Thank you Dr. Sue Zhang for a great morning report on a patient with Cushing's disease! Learning points: -Consider screening for hypercortisolism in a patient with hypokalemia, metabolic alkalosis, and hypertension -Etiologies for Cushing's Syndrome include 1) Cushing’s Disease (pituitary)…
Thanks to Caleb Hsieh for an excellent morning report! Learning Points: -Common causes of rhabdomyolysis include muscle trauma or crush injury, extreme exertion, drugs and toxins. -The mainstay of treatment of AKI due to rhabdomyolysis is aggressive fluid resuscitation and…
Thanks to Nayiri for a great final AM report on atrial fibrillation! Learning points: - Etiology of atrial fib = PIRATES (Pulm, Ischemic, Rheumatic heart, Anemia/Atrial myxoma, Thyroid, Ethanol, Sepsis) - Diamond-Forrester definition of typical angina = (1) substernal, (2)…
Thanks to Jason Bahk for a great presentation today! Today's learning points: - Anti-synthetase syndrome: +Anti-synthetase Ab, ILD, inflammatory myopathy, inflammatory polyarthritis - On exam: fever, "Mechanics' hands', non-erosive arthritis, myopathy - Multiple cardiac manifestations: conduction, CHF, perimyocarditis - Ddx…
Learning Points: • Acute limb ischemia is a sudden decrease in limb perfusion that threatens limb viability • Etiology includes acute thrombosis, embolism from the heart, atherosclerosis, trauma and many more • Assess the 6P's: Pain, Pallor, Pulselessness, Parasthesia, Poikilothermia…
Learning points 1) Keep autoimmune hepatitis on your differential for a patient presenting with jaundice and hepatitis. 2) There is a wide spectrum of presentations, from mild asymptomatic AST/ALT elevations to fulminant liver failure. 3) Autoimmune hepatitis is a type…
Learning points: 1. Kussmaul's sign refers to a jugular venous pulsation that rises with inspiration and is due to the constriction of pericardium 2. Ventricular interdependence is the classic echo finding of constrictive pericarditis where the volume in the left…
Lightning strikes Lake Michigan, Chicago, Illinois. Photo credit: Vinhfield Ta Lightning strikes are not uncommon, and kill 20-50 people per year in the U.S. (1) They can also be associated with significant morbidity. The sequelae of a lightning victim is based on the 1) electrical…
A middle-aged patient presents with signs and symptoms of heart failure. What are the signs and symptoms? What is this patient's etiology? Take-aways this morning: Categories of Heart Failure: HFrEF (heart failure with reduced ejection fraction) (no longer systolic heart…