November 2005

In the LiteratureLegalPublic Policy

Postdischarge Test Results, Acute Renal Failure, Diagnosing PE

Roy PM, Colombet I, Durieux P, et al. Systemic review and meta-analysis of strategies for the diagnosis of suspected pulmonary embolism. BMJ.2005;331:259. Background: Despite technological advances, the diagnosis of pulmonary embolism remains challenging. A large number of diagnostic tests and strategies have been evaluated and yet the test characteristics of each and their practical use… [Read More]

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To the Marrow

A44-year-old male presented with ecthyma gangrenosum and Pseudomonas aeruginosa bacteremia after a two-year history of fever of unknown origin, pancytopenia, hypertriglyceridemia, and splenomegaly. A bone marrow aspirate was performed, as shown. Based on the bone marrow aspirate, the most likely diagnosis is: Acute leukemia Myelofibrosis with myeloid metaplasia Multiple myeloma Myelodysplastic syndrome Hemophagocytic syndrome. A… [Read More]

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Tours of Duty

The lessons learned by hospitalists and other healthcare providers who rendered patient care in dire circumstances during Hurricane Katrina