Anaplastic thyroid carcinoma invading into internal jugular vein. From Takashima, et al. (PMID: 2108546)Thanks to Dr. Hahr for a great morning report on an unfortunate case of anaplastic thyroid carcinoma, a rare disease with very poor prognosis. Learning points from today's…

Thank you to Dr. Delani Gunawardena for an excellent case of an atypical presentation of Crohn's disease! Learning Points: -Crohn's disease may present atypically, and extraintestinal manifestations commonly include involvement of the mouth (stomatitis), eyes (uveitis, episcleritis), skin (erythema nodosum, pyoderma…

  Thank you Dr. Betty Lai for a great case of gout presenting as acute monoarthritis Learning points: --Acute inflammatory monoarthritis should be regarded as infectious until proved otherwise --Septic arthritis is an orthopedic emergency --Most common causes of infectious…

Thanks to Dr. Godbole for an excellent case of disseminated MAC in a patient with HIV! Learning Points: -MAC are ubiquitous organisms which commonly cause disseminated disease in HIV patients with a CD4 count of <50. -Common presentations include diarrhea, abdominal pain, fevers,…

MRSA hypopyon. From PMID: 20234775. Thanks Betty Lai for a fascinating case of Group B strep infective endocarditis presenting as hypopyon. Great job to all the participants in getting the diagnosis purely from the history! Learning points: - When evaluating multi-organ…

Thanks to Dr. Castaneda for an excellent morning report on Dengue and Chikungunya Learning Points: -- Dengue and Chikungunya present similarly with typical features including fever, arthralgia, mylagia and headache -- Be sure to include both Dengue and Chikungunya on…

Coronal section of rat brain showing NMDA-R intense reactivity predominantly involving the hippocampus. (From Dalmau, et al. 2008. Lancet)     Thanks to Thomas Vu and Dr. Mathisen for a great morning report! Learning points: - Peripheral blood has 1000…

Thanks to Amy Wu for an interesting case of neurosyphilis! Learning Points -Tabes Dorsalis is a uncommon condition of slow demyelination of the posterior columns of the spinal cord caused by Treponema pallidum and is most commonly characterized by sensory…

Thanks to Dr. John Hollowed and Dr. Rohit Godbole for an excellent morning report on APML Learning Points: -- APML is linked with the t(15;17) translocation involving the RARa gene on chromosome 17 and the Promyelocytic Leukemia (PML) gene on…

Thanks to Dr. Sue Zhang for an excellent case and presentation of invasive actinomyces! Learning Points: -Findings of multiple liver cysts carry a broad differential but include infection (pyogenic, fungal or parasite) and malignancy. -Abdominal Actinomyces israelii is has been…