UNIVERSITY HOSPITALS CASE MEDICAL CENTER MARCH 20, 2015 Finally Friday Resident Newsletter UH Department of Internal Medicine Residency Program SMAK Corner Friendly Reminders 1. For any call-offs, please page the ambulatory chief at 31529. We are not always available immediately by phone or email, but we ALWAYS have the pager. 2. Remember to complete the Spring is almost here!!! It makes its official arrival on the evening of Friday, March 20th. And after a very long Ohio winter some of the first signs of spring are starting to appear: the days are getting longer, the weather is warming up (at least a little bit), and much of the February snow has melted. But one of the surest signs that spring is just around the corner is the annual return of baseball! Spring training is already underway, and Opening Day is now just about 2 weeks away. The Cleveland Indians will start their season with a series of games in Texas against the Houston Astros from April 6-8th. They will then return to Cleveland for their home opener on Friday, April 10th against the Detroit Tigers. Going to an Indians game can be a fun way to get outdoors into the spring sunshine, enjoy a hotdog and a beer, and take in a professional sporting event relatively inexpensively. Tickets are usually fairly easy to obtain even on the day of game. My suggestion: take some friends and sit in the bleacher section (where tickets are usually $10 each); the view is great and the price is cheap! For more information about tickets please visit indians.mlb.com. - Jason Tuckerman PAGE 1 Medication Reconciliations at the time of admission. 3. Discharge Summaries on the day of discharge as always. Interns, residents, and attendings are welcome to complete! 4. Please remember to fill out our Elective Tracking form. Click here for the link to the Google Doc. UNIVERSITY HOSPITALS CASE MEDICAL CENTER Like us on Facebook! Check out the DOM Facebook Page for program updates and pictures of recent events MARCH 20, 2015 Important Dates 3/20: Residency Match Day! Time to find out who our new residents will be! Resident of the Week Award Residents of the week are: Jahnavi Gollamudi and Elise Brady One of the VA attending said regarding a patient on a surgical service: “I would like to relate to you the incredible help I received from your residents. They came to the rapid response and appeared at the bedside. Although they had every reason to exit the scene since a surgery-department attending was already there, they in-fact stayed, evaluated the patient, reviewed the chart, determined that this could be a CVA, rapidly ordered a CT scan and activated the VA-UH stroke protocol. They stayed with the patient until transport came for the move to UH. Their care was potentially life-saving for him. I can’t thank them enough for providing such great care.” Thank you for your hard work! Please remember to submit your nominations for resident of the week to [email protected]. 6th Annual Department of Medicine Research Day Our annual research day will be Friday, May 15th from 12-3:30 PM. All PGY3s are required to present a poster on their quality projects. Also for those that have done research electives this year you will also need to present your work. See you all then! Click here to register and submit your abstract: http://www.cwrumedicine.org/research-day 3/30: Doctor’s Day Stop by the UH Cafeteria Atrium for a gift! 10 AM to 2 PM 4/1: Agre Society Dr. Fabio Cominelli will be our featured speaker 5:30 to 7 PM 4/1: April Current Fool’s Day Chiefs Always an interesting day… VA CHIEF Scott Denstaedt Pager: 31533 Office: VA ext. 5034 [email protected] QUALITY CHIEF Marty Tam Pager: 36644 Office: UH ext. 45806 [email protected] UH CHIEF Angel Qin Pager: 31250 Office: UH ext. 43621 [email protected] AMBULATORY CHIEF Khanjan Shah Pager: 31529 Office: VA ext. 5046 [email protected] PAGE 2 UNIVERSITY HOSPITALS CASE MEDICAL CENTER MKSAP 16 QUESTION A 37-year-old woman is evaluated for a 1-week history of headache. She describes the headache as constant, worse when she first awakens, and characterized by a feeling of increased pressure. She reports no other focal neurologic symptoms. The patient has a 10-pack-year history of tobacco use. Her only medication is a low-dose estrogen oral contraceptive. On physical examination, temperature is normal, blood pressure is 112/78 mm Hg, pulse rate is 62/min and regular, and respiration rate is 16/min; BMI is 37. Bilateral papilledema is noted. The Valsalva maneuver increases the headache pain. All other general and neurologic examination findings are unremarkable. Results of laboratory studies show a normal leukocyte count, a platelet count of 322,000/µL (322 × 109/L), an INR of 1.1, and an activated partial thromboplastin time of 36 s. An MRI of the brain without contrast is normal. Which of the following is the most appropriate next diagnostic test? A. Cerebral angiography B. Lumbar puncture C. Magnetic resonance venography D. Measurement of serum lupus anticoagulant level NEJM IMAGE CHALLENGE What is the most likely diagnosis? A. Candidiasis B. Geographic tongue