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Mucinous cystadenoma of the ovary presenting as unilateral lower extremity edema.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION: The clinically silent course of these large, benign tumors can have unique presentations. PMID: 19860270 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - October 1, 2009 Category: Journals (General) Authors: Malkan AD, Singh-Braich P, Panait L, Dudrick SJ Tags: Conn Med Source Type: journals

Thymoma developing 30 years after mantle radiation for Hodgkin's lymphoma.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Treatment-related malignancies are widely reported in the medical literature. They are usually chemotherapy-related leukemias or radiation-induced solid tumors. Here we present a case of a 47-year-old woman treated with mantle radiation for Hodgkin's lymphoma who later developed a thymoma in the setting of a venous thrombosis. A review of the literature including surveillance recommendations for secondary malignancies will be discussed. PMID: 19860271 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - October 1, 2009 Category: Journals (General) Authors: Goldstein MG, Siegel R Tags: Conn Med Source Type: journals

Status epilepticus: a review of current pharmacologic treatments.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19860272 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - October 1, 2009 Category: Journals (General) Authors: Talati R, White CM, Coleman CI Tags: Conn Med Source Type: journals

A medical odyssey to Camaguey, Cuba.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19860273 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - October 1, 2009 Category: Journals (General) Authors: Spar I, Spar B Tags: Conn Med Source Type: journals

Providing medical care to diverse populations: findings from a survey of Connecticut physicians.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION: Findings from this study suggest that providing patients with better information on obtaining health insurance and how to utilize insurance coverage to access appropriate and effective medical care, as well as broad-based training and education in cultural awareness and sensitivity for both physicians and their office staffs, may be instrumental in decreasing health disparities among Connecticut residents. PMID: 19860274 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - October 1, 2009 Category: Journals (General) Authors: Aseltine RH, Katz MC Tags: Conn Med Source Type: journals

Improving medical grand rounds: barriers to change.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION: This study has identified important barriers to improving a specific grand rounds program and discusses the implications of such barriers on recommendations for improvement. PMID: 19860275 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - October 1, 2009 Category: Journals (General) Authors: Van Hoof TJ, Monson RJ, Majdalany GT, Giannotti TE, Meehan TP Tags: Conn Med Source Type: journals

Sham peer review.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19860276 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - October 1, 2009 Category: Journals (General) Authors: Ripps RA Tags: Conn Med Source Type: journals

Idealism and the reformation of health care in America.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19860277 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - October 1, 2009 Category: Journals (General) Authors: Munoz LD Tags: Conn Med Source Type: journals

Physician as patient--case report.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19860278 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - October 1, 2009 Category: Journals (General) Authors: Schloss WA Tags: Conn Med Source Type: journals

A portrait of the primary-care physician at age 65.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19860279 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - October 1, 2009 Category: Journals (General) Authors: Volpintesta EJ Tags: Conn Med Source Type: journals

50 years ago from the Connecticut State Medical Journal. October 1959. Radiation therapy of acne.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19860280 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - October 1, 2009 Category: Journals (General) Authors: Strauss JS Tags: Conn Med Source Type: journals

Anecdotal lessons on diversity.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19860281 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - October 1, 2009 Category: Journals (General) Authors: Crombie HD Tags: Conn Med Source Type: journals

Health-care reform: do we count?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19860282 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - October 1, 2009 Category: Journals (General) Authors: Handelman WA Tags: Conn Med Source Type: journals

Survey results focus CSMS commitment to education.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19860283 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - October 1, 2009 Category: Journals (General) Authors: Katz MC Tags: Conn Med Source Type: journals

The brain and its fabled cranial nerves.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19860284 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - October 1, 2009 Category: Journals (General) Authors: Needham CW Tags: Conn Med Source Type: journals

Thoracic endometriosis: an unusual cause of hemothorax.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In this report we describe the clinical presentation, diagnosis, treatment and outcome of a 45-year-old woman with thoracic endometriosis. Four clinical presentations have been described. The majority have presented with catamenial pneumothorax, followed by hemothorax, hemoptysis and lung nodules. Our patient presented with right-sided hemothorax and lung nodules. Video-assisted thoracoscopic aurgery confirmed the presence of endometrial tissue embedded in the diaphragmatic pleura. Talc pleurodesis alongwith atotal abdominal hysterectomy and bilateral salpingo-oophorectomy led to a clinical and radiological resolution. ...
Source: Connecticut Medicine - August 31, 2009 Category: Journals (General) Authors: El Ghazal R, Fabian T, Ahmed ZA, Moritz ED Tags: Conn Med Source Type: journals

Chronic idiopathic intestinal pseudo-obstruction: a case report and discussion.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19777978 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - August 31, 2009 Category: Journals (General) Authors: Malhotra A, Szarka LA Tags: Conn Med Source Type: journals

