Recruitment lecture 12.06.2019

Today for conference we discussed a case of a young African-American patient with 2 week history of monocular painful vision loss, neuro exam was consistent with central scotoma but otherwise normal including fundoscopic exam. MRI showed optic neuritis. Vague previous symptoms led to obtaining chest CT which showed bilateral hilar lymphadenopathy - they were subsequently … Continue reading Recruitment lecture 12.06.2019

Recruitment lecture 11.22.2019

Today's noon conference was about a patient with history of smoking presenting with 3 month history of dizziness, nystagmus and myoclonic jerks. On exam they had opsoclonus and rotational nystagmus - consistent with opsoclonus myoclonus syndrome. A rare paraneoplastic syndrome found in some cases of SCLC. We also discussed approached to dizziness and nystagmus. More … Continue reading Recruitment lecture 11.22.2019

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