Learning Points: - Ectopic thoracic endometrial tissue most commonly presents in young women as a right sided catamenial pneumothorax (~70%) or catamenial hemothorax (~15%). -One needs a high clinical suspicion for diagnosis, and patients with suspected thoracic endometriosis should undergo contrast-enhanced CT scan…
Thank you Dr. Tony Hung for well organized and informative presentation on malaria! Learning Points: 1) Among returning travelers presenting with a systemic febrile illness, the most common specific diagnoses are: Malaria Dengue fever Mononucleosis (2/2 EBV vs. CMV) Rickettsial…
Thank you to Dr. Nandita Sriram for an excellent review of vertigo! Learning Points: -- Taking a good history is pertinent in distinguishing between dizziness vs true vertigo -- Differentiate between peripheral vs central etiologies of vertigo Peripheral causes: BPPV,…
Thank you Dr. Jarod DuVall on a very interesting case in a non-diabetic patient presenting with hypoglycemia Learning Points: True hypoglycemia in a patient without underlying diabetes must fulfill the Whipple's triad: Presence of symptoms suggestive of hypoglycemia (e.g. diaphoresis,…
Learning Points: General approach Obtaining a thorough history is key in assessing altered mental status When examining patients with fevers, headaches and altered mental status, make sure to conduct a Jolt accentuation test in addition to Kernig's and Brudzinski's to…
Thanks to Dr. Nicole Mandich for a great presentation on Multiple Myeloma Learning Points: -- Diagnostic Criteria for multiple myloma bone marrow plasma cells>10% serum monoclonal protein >3g organ dysfunction (CRAB criteria): Hypercalcemia (serum calcium >11.5 mg/dl [2.88 mmol/liter]), Renal…
Thanks to Dr. Nandita Sriram for presenting an interesting case of atypical metastatic colorectal cancer to bone and lung. Learning Points: - Colorectal cancer most commonly metastasizes to lung and liver, but may also metastasize to bone. When this occurs, it often…