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How I perform ultrasound-guided fine-needle biopsy
September 9, 2009
I am occasionally asked about my technique for performing
ultrasound-guided fine-needle biopsy. Last year alone, I performed over 500
diagnostic ultrasounds or ultrasound-guided fine-needle biop...
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Not all elevations in PTH indicate need for surgery
June 16, 2009
Last week a surgeon whom I work with frequently called me for some advice about a patient who was sent to him for parathyroidectomy. The patient was a young woman who had low bone mass on DXA. There w...
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Thiazides and magnesium
January 7, 2009
A 24-hour episode of profuse, watery diarrhea brought her to the Emergency Department gravely ill. On admission she was hypotensive and tachycardic, but had no localizing abdominal symptoms. Her admit...
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Zebras travel in pairs
December 26, 2008
“When you hear hoof beats, think horses, not zebras.”
Many of us were given this advice while in training. When coming up with
differential diagnoses, we were instructed to always...
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Vitamin D — still much to learn
November 10, 2008
Vitamin D that we absorb from the sun or get in our diet appears to be
biologically inert. It is not until it is hydroxylated in the liver to form
calcediol (25-hydroxyvitamin D; 25D) that bindi...
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Endocrinology consultation before surgery
October 24, 2008
The inspiration for this post came from a previous comment and subsequent email.
I once saw a patient who had an enlarged pituitary incidentally discovered on MRI. She was sent directly to the neuros...
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