General Internal Medicine

 
 

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?
  • 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?
  • 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?
  • 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?
  • Hypersalivation What are the common or uncommon etiologies for hypersalivation? Is there any specific treatment?
  • 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?
  • 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?
  • 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?
  • 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?
  • Sudden-Onset Enuresis in Young Adult A man presents with sudden-onset bedwetting -- might there be a psychological component?
  • Medication for Hemodialysis-Induced Hypotension Is there any oral medication to prevent or treat hypotension induced by hemodialysis?
  • 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?
  • 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)...
  • Preoperative Anticoagulation for Patients With Atrial Fib Do you use a low-molecular-weight heparin for preoperative AF patients?
  • Should Isoniazid Be Prescribed? He is currently taking 9 drugs in the following amounts for a variety of conditions...
  • 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?