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{"title":"No Hard Feelings","authors":"Colin Thomas","doi":"10.29046/TMF.020.1.021","DOIUrl":"https://doi.org/10.29046/TMF.020.1.021","url":null,"abstract":"Book file PDF easily for everyone and every device. You can download and read online No Hard Feelings file PDF Book only if you are registered here. And also you can download or read online all Book PDF file that related with No Hard Feelings book. Happy reading No Hard Feelings Bookeveryone. Download file Free Book PDF No Hard Feelings at Complete PDF Library. This Book have some digital formats such us :paperbook, ebook, kindle, epub, fb2 and another formats. Here is The Complete PDF Book Library. It's free to register here to get Book file PDF No Hard Feelings.","PeriodicalId":246494,"journal":{"name":"The Medicine Forum","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128914166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Michael D Weintraub, Deepika Nandiraju, M. Shirodkar
A 65-year-old male with a history of gout was admitted for evaluation of hematuria. Labs during his admission revealed a venous blood glucose of 43mg/dl. Point of care glucose checks were not ordered on admission as the patient was not diabetic. The patient was fully alert and oriented with no somnolence, diaphoresis or palpitations. He was not taking any antihyperglycemic medications at home, and he had an HbA1c of 6.2%. He was hemodynamically stable with no signs of infection. The only other lab abnormality noted was a leukocytosis of 95,000/μL. Point of care glucose checks were ordered with meals and at bedtime. A subsequent venous blood glucose was 27mg/dL, but the patient remained asymptomatic and a simultaneous point of care glucose was 92mg/dL. A close evaluation of the case revealed a delay between phlebotomy time and processing of the venous sample. Immediate processing of the following venous sample revealed a normal glucose (90mg/dL) that correlated with the simultaneous point of care glucose. Repeat testing with quick processing of the sample clarified that the measurements of low venous blood glucose levels were due to in vitro glucose consumption by leukocytes that occurred between the times of phlebotomy and sample analysis.
{"title":"A Case Report of Pseudohypoglycemia in a Patient with Leukocytosis","authors":"Michael D Weintraub, Deepika Nandiraju, M. Shirodkar","doi":"10.29046/tmf.020.1.006","DOIUrl":"https://doi.org/10.29046/tmf.020.1.006","url":null,"abstract":"A 65-year-old male with a history of gout was admitted for evaluation of hematuria. Labs during his admission revealed a venous blood glucose of 43mg/dl. Point of care glucose checks were not ordered on admission as the patient was not diabetic. The patient was fully alert and oriented with no somnolence, diaphoresis or palpitations. He was not taking any antihyperglycemic medications at home, and he had an HbA1c of 6.2%. He was hemodynamically stable with no signs of infection. The only other lab abnormality noted was a leukocytosis of 95,000/μL. Point of care glucose checks were ordered with meals and at bedtime. A subsequent venous blood glucose was 27mg/dL, but the patient remained asymptomatic and a simultaneous point of care glucose was 92mg/dL. A close evaluation of the case revealed a delay between phlebotomy time and processing of the venous sample. Immediate processing of the following venous sample revealed a normal glucose (90mg/dL) that correlated with the simultaneous point of care glucose. Repeat testing with quick processing of the sample clarified that the measurements of low venous blood glucose levels were due to in vitro glucose consumption by leukocytes that occurred between the times of phlebotomy and sample analysis.","PeriodicalId":246494,"journal":{"name":"The Medicine Forum","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114959622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
panel and complete blood count were otherwise within normal limits. Chest and abdominal computed tomography (CT) imaging revealed a large loculated right-sided pleural effusion, large-volume ascites (Figure 1) without cirrhosis and a 5 cm multicystic right adnexal mass (Figure 2). Thoracentesis and paracentesis were performed, both yielding grossly bloody fluid. Cultures and gram and acid-fast stains of both fluid samples revealed no organisms, and cytology was negative for malignancy; HIV and hepatitis serologies were negative and the serum-ascites albumin gradient was less than 1.0. A right-sided chest tube was placed to facilitate further drainage (Figure 3); this was subsequently removed after several days of minimal drainage. A transvaginal pelvic ultrasound revealed a cystic right ovarian mass with thickened, nodular internal septations. CA 125 was mildly elevated, but CEA and CA 19-9 were normal. INTRODUCTION
