Thank you Dr. Walter Igawa-Silva for a great atypical presentation of Vertebral Osteomyelitis! Teaching Points: Clinicians should suspect the diagnosis of native vertebral osteomyelitis in patients with new or worsening back or neck pain and fever AND in patients with new…
Thank you Dr. Sarkisyan for an excellent case of CAPS on 11/20/15! Teaching Points: CAPS: The most severe form of APS, an acute biologic process that leads to occlusion of vessels of multiple organs. Clotting gone wild! MUST NOT MISS…
Thanks to Dr. Nicole Mandich for an excellent presentation on Idiopathic Intracranial Hypertension Learning Points: Predominantly seen in young, obese females of child bearing age Classic presentations include headaches, papilledema, sixth nerve palsy , visual disturbances (including diplopia, photopsia and…
Thanks to Dr. Patrick Poquiz for an outstanding presentation of AIDS related pulmonary Kaposi sarcoma. Learning Points: Pulmonary Kaposi sarcoma (KS) can present shortness of breath, fever, cough, and hemoptysis. The incidence of KS increases as CD4 count decreases, and KS…
Thanks to Dr. Jarred Reed for an excellent presentation on workup and management of hypercalcemia Learning Points: Clinical manifestations of hypercalcemia include GI (anorexia, N/V), Neuro (weakness, AMS), Renal (polyuria, nephrocalcinosis), and MSK (fractures, osteopenia) symptoms. Causes may be broken…
Thank you Dr. Julien Nguyen for an excellent presentation on herpes zoster and indications for IV treatment Teaching Points: Herpes Zoster is a reactivation of VZV in ganglia, leading to acute neuritis with a dermatomal rash, sometimes followed by…
Thank you Dr. Betty Lai for a great case of hypercalcemia on 10.7.15 presenting as altered mental status! Learning Points: The first diagnostic test to workup hypercalcemia should be PTH Hypercalcemia is due to elevation of ionized or free calcium…
Acute transverse myelitis after DTP vaccine. T2-weighted MRI showing diffuse cord edema, signal hyperintensity (C3-T6). From PMID: 16317420. Thanks to Dr. Nguyen-Fa for a great presentation on transverse myelitis! Learning points: Ddx for upper + lower motor neuron symptoms includes ALS,…
Thanks to Dr. John Feng for a great presentation on severe hypothyroidism Learning Points: Symptoms include: fatigue, cold intolerance, constipation, depression, weight gain, dry skin, hair thinning or loss and memory impairment Exam findings include: bradycardia, diastolic HTN, coarse facies,…
Features and etiology of infectious proctitis in MSM. From PMID: 24275725 Thanks Dr. Jimenez for a great morning report discussing causes of infectious proctitis. Learning points: Causes of rectal pain include infectious etiologies, IBD, trauma, anal fissures, hemorrhoids. In HIV-positive patients,…