January 2006 Issue of Cortlandt Forum

Quick Digest

 
 
 
 
 
 
 

Drug Updates from MPR

 
 
 
 
 

We’ve Got Answers

 
 
 

What elevated iron could signal

What could be causing an elevated iron level in a patient with normal liver enzymes?
 
 
 

How much wheat is too much wheat in a wheat-sensitive patient?

How much wheat can patients with sprue eat before they experience symptoms?
 
 

VITAMIN B12 AND WEIGHT LOSS

By what mechanism could vitamin B12 cause weight loss?
 
 
 
 
 
 
 
 
 
 
 

Cover Feature

Acute diarrhea: When and how to treat

If a bacterium or parasite is involved, you could have a very sick patient on your hands. The earlier treatment begins, the better.
 

Clinical Feature

 
 
 

Dermatologic Look-Alikes

 

Diagnostic Challenge

Fatigue and worsening anemia

The usual workup was unrevealing until the patient had an ultrasound.
 

An elusive cause of a passive man's weakness

A reticent patient can turn a common problem into a perplexing challenge.
 

Dermatology Dx

 
 

A Most Unusual Case

Medical consultation with an artist from the past

Physicians use various tools to reach a diagnosis: history, physical findings, blood tests, x-rays, and consults with specialists. I'll never forget the time I was ...
 

Why did this boy refuse to wear his shoes?

As I was walking into the hospital on a Saturday to do rounds, I saw one of my patients, a 12-year-old named "Josh," and his ...
 

A diagnosis of terminal cancer — or was it?

Thirty-five years ago, patients were often hospitalized for "tests," and so it was that I met Mrs. Smith. I was nearing the end of my ...
 

Stat Consult

 

Medicine and the Law

Surgical complication: slipup or cover-up?

The surgeon said the restricted field of vision of a minimally invasive technique prevented him from seeing the damage to the diaphragm. But the plaintiff's ...
 

Medical licensing board takes a harsh position

Charged with overprescribing, a doctor was blocked from practicing for three years. Getting his license reinstated, however, required a lawsuit.
 

Why this doctor was hit with punitive damages

A prison physician insists on carrying out a finger amputation, despite the inmate's plea for hospital care. The physician's stubbornness proved costly in court.
 

Empathetic treatment fails to prevent litigation

Personal experience with his own hemorrhoids contributed to this doctor's effective treatment of a fellow sufferer. Nevertheless, he wound up getting sued for malpractice.
 
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