Archive of Didactics

Here is the power point from today’s case conference on the diagnosis and management of Community Acquired Pneumonia. Intern Report 7.6.16

Thank you Dr. Tu for an excellent presentation of ischemic stroke due to septic emboli from infective endocarditis Teaching Points: CNS complications of infective endocarditis can occur in 20-40% patients Etiology: occlusion of cerebral arteries by septic emboli, cerebral hemorrhage, meningitis,…

Thank you Dr. Janoian for a great presentation on the progression of myocardial infarction. Teaching Points: pathologic outcomes of MI: arrhythmia, ischemic cardiomyopathy with or without cardiogenic shock, mechanical dysfunction/complications, pericarditis mechanical complications: papillary muscle rupture, ventricular free wall rupture,…

Thank you Dr. Layoun for an excellent presentation on arrhythmogenic right ventricular cardiomyopathy/dysplasia

Teaching Points:

• ARVD is a genetic cardiomyopathy with mutations in desmoglein-2, desmoplakin, desmocollin-2, plakophilin, etc
• Characterized by life-threatening ventricular arrhythmias (monomorphic VT)
• ECG: QRS prolongation (in right precordial leads), RBBB morphology, Epsilon Wave (distinct wave between QRS and T waves, seen in precordial leads, V1 is the best spot)
• Treatment: refrain from high intensity exercise, low dose beta-blocker, ICD for secondary prophylaxis in patients with history of VT or VF

Thank you Dr. Jane Ma for a a great presentation of a woman with right thigh pain and swelling, found to have diabetic myonecrosis Teaching Points:  Rare complication associated with poorly-controlled DM caused by infarcted muscle tissue Acute pain and…

Thank you Dr. Joey Tu  for a great presentation on a patient with a mild form of myxedema coma Learning Points: Myxedema coma occurs as a result of long-standing, undiagnosed, or undertreated hypothyroidism and is usually precipitated by a systemic…