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Aug 25 2015

AM Report: Upper GI Bleed due to Esophageal Varices

Morning Report

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 •…

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Aug 25 2015

AM Report: Pulmonary Hypertension

Morning Report

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…

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Aug 21 2015

AM Report: Multiple pulmonary nodules

Morning Report

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…

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Aug 17 2015

AM Report: Granulomatosis with Polyangiitis

Morning Report

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…

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Aug 14 2015

AM Report: Acute Persistent Vision Loss

Morning Report

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…

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Aug 12 2015

AM Report: Dysphagia

Morning Report

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…

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Aug 11 2015

AM report: Lower extremity DVT

Morning Report

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…

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Aug 07 2015

AM Report: Anaplastic thyroid carcinoma

Morning Report

Anaplastic thyroid carcinoma invading into internal jugular vein. From Takashima, et al. (PMID: 2108546)Thanks to Dr. Hahr for a great morning report on an unfortunate case of anaplastic thyroid carcinoma, a rare disease with very poor prognosis. Learning points from today's…

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Aug 05 2015

AM Report: Crohn’s Disease

Morning Report

Thank you to Dr. Delani Gunawardena for an excellent case of an atypical presentation of Crohn's disease! Learning Points: -Crohn's disease may present atypically, and extraintestinal manifestations commonly include involvement of the mouth (stomatitis), eyes (uveitis, episcleritis), skin (erythema nodosum, pyoderma…

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Aug 04 2015

AM Report: Acute Monoarthritis

Morning Report

  Thank you Dr. Betty Lai for a great case of gout presenting as acute monoarthritis Learning points: --Acute inflammatory monoarthritis should be regarded as infectious until proved otherwise --Septic arthritis is an orthopedic emergency --Most common causes of infectious…

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