{"title":"Hemothorax and Hemorrhagic Ascites: A Rare Presentation of Endometriosis","authors":"Harry Wang","doi":"10.29046/tmf.020.1.014","DOIUrl":"https://doi.org/10.29046/tmf.020.1.014","url":null,"abstract":"panel and complete blood count were otherwise within normal limits. Chest and abdominal computed tomography (CT) imaging revealed a large loculated right-sided pleural effusion, large-volume ascites (Figure 1) without cirrhosis and a 5 cm multicystic right adnexal mass (Figure 2). Thoracentesis and paracentesis were performed, both yielding grossly bloody fluid. Cultures and gram and acid-fast stains of both fluid samples revealed no organisms, and cytology was negative for malignancy; HIV and hepatitis serologies were negative and the serum-ascites albumin gradient was less than 1.0. A right-sided chest tube was placed to facilitate further drainage (Figure 3); this was subsequently removed after several days of minimal drainage. A transvaginal pelvic ultrasound revealed a cystic right ovarian mass with thickened, nodular internal septations. CA 125 was mildly elevated, but CEA and CA 19-9 were normal. INTRODUCTION","PeriodicalId":246494,"journal":{"name":"The Medicine Forum","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131218168","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"From the Desk of the Residency Program Director","authors":"Emily A. Stewart","doi":"10.29046/tmf.019.1.001","DOIUrl":"https://doi.org/10.29046/tmf.019.1.001","url":null,"abstract":"","PeriodicalId":246494,"journal":{"name":"The Medicine Forum","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133072797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
gastroparesis showed symptomatic improvement after surgical resection, chemotherapy, or radiation treatment of underlying malignancy in 6 of 14 cases reviewed 5 . Traditional therapies for gastroparesis
14例胃轻瘫患者中有6例在手术切除、化疗或放射治疗后症状得到改善。胃轻瘫的传统疗法
{"title":"Severely Impaired Gastric Emptying in the Setting of an Extensive Malignancy History: A Case of Paraneoplastic Gastroparesis","authors":"Gregory Habig, MD, Justin Robbins, MD","doi":"10.29046/tmf.022.1.007","DOIUrl":"https://doi.org/10.29046/tmf.022.1.007","url":null,"abstract":"gastroparesis showed symptomatic improvement after surgical resection, chemotherapy, or radiation treatment of underlying malignancy in 6 of 14 cases reviewed 5 . Traditional therapies for gastroparesis","PeriodicalId":246494,"journal":{"name":"The Medicine Forum","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134603372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Michael Dong, MD, Tudor Sturzoiu, MD, Fred Karaisz, Max Ruge, MD
{"title":"Internal Medicine Residents’ Experience with using Handheld Ultrasound Machines in Point-of-Care Ultrasonography","authors":"Michael Dong, MD, Tudor Sturzoiu, MD, Fred Karaisz, Max Ruge, MD","doi":"10.29046/tmf.023.1.015","DOIUrl":"https://doi.org/10.29046/tmf.023.1.015","url":null,"abstract":"","PeriodicalId":246494,"journal":{"name":"The Medicine Forum","volume":"93 4","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133523520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sameep Thapa, MD, Max Ruge, MD, Tamar Wolinsky, MD
{"title":"Spontaneous Tumor Lysis Syndrome in Undifferentiated Pelvic Solid Tumor with Associated New Onset Atrial Flutter: A Case Report","authors":"Sameep Thapa, MD, Max Ruge, MD, Tamar Wolinsky, MD","doi":"10.29046/tmf.023.1.013","DOIUrl":"https://doi.org/10.29046/tmf.023.1.013","url":null,"abstract":"","PeriodicalId":246494,"journal":{"name":"The Medicine Forum","volume":"62 4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131049079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Michael Dong, MD, Rebecca Davis, MD, Jonathan Foster, MD, Jillian Cooper, MD, Frances Mae West, MD
{"title":"A Guide to Point of Care Ultrasound Examination of Acute Decompensated Heart Failure","authors":"Michael Dong, MD, Rebecca Davis, MD, Jonathan Foster, MD, Jillian Cooper, MD, Frances Mae West, MD","doi":"10.29046/tmf.024.1.012","DOIUrl":"https://doi.org/10.29046/tmf.024.1.012","url":null,"abstract":"","PeriodicalId":246494,"journal":{"name":"The Medicine Forum","volume":"98 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114601217","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"From the Desk of the Residency Program Director","authors":"Christopher Henry, MD, FACP","doi":"10.29046/tmf.024.1.002","DOIUrl":"https://doi.org/10.29046/tmf.024.1.002","url":null,"abstract":"","PeriodicalId":246494,"journal":{"name":"The Medicine Forum","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127101937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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