Thanks to Dr. Nicole Mandich for a great presentation on Multiple Myeloma Learning Points: -- Diagnostic Criteria for multiple myloma bone marrow plasma cells>10% serum monoclonal protein >3g organ dysfunction (CRAB criteria): Hypercalcemia (serum calcium >11.5 mg/dl [2.88 mmol/liter]), Renal…

Thanks to Dr. Nandita Sriram for presenting an interesting case of atypical metastatic colorectal cancer to bone and lung. Learning Points: - Colorectal cancer most commonly metastasizes to lung and liver, but may also metastasize to bone. When this occurs, it often…

Thanks to Dr. Tracy Lin for an excellend case of newly diagnosed HIV presenting as PCP Pneumonia! Learning Points: -HIV often presents with opportunistic infections, including PCP pneumonia. PCP pneumonia in an HIV positive patient typically takes an indolent course…

Thanks to Dr. Duminda Suraweera for an excellent review of UGIB management Learning points: • Triage: - SDU vs ICU depending on etiology of upper GI bleed, BP, HR, mental status, ability to protect airway and continued active bleeding •…

Thank you Dr. Caspian Oliai for a great case of symptomatic pulmonary hypertension! Teaching Points: --Classification by the World Health Organization (WHO): Group 1 – PAH Group 2 – PH due to left heart disease Group 3 – PH due…

From Chest. 2003;123(1):277-279. doi:10.1378/chest.123.1.277.  Great AM report by Dr. Liza Buchbinder! Today we presented a patient who was found to have an anterior mediastinal mass and multiple cavitary pulmonary lesions. Learning points: There is a broad differential for multiple pulmonary nodules, which…

Thank you Dr. Duminda Suraweera for a great and unique case and presentation of GPA presenting as subacute limb ischemia.   Learning points: --Vasculitides are commonly classified by vessel size (small, medium, large). The diagram below is also a great visual…

Thanks to Dr. Diana Sarkisyan for an outstanding case and presentation of likely NMO presenting as acute persistent vision loss. Learning Points: - Etiology of acute persistent vision loss can be divided into three broad categories: problems involving the media (keratitis, uveitis, vitreous…

Sagittal and diagrammatic views of the musculature involved in enacting oropharyngeal swallowing. Thanks to Dr. Elliot Ho for discussing a case of dysphagia secondary to gastric adenocarcinoma of the GE junction. Learning points: -- Nomenclature: Dysphagia: difficulty with swallowing Odynophagia: pain…

Phlegmasia cerulea dolens. From PMID: 17229945 Thanks to Dr. van den Burg and Julien Nguyen, PGY2 for a comprehensive introduction to lower extremity DVT management! Learning points from today: When to treat? Assess for contraindications. No bleeding risk score developed…