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…
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…