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by VICTOR TSENG

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Category - Medicine

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Watchful Waiting: A Medical Student’s Experience of Septic Shock in Haiti

June 25, 2012
by teasnag
25 min read
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by JILOO SHAH, MD It was Friday April 20, 2012 and our last day of clinic in the village of Thomazeau, Haiti. The time was roughly 5:30 in the afternoon and I had seen my last patient – a little 3 year old boy with red-orange...

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  • Medicine

Community Health Assessment of a Rural Wisconsin County

May 16, 2012
by teasnag
19 min read
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You may access a downloadable version of this report here (pdf)  A PICTURE OF VERNON COUNTY Vernon County is a rustic expanse of land situated in Wisconsin’s “driftless” region. The landscape is legendary for its verdant...

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  • Medicine

Transplantation as a Definitive Treatment Option for Primary Hyperoxaluria

April 6, 2012
by teasnag
3 min read
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Primary Hyperoxaluria (PH) is an exceedingly rare autosomal recessive disease with highly variable penetrance. The clinical phenotype ranges from subclinical hyperoxaluria to systemic oxalosis in the setting of chronic renal...

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  • Medicine

Evolving Risk of Persistent Asthma

April 6, 2012
by teasnag
4 min read
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Last year I had the opportunity to be involved in the care of many infants with new onset wheezing and respiratory distress. Understandably, worried mothers routinely raise the question of long-term prognosis. They want an...

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  • Medicine

Emerging Virulence Factors in Tyhoid Fever

April 6, 2012
by teasnag
5 min read
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The differences between the clinical phenotype of typhoidal and non-typhoidal Salmonella infections are due to the interplay of host and pathogen factors. The non-typhoidal (NT) serovars are mainly S. enteriditis and S...

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  • Medicine

Massive Hemostatic Transfusion: Implications for Trauma Resuscitation

Sticky
March 29, 2012
by teasnag
7 min read

This is a synopsis of a topic I recently reviewed for my senior medical student classmates.  Massive transfusion is defined as ≥ 10 units of packed erythrocytes given over 24 hours, or alternatively, over the entire...

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  • Medicine

Incidental Pulmonary Emboli – When Do They Matter?

February 3, 2012
by teasnag
8 min read
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Unsuspected pulmonary emboli (UPE) are asymptomatic thrombi, usually located in the subsegmental pulmonary vasculature, discovered incidentally on computed tomography of the thorax. The epidemiology of this finding on helical...

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  • Medicine

The Palliative Transition in End-Stage Heart Failure

February 3, 2012
by teasnag
5 min read
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The breathless discomfort of advanced heart failure is substantial. With a cyclone of white hair, eyes clouded by cataracts, my patient (Ms. M) came to the hospital in poor shape. She was a ninety year old lady with acute...

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