C. Herpes zoster D. Lichen planus E. Pemphigus PAGE 3 MARCH 20, 2015 UNIVERSITY HOSPITALS CASE MEDICAL CENTER UH Conference Schedule MONDAY, 3/23: Resident Morning Report: 10:30 - 11:30 AM MARCH 20, 2015 VA Conference Schedule MONDAY, 3/23: Noon Conference: 12:00 - 1:00 PM Attending Rounds – Dr. Christopher King Noon Conference: 12:00 - 1:00 PM Senior Talk – Dr. Maya Serhal TUESDAY, 3/24: Resident Morning Report: 10:00 - 11:00 AM TUESDAY, 3/24: Intern Morning Report 11:00 - 11:30 AM Grand Rounds: 12:00 - 1:00 PM "Improving Veteran Access to Lung Cancer Care” by Rami Manochak ian, MD Grand Rounds: 12:00 - 1:00 PM "Improving Veteran Access to Lung Cancer Care” by Rami Manochak ian, MD WEDNESDAY, 3/25: Resident Morning Report 10:00-11:00 AM WEDNESDAY, 3/25: Resident Morning Report: 10:30 - 11:30 AM Noon Conference: 12:00 - 1:00 PM Renal Topic THURSDAY, 3/26: Intern Morning Report: 11:00 AM - 12:00 PM Noon Conference: 12:00 - 1:00 PM Geriatrics Topic – Dr. Myreen Thomas VA Morbidity and Mortality: 12:00 - 1:00 PM 69-year-old man with history of thymoma status post thymectomy who presents with leuk ocytosis, cough, and bilateral lung infiltrates David Blumenthal, MD Mohamad Shatat, MD Evi Stavrou, MD THURSDAY, 3/26: Intern Morning Report: 10:00 - 11:00 AM FRIDAY, 3/27: Resident Journal Club: 10:30 - 11:30 AM Noon Conference: 12:00 - 1:00 PM Attending Rounds – Dr. Scott Denstaedt UH Morbidity and Mortality: 12:00 - 1:00 PM 27-year-old African American woman with Hemoglobin SS disease presenting with concerns for acute chest syndrome FRIDAY, 3/27: Resident Journal Club: 10:00 - 11:00 AM Jane Little, MD Tara Alin, CNP Rose Berila, CNS PAGE 4 Noon Conference: 12:00 - 1:00 PM Senior Talk – Dr. Lesley Kellie UNIVERSITY HOSPITALS CASE MEDICAL CENTER MARCH 20, 2015 UH WEEKEND COVERAGE Carpenter Namrata Patel has a golden w eekend and w ill be covered by Bochra Jandali Dw orken Paul Shaniuk is off Saturday and w ill be covered by Oge Ndum Eckel Philicia Duncan and Ogechi Agw u w ill arrange coverage amongst themselves Hellerstein Rohit Raj and Prashanth Thakker w ill arrange coverage amongst themselves Naff Gabe Thornton has a black w eekend Ratnoff Ning Zhou is off Sunday and w ill be covered by Stephanie Kim Wearn Patrick Koo is off Sunday and w ill be covered by Perihan Dem achkie Friday, March 20 NACR: Shenil Shah NF Residents: Yosra Moria, Hussain Alquraini NF Interns: Tiffany George, Emad Mansoor, Leanna Robertson MICU Moonlighter: Katie Linder Saturday, March 21 NACR: Shenil Shah NF Residents: Yosra Moria, Hussain Alquraini UH Saturday PM: Dave Thom as NF Interns: Tiffany George, Emad Mansoor, Leanna Robertson MICU Moonlighter: Katie Linder Sunday, March 22 NACR: Shenil Shah NF Residents: Yosra Moria, Hussain Alquraini NF Interns: Tiffany George, Emad Mansoor, Leanna Robertson Senior Weekend Jeopardy Nam rata Patel (Fri 5 PM – Mon 8 AM) Stephanie Kim (Back-up Jep; Saturday only) Oge Ndum (Back-up Jep; Sunday only) Intern Weekend Jeopardy Sindhu Richards Weism an Lesley Kellie has a black w eekend VA WEEKEND COVERAGE Saturday, March 21 Leland Hull on Blue has a black w eekend Brandon Szeto on White has a golden w eekend and w ill be covered by Ashw ini Nayak Anodika Fatehchand on Green is off and w ill be covered by Bryan Ham bley Nupur Jhaw ar on Orange is on medium call VACR consults w ill be seen by Leland Hull and attending Dr. Megan McNam ara VA MICU 24 hour resident is Ahm ad Younes VA Sat PM Resident is Stephanie Michal VA Sat PM Intern is Akiva Diam ond (coming in at 9 PM) Sunday, March 22 Leland Hull on Blue has a black w eekend Brandon Szeto on White has a golden w eekend and w ill be covered by Ashw ini Nayak Anodika Fatehchand on Green is on call Nupur Jhaw ar on Orange is off and w ill be covered by Bryan Ham bley VACR consults w ill be seen by Anodika Fatehchand and attending Dr. Joshua Augustine PAGE 5 UNIVERSITY HOSPITALS CASE MEDICAL CENTER MARCH 20, 2015 MKSAP 16 Answer Research Corner Answer: C. Magnetic resonance venography The diagnostic test of choice for diagnosing dural sinus venous thrombosis is magnetic resonance venography. Need an idea for a project or a research mentor? NEJM Image Challenge Answer: C. Herpes zoster The vesicular eruptions along the V3 trigeminal dermatome, including the left side of the tongue and mandible, are most consistent with a diagnosis of herpes zoster infection. The patient was prescribed a 2-week course of oral valacyclovir. (Adapted from NEJM) Did you know our program website has a search function where you can find ALL abstracts presented at the Department of Medicine annual Research Day since 2010? You can search through specialty, topic, author or any other keyword. Check it out here! http://medicine.case.edu/research/researchabstract-directory Meet Your Class Katia Khoury Categorical Intern Birth Place: Rabieh, Lebanon Medical School: American University of Beirut Favorite Food: “Literally” anything and everything Why Cleveland: The weather…not Favorite Embarrassing Songs: “Ces soirées là” and “What Does the Fox Say?” PAGE 6
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