Robert Lichtenberg
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View article: Nailfold capillaroscopy in diabetes mellitus: a case of neo-angiogenesis after achieving normoglycemia
Nailfold capillaroscopy in diabetes mellitus: a case of neo-angiogenesis after achieving normoglycemia Open
Diabetes mellitus (DM) is a disease process characterized by a chronic hyperglycemic milieu that leads to micro and macrovascular complications, including diabetic retinopathy, diabetic nephropathy and diabetic neuropathy. During the last …
View article: SAT-472 An Atypical Presentation of Severe Hypothyroidism, a Case of Large Posterior Pericardial Effusion Without Hemodynamic Compromise
SAT-472 An Atypical Presentation of Severe Hypothyroidism, a Case of Large Posterior Pericardial Effusion Without Hemodynamic Compromise Open
BACKGROUND We are reporting a case of a Hispanic female who presented with a pericardial effusion as a complication of hypothyroidism, untreated due to lack of medical care, which demonstrates health disparities in chronic diseases. CLINIC…
View article: SAT-372 A Case of Hypercalcemia Secondary to Rhabdomyolysis Induced by Heroin Use
SAT-372 A Case of Hypercalcemia Secondary to Rhabdomyolysis Induced by Heroin Use Open
Background: Rhabdomyolysis is a potential life threatening condition defined as injury of the skeletal muscle, which results in the release of intracellular contents into the circulation. This muscle injury is often associated with the dev…
View article: MON-701 Uncontrolled Diabetes Presenting as Isolated Sixth Nerve Palsy
MON-701 Uncontrolled Diabetes Presenting as Isolated Sixth Nerve Palsy Open
BACKGROUND Our case report demonstrates acute onset of diplopia due to Isolated Sixth Nerve Palsy (ISNP) secondary to uncontrolled T2DM, presenting as an ophthalmoplegia. The most frequent one, is ISNP with an incidence of 11.3/100.000 1. …
View article: A Case of Euglycemic Diabetic Ketoacidosis Triggered by a Ketogenic Diet in a Patient With Type 2 Diabetes Using a Sodium–Glucose Cotransporter 2 Inhibitor
A Case of Euglycemic Diabetic Ketoacidosis Triggered by a Ketogenic Diet in a Patient With Type 2 Diabetes Using a Sodium–Glucose Cotransporter 2 Inhibitor Open
Sodium–glucose cotransporter 2 (SGLT2) inhibitors are one of the newest classes of antihyperglycemic medications now available for the treatment of type 2 diabetes (1). Clinical guidelines recommend this type of medication as one of variou…
View article: Attention PCP's: The Prior Inpatient Post-MI Complications Are Now More Likely to Present to Your Outpatient Clinic
Attention PCP's: The Prior Inpatient Post-MI Complications Are Now More Likely to Present to Your Outpatient Clinic Open
Cardiovascular disease is one of the leading causes of hospitalization and death in the United States. Every 40 seconds an acute myocardial infarction occurs. Most of the mortality occurs before the patient can reach medical care. Those th…
View article: Does my patient need maintenance fluids?
Does my patient need maintenance fluids? Open
> My adult nonacutely ill patient, weighing 70 kg with a glomerular filtration rate (GFR) greater than 60 mL/min/1.73 m[2][1], is admitted to the general medical service. She is to receive nothing by mouth for at least the next 24 hours fo…
View article: It is a medical emergency! Act fast: a case report of painless aortic dissection
It is a medical emergency! Act fast: a case report of painless aortic dissection Open
Background A painless presentation of aortic dissection is rare in about 5% of cases. A few case reports discussed about involvement of coronary arteries causing bradycardia. In our case, we are presenting a rare presentation of aortic dis…
View article: Human papillomavirus March 2019
Human papillomavirus March 2019 Open
TO THE EDITOR : I am an active primary care provider. After reading the update on human papillomavirus (HPV) in the March 2019 issue by Zhang and Batur,[1][1] I was hoping for some clarification on a few points.
The statement is made that…
View article: Reasonable Accommodations and the Americans with Disabilities Act: Effective Advocacy Approaches
Reasonable Accommodations and the Americans with Disabilities Act: Effective Advocacy Approaches Open
This paper focuses on the elements of effective ADA advocacy and advocacy strategies in general. "Qualified person with a disability", "effective communication", "auxiliary aids and services”, "undue hardship/burden", and other topics are …