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Department of Medicine

Department of Medicine

  Division of General Internal Medicine

Section of Palliative Care and Medical Ethics


Section of Palliative Care and Medical Ethics


Case of the Month

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DATE TITLE/TOPIC
June 2017 Quetiapine for Off-Label Use in Anxiety – What is the evidence?
May 2017 Ketamine – A promising antidepressant?
March 2017 Rage and Ramble, Shiver and Shake - Tacrolimus Neurotoxicity
February 2017 Legacy Projects and Life Review in Palliative Care
January 2017 I Swear I Didn’t Use Any Drugs!
December 2016 Discharging Terminal Patients from Hospice: A Perspective on this Conundrum
November 2016 Malignancy related Superior Vena Cava Syndrome
October 2016 Harm Reduction Efforts in Palliative Care Patients on Opioids: Provision of Naloxone Kits in the Community
September 2016 Delirium: Patient and Caregivers Experience
August 2016 Opioid Induced Constipation and Opioid Antagonists
July 2016 Mucositis in Head and Neck Cancer
June 2016 If she is dying anyway, why not give her more chemotherapy
May 2016 Ziconotide (Prialt): A Blessing and a Curse
April 2016 "Is My Mom Comfortable?" Assessing Dyspnea at the End of Life
April 2016 "Huntington's Disease at End of Life"
March 2016 "'Let me clear my throat': A Review of Antitussives for a Malignancy-Related Cough"
February 2016 "Nerve Blocks"
January 2016 "Transformation to chronic migraine: A dilemma for migraine patients with cancer pain"
December 2015 "Palliative Management of Chronic Diarrhea"
November 2015 "The Use of Narrative Medicine in Existential Distress"
October 2015 "An older woman with progressive decline in function: What are those weird movements?"
August 2015 "Treatment of Renal Failure in PatientsWho Have Cirrhosis"
July 2015 "80 year old patient with advanced gastric cancer When are medical interventions considered 'futile'"
June 2015 "Scratching the Surface of the Treatment of Pruritus in Palliative Care"
May 2015 "When being 'down in the dumps' isn’t depression"
April 2015 "A middle aged woman with diffuse large B cell lymphoma in the ICU - is her prognosis good or bad?"
March 2015 "'Paclitaxel- Associated Acute Pain Syndrome' A Novel Neuropathy?"
February 2015 "Opioid-induced Hyperalgesia"
January 2015 "When pain doesn’t go away: palliation of post-herpetic neuralgia"
December 2014 "How Long is Too Long? Complicated Grief"
November 2014 "Mythical Methadone"
October 2014 "Emotion vs. Fact"
September 2014 "BPH as a Hospice Diagnosis?"
June 2014 "Second-Line Anti-emetic Therapies for Refractory Chemotherapy-Induced Nausea and Vomiting"
May 2014 "The Crying Child"
April 2014 "Legacy Projects at the End of Life"
March 2014 "Evaluation and Management of Opioid Induced Constipation"
February 2014 "'Are you depressed?' Screening for Depression in Palliative Care"
January 2014 "Talking about Prognosis"
December 2013 "The Conscientious use of Naloxone in the Palliative Care Patient"
November 2013 "Comfort Measures for a Patient with a Recent Tracheostomy"
October 2013 "What is Palliative Home Care?"
September 2013 "Late Complications of Head and Neck Cancer and Its Treatments"
July 2013 "Anti-epileptic medicines for pain Management"
June 2013 "Urinary retention, the sometimes-neglected medication side effect"
May 2013 "Refractory Constipation in a Patient with New Malignant Spinal Cord Compression"
April 2013 "PTSD from ICD shocks"
March 2013 "Reconsidering Mirtazapine: Making the Most of a Side Effect Profile"
February 2013 "Pearls and Pitfalls of Transdermal Fentanyl Administration"
January 2013 "Choosing an Antipsychotic for the Treatment of Delirium"
December 2012 "Is She Hospice or Isn't She?"
November 2012 "Chondroradionecrosis"
October 2012 "Use of Transmucosal Immediate-Release Fentanyl (TIRF) Products"
September 2012 "How to Legally Prescribe Controlled Substances"
August 2012 "Treating Fibromyalgia"
July 2012 "Post Inguinal Herniorrhaphy Groin Pain"
June 2012 "Cutaneous Myiasis: Maggot Infestation of a Malignant Wound"
May 2012 "The Decision to Discontinue a Left Ventricular Assist Device"
April 2012 "Addiction in Palliative Care: Leaving the door open for the best possible outcome"
March 2012 "Radiation Induced Xerostomia and Pain"
February 2012 "Palliative Care Across the System"
January 2012 "When Rotating to Methadone is a Good Idea"