When the diagnosis is a zebra: pulmonary artery aneurysm.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We describe a case of a patient who presented to our institution with recurrent hemoptysis. The clinical features were suggestive of an underlying infection or malignancy. When these were ruled out, the search for a zebra had begun. The patient underwent sixty four-slice computerizedtomographic angiography (CTA) which revealed a right pulmonary artery aneurysm (PAA). Timely involvement of interventional radiologists and thoracic surgeons prevented a potentiallylife-threatenninghemorrhage. This case underlines the importance of awareness of this condition in the formulation of a differential diagnosis forhemoptysis. PAAis a...
Source: Connecticut Medicine - August 31, 2009 Category: Journals (General) Authors: Singh V, Vaksman M, Mamkin I, Lipp M, Lahiri B Tags: Conn Med Source Type: journals

Prenatal diagnosis of an umbilical vein aneurysm: a case report.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a case in which dilatation of the intra-amniotic umbilical cord was seen on prenatal ultrasound at 34-weeks gestation. This was believed to represent an umbilical vein aneurysm and was confirmed on subsequent pathological examination after delivery. A review of the literature concerning these uncommon vascular abnormalities of the umbilical cord is presented. PMID: 19777980 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - August 31, 2009 Category: Journals (General) Authors: Panda B, Stiller R, Iruretagoyena I, Levi A Tags: Conn Med Source Type: journals

Update on dexmedetomidine for adult ICU sedation.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19777981 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - August 31, 2009 Category: Journals (General) Authors: Christensen A Tags: Conn Med Source Type: journals

Health-care reform: "the cost conundrum".Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19777982 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - August 31, 2009 Category: Journals (General) Authors: Braren CH Tags: Conn Med Source Type: journals

Heretical thoughts on saving primary-care.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19777983 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - August 31, 2009 Category: Journals (General) Authors: Volpintesta E Tags: Conn Med Source Type: journals

Patient-centered medical home: improving health care by shifting the focus to patients.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19777984 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - August 31, 2009 Category: Journals (General) Authors: Andrews E, Toubman S Tags: Conn Med Source Type: journals

It's time for a home inspection. One payer's perspective on the patient-centered medical home.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19777985 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - August 31, 2009 Category: Journals (General) Authors: Wolf S Tags: Conn Med Source Type: journals

Medical home: a reinvention for 21st-century health care.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19777986 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - August 31, 2009 Category: Journals (General) Authors: Crombie HD Tags: Conn Med Source Type: journals

The medical home--ready for prime time?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19777987 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - August 31, 2009 Category: Journals (General) Authors: Handelman WA Tags: Conn Med Source Type: journals

The medical home--will it be the cure that ails us?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19777988 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - August 31, 2009 Category: Journals (General) Authors: Katz MC Tags: Conn Med Source Type: journals

The patient-centered medical home.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19777989 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - August 31, 2009 Category: Journals (General) Authors: Hadley H Tags: Conn Med Source Type: journals

The physician views financing of hospital and medical care.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19777990 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - August 31, 2009 Category: Journals (General) Authors: Lighter M Tags: Conn Med Source Type: journals

What should doctors believe?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19777991 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - August 31, 2009 Category: Journals (General) Authors: Spiro H Tags: Conn Med Source Type: journals

Re: Hooked on drugs.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19777992 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - August 31, 2009 Category: Journals (General) Authors: Goldberg MH Tags: Conn Med Source Type: journals

Epidemiology of trauma at a level 1 trauma center.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We reviewed trauma registry data (2004-06) from a Level 1 trauma center to describe the epidemiology of injury. There were 5,900 trauma patients. Most admissions were among white men, age 20-29 years (mean age = 48 years). Most admissions occurred in the summer, on Saturday and Sunday evenings. Blunt injuries (89%) and fractures (49%) predominated. Mean ISS = 9.7. ISS = 9-15 was highest among those 70+ years and lowest among patients 30-39 years (P < 0.01). Motor vehicle crashes and falls were the most common mechanism of injury. Violent assaults ranked highest in the injury prevention priority score. This research ...
Source: Connecticut Medicine - July 31, 2009 Category: Journals (General) Authors: Campbell BT, Saleheen H, Borrup K, McQuay J, Luk S, Hiscoe J, Lapidus G Tags: Conn Med Source Type: journals

Cardiac assessment of patients with Becker's muscular dystrophy.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Becker's muscular dystrophy (BMD) is one of the most common muscular dystrophy syndromes. The heart is always affected by myocardial fibrosis with early involvement of the right side. Traditionally, ECG, echocardiography and stress testing have been used to evaluate these patients. Cardiac MRI, offering superior assessment of the right side and visualization of the myocardial fibrosis could become the preferred imaging modality for evaluating patients with BMD. PMID: 19708317 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - July 31, 2009 Category: Journals (General) Authors: Ionescu CN, Kapoor A, Protopapas Z, Marcu CB Tags: Conn Med Source Type: journals

