Category Archives: EUHMidtown

EUHM Resident Report: What is the correlation of HSV encephalitis and intracerebral hemorrhage?

The mechanism of hemorrhagic complication in HSV encephalitis is unclear. The possible mechanisms ┬áinclude small vessel rupture due to vasculitis and transient hypertension caused by increased intracranial pressure. Gyral pattern of the hemorrhage may suggest that the hemorrhagic complication in … Continue reading

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EUHM Resident Report: How to handle difficult patient situations?

Difficult encounters are estimated to represent 15 to 30 percent of family physician visits. Factors contributing to these difficult clinical encounters may be related to the physician, patient, situation, or a combination. Physicians can recognize these visits as challenging by … Continue reading

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EUHM Resident Report: How is hypokalemia associated with HIV?

The Bottom Line: Adverse events in HIV patients taking tenofovir are relatively rare, postmarketing reports of nephrotoxicity have alerted physicians to other potentially serious outcomes. This study presents a series of 40 patients who developed hypokalemia associated with tenofovir. Identified … Continue reading

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EUHM Resident Report: Does pregnancy increase or decrease the risk of lupus flares?

The Bottom Line: SLE patients with stable lupus nephritis demonstrates that flares develop in almost 20% of pregnancies, but flares respond to prompt and adequate therapy. On the same level, contraception and an optimal timing for pregnancy should be discussed … Continue reading

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EUHM Resident Report: What percentage of patients with no risk factors are diagnosed with tuberculosis?

For people with TB infection, no risk factors, and no treatment, the risk is about 5% in the first 2 years after infection and about 10% over a lifetime. Figure 2.5 Risk of Developing TB Disease Chapter 2. Page 32 … Continue reading

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EUHM Resident Report: Are CT findings valid for prognostication of renal cysts under the Bosniak Classification?

The Bottom Line: CT and MR imaging findings were similar in the majority of cystic renal masses. In some cases, however, MR images may depict additional septa, thickening of the wall and/or septa, or enhancement, which may lead to an … Continue reading

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EUHM Resident Report: What is the rate of lymphogranuloma venerum developing in the distal rectum and causing painful bleeding?

Anorectal LGV is a common cause of acute proctitis and proctocolitis among HIV-infected MSM who practice unprotected anal sex, and it is frequently associated with other rectal STDs. The implementation of routine screening and prompt diagnosis of these rectal infections … Continue reading

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