December 2011 "Role of Outpatient Palliative Care for Cancer Patients"
November 2011 "He's got renal failure – better order Dilaudid instead of morphine!"
July 2011 "Physician Orders for Life-Sustaining Treatment (POLST): Translating the goals of seriously ill patients into a medical order"
June 2011 "The use of topical non-steroidal anti-inflammatory drugs for pain in palliative care"
May 2011 "Lymphedema- A common problem without an easy solution"
April 2011 "Are we really helping patients by recommending they go on disability?"
February 2011 "What to do after the patient is made CMO"
January 2011 "Transdermal Granisetron for Refractory Nausea and Vomiting"
October 2010 "Is it okay for physicians to cry?"
September 2010 "Resolving Family End of Life Conflicts in a Dying Pediatric Patient"
August 2010 "He must be incompetent because he is crazy"
July 2010 "Risk assessment in treating non-cancer pain"
June 2010 "Working Through Moral Distress"
May 2010 "You're Not Going to Let Her Starve to Death, Are You?"
April 2010 "When are BPH symptoms not BPH? The importance of good history taking"
March 2010 "Ethical Principles in Action: Autonomy, Veracity, and Justice…Oh My!"
February 2010 "Predicting Prognosis in the Intensive Care Unit"
January 2010 "Gabapentin for Refractory Chemotherapy-Induced Nausea and Vomiting"
November 2009 "Hospice Eligibility and Re-certification for Dementia Patients"
October 2009 "Patient preference for learning survival estimates: Balancing hope with realism"
September 2009 "Dealing with intractable conflict about treatments at the end of life: A harm reduction strategy"
August 2009 "Spirituality as a Factor in Coping with a Terminal Illness"
July 2009 "Dying Like Jacob: End-of-Life Decisions with the Orthodox Jewish Patient"
June 2009 "Weighing the risks and benefits of low-molecular weight heparin in palliative care"
May 2009 "Treatment of acute pain in a patient taking buprenorphine for addiction"
April 2009 "Establishing medical decision-making capacity"
March 2009 "Pain vs. Suffering"
February 2009 "Methylnaltrexone for Opioid Induced Constipation"
January 2009 "Metoclopramide-Induced Gynecomastia"
December 2008 "Huntington's disease: how can palliative care help?"
November 2008 "Using Cultural-Specific Music to Alleviate Symptoms of Anxiety and Depression"
October 2008 "Palliative Sedation Therapy"
September 2008 "Trapped Inside a Failing Body"
August 2008 "When Depression Isn't Depression: Understanding Hypoactive Delirium"
July 2008 "The Differential Diagnosis of Opioid Poorly-Responsive Cancer Pain"
June 2008 "Do you have something stronger than this dilaudid?" The case for opioid rotation.
May 2008 "Music Therapy"
April 2008 "Am I really going to have to live like this?": The Role of Octreotide in Patients with Persistent Nausea and Vomiting after Venting Gastrostomy Tube Placement
March 2008 "Denying the Obvious: How to Approach Patients Who Delay Medical Care for Advanced Breast Cancer"
February 2008 "What Is That Guy Thinking? When the Attending Is the Person Who Needs the Intervention."
December 2007 "When Death is Expected, Where Should it Happen"
November 2007 "A Patient/Family-Centered Palliative Care Approach to Decision-making in the Medical Intensive Care Unit"
September 2007 "Hospice and Palliative Care at 40"
August 2007 "Suicide Attempt in a Terminally Ill Patient"
July 2007 "Opiate Dosing for Respiratory Distress"
June 2007 "Where is God?"
May 2007 "What to Do When There's Nothing More to Do"
April 2007 "Music Therapy for a Terminally Ill ICU Patient"
March 2007 "Giving Prognostic Information"
January 2007 "I didn't know dementia was a fatal disease. Why didn't anybody tell me before?"
November 2006 "The Blessings of Palliative Care"
October 2006 "The Foundling"
September 2006 "The Power of Listening"
August 2006 "When a lot of small things make a big difference"
July 2006 "Request for a Hastened Death"
June 2006 "Dying at Home: Honoring the Patient or the Family?"
May 2006 "The Family Says Not to Tell"
April 2006 "'If That Was My Mother': The Danger of Quick Labeling"
March 2006 "Her Way or No Way"
November 2005 "When is Medical Care Futile?"
October 2005 "Music Therapy in Palliative Care"
September 2005 "The family that doesn't 'get it'"
April 2005 "When pain gets worse despite escalating narcotic doses"
March 2005 Talking to children about life limiting illness