Thank you Dr. Danny Jimenez for a great presentation on a patient with DRESS secondary to Phenytoin use! Teaching Points: Drug Reaction with Eosinophilia and Systemic Symptoms (morbilloform rash + eosinophilia 50-90%; atypical lymphocytosis 30-70%; elevated LFTs 80%; +fevers; +lymphadenopathy)…
Thanks to Dr. Shalra Hameed for a great morning report on PCP! Learning Points: Five causes of hypoxemia: low FiO2, hypoventilation, impaired diffusion, shunt and V/Q mismatch Pneumocystis jirovecii is actually a fungus and NOT a protozoan as originally thought!…
Learning Points Pericardial Effusions--Indications for a pericardiocentesis Hemodynamically unstable (therapeutic) Hemodynamically stable (diagnostic): If suspicious of Purulent, TB, Neoplastic pericarditis Mod-large effusion s/p failed anti-inflammatory tx Treatment: COPE Study: Results of the COlchicine for acute PEricarditis (Imazio in Circulation 2005)…
Thanks to Dr. Rachel Kyung for an outstanding presentation on idiopathic autoimmune hemolytic anemia! Teaching Points: The etiology of new anemia may be broken down into the categories of decreased RBC production, increased RBC destruction, or blood loss. Hemolysis may…
Thanks to Dr. Sandy Park for an excellent case of EGPA! Learning Points: Eosinophilic Granulomatosis with Polyangiitis (EGPA, formerly Churg-Strauss Syndrome) is a multisystem, small vessel vasculitis characterized by asthma, rhinosinusitis, and peripheral eosinophilia. EGPA may have involvement of multiple systems…
Thank you Dr. Kristina Lee for a great morning report on a patient with a history of lupus who developed acute mental status change during hospitalization found to have communicating hydrocephalus Learning Points: The overwhelming majority of causes for AMS…
Thank you to Dr. Morden for an outstanding case and presentation on multiple myeloma! Teaching Points: Multiple myeloma is a neoplastic plasma cell disorder characterized by clonal proliferation of malignant plasma cells in the bone marrow, monoclonal protein in the…
Thank you Dr. Katrina DeLeon for a great morning report on Loffler's syndrome Teaching Points: Loffler's syndrome is a disease in which eosinophils accumulate in the lung in response to a parasitic infection Examples of parasites: Ascarislumbricoides(roundworm) Strongyloidesstercoralis(nematode) Necatoramericanus(hookworm) Ancylostomaduodenale(hookworm)…
Thanks to Dr. Erica Tate for a great presentation of Dermatomyositis! Learning Points: Diagnostic criteria: symmetric proximal muscle weakness, elevation of muscle enzyme levels, abnormal EMG results, muscle biopsy abnormalities and typical skin rash Pathogenesis: complement mediated vasculopathy of the…
Thank you Dr. Shah for an excellent case of Stress-Induced Cardiomyopathy! Learning Points: Pathophysiology: not well understood, however postulated mechanisms include catecholamine excess, coronary artery spasm and microvascular dysfunction Mostly associated with physical or emotional stress preceding onset of chest pain Clinical…