Breast metastasis from colonic primary: a case report and review of the literature.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a case of colonic adenocarcinoma metastatic to the breast and review the literature. PMID: 19708318 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - July 31, 2009 Category: Journals (General) Authors: Del Prete C, Del Prete SA, Babkowski RC Tags: Conn Med Source Type: journals

Small bowel obstruction from metastatic breast cancer masquerading as an obstructed incisional hernia.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Small bowel metastatic disease from primary breast cancer is rare. With this case report we illustrate a distinctly rare presentation of small bowel metastatic disease from breast cancer masquerading as an obstructed incisional hernia. This case is also an example of small bowel metastasis from an invasive ductal primary breast carcinoma as opposed to the more common pattern of small bowel metastasis from lobular carcinoma. PMID: 19708319 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - July 31, 2009 Category: Journals (General) Authors: Oyasiji T, Shoemake P, Bakhos C, Mansourian V Tags: Conn Med Source Type: journals

Clostridium diffcile infection--not just a burden anymore.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19708320 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - July 31, 2009 Category: Journals (General) Authors: Bulik CC, Kuti JL, Nicolau DP Tags: Conn Med Source Type: journals

Reflections ofa late-night pianist.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19708321 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - July 31, 2009 Category: Journals (General) Authors: Tremaglio J Tags: Conn Med Source Type: journals

Weak nerves.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19708322 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - July 31, 2009 Category: Journals (General) Authors: Koo K Tags: Conn Med Source Type: journals

Primary-care in Connecticut: results of a roundtable discussion.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19708323 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - July 31, 2009 Category: Journals (General) Authors: Lewis KK, Vassar-Pettit CA, Williams MJ, Purcaro MJ, Genao I Tags: Conn Med Source Type: journals

Medical home or medical "broken" home.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19708324 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - July 31, 2009 Category: Journals (General) Authors: Volpintesta EJ Tags: Conn Med Source Type: journals

Palliative care matters.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19708325 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - July 31, 2009 Category: Journals (General) Authors: Hargus E Tags: Conn Med Source Type: journals

Examining an old wound. 1959.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19708326 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - July 31, 2009 Category: Journals (General) Authors: Snyder C Tags: Conn Med Source Type: journals

Aging adults and the future.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19708327 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - July 31, 2009 Category: Journals (General) Authors: Crombie HD Tags: Conn Med Source Type: journals

President Obama and the AMA in the windy city.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19708328 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - July 31, 2009 Category: Journals (General) Authors: Handelman WA Tags: Conn Med Source Type: journals

A few thoughts on writing medical articles.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19708329 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - July 31, 2009 Category: Journals (General) Authors: Duke M Tags: Conn Med Source Type: journals

Ever-changing credentialing challenges.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19708330 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - July 31, 2009 Category: Journals (General) Authors: Prior S Tags: Conn Med Source Type: journals

Pruritis in latent Lyme disease.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19708331 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - July 31, 2009 Category: Journals (General) Authors: Fand R Tags: Conn Med Source Type: journals

Re: Fifty years ago--schizophrenia: a major public health problem.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19711509 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - July 31, 2009 Category: Journals (General) Authors: Hubbard RC Tags: Conn Med Source Type: journals

Diagnosis of acute HIV infection in Connecticut.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We describe the experience of Yale's Center for Interdisciplinary Research on AIDS with AHI diagnosis in Connecticut, as a participating center in the National Institute of Mental Health Multisite AHI Study. We sought to identify AHI cases by clinical referrals and by screening for AHI at two substance abuse care facilities and an STD clinic. We identified one case by referral and one through screening of 590 persons. Screening for AHI is feasible and probably cost effective. Primary care providers should include AHI in the differential diagnosis when patients present with a nonspecific viral syndrome. PMID: 19637661 [...
Source: Connecticut Medicine - May 31, 2009 Category: Journals (General) Authors: Dubrow R, Sikkema KJ, Mayer KH, Bruce RD, Julian P, Rodriguez I, Beckwith C, Roome A, Dunne D, Boeving A, Kidder TJ, Jenkins H, Dobson M, Becker J, Merson MH Tags: Conn Med Source Type: journals

ECG findings in acute left main coronary artery thrombosis: a case report and review of the literature.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This report describes the electrocardiogram (ECG) findings in a patient with LMCA thrombosis. A new right bundle branch block (RBBB) pattern, especially when associated with ST elevation in aVR and V1, should raise suspicion of this diagnosis. PMID: 19637662 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - May 31, 2009 Category: Journals (General) Authors: Ionescu CN, Donohue TJ Tags: Conn Med Source Type: journals