Interesting morning report today about IgA vasculitis secondary to MRSA bacteremia. This is a nice review about IgA vasculitis: https://www.cancertherapyadvisor.com/home/decision-support-in-medicine/hospital-medicine/henoch-schonlein-purpura-iga-vasculitis/ some interesting points: classic tetrad of HSP – GI symptoms […]
Today we had an excellent case led by Dr. McGee of a patient with B-symptoms of unknown etiology, with some great varied discussion points. One of them was regarding digoxin […]
We had a case of non resolving pneumonia in a healthy young patient, which was ultimately diagnosed with blastomycosis. Take home points from today: Recognize delayed resolution of pneumonia Have a […]
Today we had a patient with unremarkable PMH presenting with jaundice. LFTs were in the 1000s, a clinical scenario with limited DDx. They ultimately had liver biopsy and diagnosed with […]
Today at conference we had a patient presenting with ascites. Most ascites cases are from portal hypertension but 10% are from malignancy. They were found to have Burkitt’s lymphoma, a rare […]
Today’s noon conference was about a patient with history of smoking presenting with 3 month history of dizziness, nystagmus and myoclonic jerks. On exam they had opsoclonus and rotational nystagmus […]
Today for conference we discussed a case of a young African-American patient with 2 week history of monocular painful vision loss, neuro exam was consistent with central scotoma but otherwise […]
At recruitment we heard a case of a 53 year old female with progressive shortness of breath, worsening LE edema and history of other vague symptoms including upper extremity swelling, […]
At morning report we heard a case of a 70 year old female with chief complaint of generalized weakness and “dizziness.” Difficult to truly determine whether it was vertigo or orthostatic […]
Important teaching points: (updated 12/20/18) 1) In patients with significantly elevated LFTs where there is even a concern for Tylenol induced injury, start NAC immediately. It can always be stopped […]