Posts Tagged ‘NEJM’

Sciatica

Posted by Carla Rothaus • March 27th, 2015

Pain that extends from the buttock down the course of the sciatic nerve is common. Nearly 85% of cases are associated with a disk disorder. The causes, assessment, and management of sciatica are discussed in a new review article. The mundane malady sciatica has been known to physicians since antiquity. It is defined as pain… Read More…

A Girl with Graves’ Disease

Posted by Carla Rothaus • March 27th, 2015

In the latest Case Record of the Massachusetts General Hospital, a 15-year-old girl with Graves’ disease was admitted to the hospital because of psychotic symptoms — including depression, hallucination, and suicidal thoughts — that began approximately 2 months after treatment with methimazole had been initiated. Before a diagnosis of primary mood disorder can be made,… Read More…

Putting on and Removing PPE

Posted by Karen Buckley • March 25th, 2015

Personal protective equipment, or PPE, is used when there is a risk of exposure to infectious material, to protect the skin and mucous membranes from exposure to pathogens. A new Video in Clinical Medicine demonstrates putting on and removing PPE. This important information is now available on the Ebola Outbreak page, or browse all 59 Videos in… Read More…

The Final Nail in Early Goal Directed Therapy’s Coffin?

Posted by Joshua Allen-Dicker • March 24th, 2015

You are called to evaluate Ms. Smith urgently.  She reports several days of progressive malaise, weakness and a new cough. On your exam she is tachycardic, tachypneic and febrile.  You diagnose Ms. Smith with sepsis and explain the importance of quickly treating this life-threatening condition. In the United States, situations like this—presentations leading to the… Read More…

Take the Fluids and Electrolytes Challenge

Posted by Karen Buckley • March 23rd, 2015

A 53-year-old woman with chronic kidney disease, hypertension, and a mood disorder presented with irritability and pressured speech. Lab data include: blood pressure 130/85 mm Hg, plasma sodium 155 mmol/L, potassium 4.5 mmol/L, blood urea nitrogen 67 mg/dL, creatinine 1.99 mg/dL, glucose 90 mg/dL, and plasma osmolality 339 mOsm/L. What is the best strategy to… Read More…

New Topics on the NEJM Group Open Forum

Posted by Karen Buckley • March 19th, 2015

There’s a lot to talk about on the NEJM Group Open Forum. Read the discussion, like, share and comment to become a part of these active and engaging conversations. Reviving Research to Prevent Gun Violence: If you were given a research grant to investigate some aspect of firearm violence, how would you direct those resources?… Read More…

Watch the Latest NEJM Quick Takes

Posted by Karen Buckley • March 18th, 2015

There may be important new progress in the treatment of Crohn’s Disease. Watch the 1-minute Quick Take video summary of the phase 2 trial of Mongersen, an oligonucleotide that interferes with a signaling pathway involved in the pathogenesis of Crohn’s Disease. Also, read the full article and editorial. Watch other recent video summaries, including: CABG… Read More…

New Conversations on the NEJM Group Open Forum

Posted by Karen Buckley • December 18th, 2014

Will the results of the MR CLEAN trial change the standard of care for patients with acute ischemic stroke? Ask the authors and other experts in the field in the latest discussion about NEJM original research. From the NEJM CareerCenter “Fascinating Physician” series, meet Dr. Wen Dombrowski, a geriatrics physician executive who develops technology, business,… Read More…

Ethical Challenges in Treating Family and Friends

Posted by Karen Buckley • September 25th, 2014

What do you do when: A neighbor wants a prescription to refill her daughter’s albuterol inhaler before her soccer game — which starts in two hours? A colleague asks for a prescription for fluoxetine because he has been feeling depressed since his divorce? Your father-in-law has been admitted to the hospital where you work following… Read More…

Watch the NEJM Documentary, Getting Better

Posted by Karen Buckley • May 2nd, 2012

In our continuing celebration of 200 years of NEJM, a new documentary is now available on the 200th anniversary website. Getting Better: 200 Years of Medicine is a three-part, 45-minute film that explores three remarkable stories of medical progress that have taken place over the course of the long history of NEJM. When NEJM was… Read More…