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May 2018

  • Olive View Internal Medicine Residency

This month, we are reviewing articles in Rheumatology and Neurology. Methotrexate and mortality in patients with rheumatoid arthritis Aspirin and clopidogrel compared with clopidogrel alone after recent CVA/TIA (MATCH Trial)

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Feb 13 2017

Neuropsychiatric Lupus

Morning Report

Excellent morning report today with Thomas Vu on Neuropsychiatric Lupus! Take a look at on the latest review on neuropsychiatric SLE: Management of Neuropsychiatric Systemic Lupus Erythematosus: Current Approaches and Future Perspectives on PubMed

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Feb 01 2017

Disseminated Histoplasmosis

Morning Report

histo-microscopy

Thank you Dr. Brendan Cerk for an excellent presentation on neurocysticercosis presenting with new onset seizure

Teaching Points

  • Histoplasmosis is a common endemic mycosis, usually asymptomatic but occasionally results in severe illness
  • Hematogenous dissemination occurs during the acute infection before cellular immunity develops
  • Diagnosis: serum and urine antigen
  • Treatment: itraconazole for 12 months, if CNS then liposomal amphotericin B for 4-6 weeks then itrazonazole for an additional 12 months
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