Recruitment lecture 11.18.2019

Today's case was about an older patient with urothelial carcinoma on pembrolizumab (PD-1 checkpoint inhibitor) presenting with nausea, vomiting and decreased PO intake. DDx was complicated by the fact that they had CKD 5 not on dialysis (with acute mild worsening of his AKI) but they were ultimately diagnosed with PD-1 induced hypophysitis - rare … Continue reading Recruitment lecture 11.18.2019

Recruitment lecture 11.15.2019

Today's case involved an older patient with multiple cardiovascular risk factors / metabolic syndrome presenting with acute onset encephalopathy. Exam was consistent with toxic-metabolic encephalopathy and after stroke was ruled out, they were diagnosed with hepatic encephalopathy secondary to newly diagnosed cirrhosis which was attributed to non-alcoholic steatohepatitis (NASH). They were treated with lactulose and … Continue reading Recruitment lecture 11.15.2019

Recruitment lecture 11.04.2019

Today we presented a patient with menorrhagia and bruising concerning for primary homeostasis problem (=PLATELETS). We discussed different symptoms of primary vs secondary homeostasis. She was diagnosed with Acute Promyelocytic Leukemia and treated with ATRA and Arsenic Trioxide (ATO). Take home points: Identify differences in presentation of thrombocytopenia versus coagulation disorders Recognize causes of thrombocytopenia … Continue reading Recruitment lecture 11.04.2019

Recruitment lecture 11.01.2019

Today's lecture was about a patient with EtOH abuse presenting with dyspnea, leg pain. POCUS that was performed secondary to low BP showed large pericardial effusion. Physiology of tamponade was discussed including physical exam (with live demonstration with audience participation!) and echo findings. Laboratory workup and pericardiocentesis (which yielded bloody pericardial fluid) did not reveal … Continue reading Recruitment lecture 11.01.2019