A 24-year-old woman presented to her primary care physician for persistent bilateral otitis media and frequent night sweats. Laboratory evaluation revealed a white blood cell count of 26 000/mL with 84% blasts on differential, hemoglobin 6.8 g/dL, and platelet 90 000/mL. Her total serum lactate dehydrogenase level was 888 U/L. She underwent a diagnostic bone marrow aspirate and biopsy, which de...

BACKGROUND Surgeons are increasingly faced with consultation for intervention in residents of geriatric centers or in patients who suffer from end stage medical disease. We review our experience with consult services dedicated to the needs of these frail patients. STUDY DESIGN Patients were prospectively followed after being evaluated by three different geriatric surgical consult services: Gr...

IMPORTANCE This study shows that relocation of an academic ophthalmology residency program from an inpatient to an outpatient setting in western New York does not affect the consult volume but affects management patterns and follow-up rates. OBJECTIVE To investigate the effects on the ophthalmology consultation service of an academic program with relocation from a Regional Level-1 Trauma cent...

Telepathology practice across international borders has become increasingly popular. Two years after the University of PittsburghMedical Center (UPMC) launched a telepathology consultation service with KingMed Diagnostics Laboratory in Guangzhou, China, latency issues occurred when viewing whole slide images (WSI). Our aim was to explore various image file management solutions to improve the vi...