals and what is the likely recurrence rate?
Experts And Viewpoints, September 16, 2002

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