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Jan 27 2016

Myxedema Coma

Morning Report

Thank you Dr. Joey Tu  for a great presentation on a patient with a mild form of myxedema coma Learning Points: Myxedema coma occurs as a result of long-standing, undiagnosed, or undertreated hypothyroidism and is usually precipitated by a systemic…

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Jan 13 2016

DRESS

Morning Report

Thank you Dr. Danny Jimenez for a great presentation on a patient with DRESS secondary to Phenytoin use! Teaching Points: Drug Reaction with Eosinophilia and Systemic Symptoms (morbilloform rash + eosinophilia 50-90%; atypical lymphocytosis 30-70%; elevated LFTs 80%; +fevers; +lymphadenopathy)…

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Jan 11 2016

AM Report: Pneumocystis jiroveci Pneumonia

Morning Report

Thanks to Dr. Shalra Hameed for a great morning report on PCP! Learning Points: Five causes of hypoxemia: low FiO2, hypoventilation, impaired diffusion, shunt and V/Q mismatch Pneumocystis jirovecii is actually a fungus and NOT a protozoan as originally thought!…

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Jan 06 2016

AM Report: Pericardial Disease

Morning Report

Learning Points Pericardial Effusions--Indications for a pericardiocentesis Hemodynamically unstable (therapeutic) Hemodynamically stable (diagnostic): If suspicious of Purulent, TB, Neoplastic pericarditis Mod-large effusion s/p failed anti-inflammatory tx Treatment: COPE Study: Results of the COlchicine for acute PEricarditis (Imazio in Circulation 2005)…

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