1. No category

UNIVERSITY HOSPITALS CASE MEDICAL CENTER
MARCH 27, 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
Medication Reconciliations
at the time of admission.
3. Discharge Summaries on the
day of discharge as always.
Interns, residents, and
April means the beginning of spring in Cleveland and there are lots of
interesting things to do. For those of you with kids, starting 3/27 and going
to 4/19 , the I-X Amusement Park in the Cleveland I-X center is the perfect
place to bring the little ones with lots of rides that are just their size, and a
few for moms and dads to ride along on too. If you're in the mood to race,
attendings are welcome to
complete!
4. Please remember to fill out
get the family together on the 5-lane Giant Slide! Kids that love to spin will
love the Dizzy Dragons and Bear Affair. If a slower pace is more their
our Elective Tracking form.
speed, a gentle ride on the Venetian Swing will be just right for them. And
don't miss the petting zoo, with lots of cute critters looking for attention.
Google Doc.
Check this link for more information about tickets and hours:
http://www.ixamusementpark.com/en.aspx
- Dr. Hussain Alquraini
PAGE 1
Click here for the link to the
UNIVERSITY HOSPITALS CASE MEDICAL CENTER
MARCH 27, 2015
Important Dates
Like us on Facebook!
Check out the DOM Facebook Page for
program updates and pictures of recent events
3/30: Doctor’s Day
Stop by the UH Cafeteria Atrium for
a gift!
Resident of the Week Award
10 AM to 2 PM
Resident of the week is: Brandon Szeto
4/1: Agre Society
Dr. Fabio Cominelli will be our
One of his co-residents wrote: “We were having a very busy MICU night
and one of his patients was accepted to the MICU. Instead of peacing
featured speaker
5:30 to 7 PM
out, he called consults on the patient and tried to coordinate IR
procedures in the night! He even sent my co-resident and I the
information he had already collected on the patient. Brandon's
willingness to help out is one of the things that I value in co-residents at
UH and one of the things that makes our program the best!”
Current Chiefs
Thank you for your hard work!
VA CHIEF
Please remember to submit your nominations for resident of the week to
Scott Denstaedt
[email protected].
Pager: 31533
Office: VA ext. 5034
[email protected]
6th Annual Department of Medicine Research Day
QUALITY CHIEF
Our annual research day will be Friday, May 15th from 12-3:30 PM. All
Marty Tam
PGY3s are required to present a poster on their quality projects. Also for
Pager: 36644
those that have done research electives this year you will also need to
present your work. See you all then!
Office: UH ext. 45806
[email protected]
Click here for more information and to register:
UH CHIEF
http://www.cwrumedicine.org/research-day
Angel Qin
Pager: 31250
Click here to submit your abstract electronically:
http://survey.constantcontact.com/survey/a07ealvjnr7i6id1lv7/a00yi7qi59
bo/questions
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
An 81-year-old woman is evaluated during a follow-up visit for a 3-year history of
hypertension. She feels relatively well. She does not smoke cigarettes. She appears to
be adherent to her medication regimen, which consists of maximum doses of
chlorthalidone, enalapril, amlodipine, and carvedilol.
On physical examination, seated blood pressure is 158/68 mm Hg, and pulse rate is
68/min; other vital signs are normal. BMI is 26. An unchanged systolic crescendodecrescendo murmur is noted at the right upper sternal border. The carotid upstrokes are
normal, and no bruits are heard. Trace pedal edema is noted.
Laboratory studies reveal normal electrolytes, complete blood count, fasting glucose, and
fasting lipid profile as well as normal kidney function.
Which of the following is the most appropriate next step in management of this
patient's blood pressure?
A. Ambulatory blood pressure monitoring
B. Echocardiography
C. Hydralazine
D. Urine metanephrine measurement
NEJM IMAGE CHALLENGE
What is the most likely diagnosis?
A. Becker’s nevus
B. Hypomelanosis of Ito
C. Mongolian spots
D. Neurofibromatosis
E. Speckled lentiginous nevus
PAGE 3
MARCH 27, 2015
UNIVERSITY HOSPITALS CASE MEDICAL CENTER
UH Conference Schedule
MONDAY, 3/30:
Resident Morning Report: 10:30 - 11:30 AM
MARCH 27, 2015
VA Conference Schedule
MONDAY, 3/30:
Noon Conference: 12:00 - 1:00 PM
Attending Rounds – Dr. Rhonda Mourad
Noon Conference: 12:00 - 1:00 PM
Senior Talk – Dr. Tony Betbadal
TUESDAY, 3/31:
Resident Morning Report: 10:00 - 11:00 AM
TUESDAY, 3/31:
Intern Morning Report 11:00 - 11:30 AM
Grand Rounds: 12:00 - 1:00 PM
"Mentoring" by Marjorie Greenfield, MD
Grand Rounds: 12:00 - 1:00 PM
"Mentoring" by Marjorie Greenfield, MD
WEDNESDAY, 4/1:
Resident Morning Report 10:00-11:00 AM
WEDNESDAY, 4/1:
Resident Morning Report: 10:30 - 11:30 AM
Noon Conference: 12:00 - 1:00 PM
Mentor/Mentee Lunch with the Rising Chiefs
THURSDAY, 4/2:
Intern Morning Report: 11:00 AM - 12:00 PM
Noon Conference: 12:00 - 1:00 PM
Senior Talk – Dr. Nupur Jhawar
FRIDAY, 4/3:
Resident Journal Club: 10:30 - 11:30 AM
UH Morbidity and Mortality: 12:00 - 1:00 PM
Violence Against Healthcare Workers
Michael Anderson, MD
Marcie Manson, Esq
Ronald Dziedzicki RN, BSN, MBA, MSS
Philip Rinehardt
Lori Locke RN, MSN
PAGE 4
VA Morbidity and Mortality: 12:00 - 1:00 PM
34-year-old man who presents with fevers,
cough, and adenopathy
Medhat Hassan, MD
Sharyl Pickering, MD
Jihane Faress, MD
Lisa Arfons, MD
THURSDAY, 4/2:
Intern Morning Report: 10:00 - 11:00 AM
Noon Conference: 12:00 - 1:00 PM
Mentor/Mentee Lunch with the Rising Chiefs
FRIDAY, 4/3:
Resident Journal Club: 10:00 - 11:00 AM
Noon Conference: 12:00 - 1:00 PM
Anti-Coagulation Clinic Talk – Carol Ingle
UNIVERSITY HOSPITALS CASE MEDICAL CENTER
MARCH 27, 2015
UH WEEKEND COVERAGE
Carpenter
Shiv Madan is off Sunday and will be covered by
Ogechi Agwu
Dworken
John Graham has a golden weekend and will be
covered by Vincent Fong
Eckel
Patrick Koo and Philicia Duncan will arrange coverage
amongst themselves
Hellerstein
Mo Sabeh and Georgia Davis will arrange coverage
amongst themselves
Naff
Christine James has Saturday off and will be covered by
Alina Iovleva
Friday, March 27
NACR: Hussain Alquraini
NF Residents: Abdullah Aljorayid, Aditya Khetan
NF Interns: Megan Chan, Justin Morrison, Andrew Patterson
MICU Moonlighter: Jacob Sadik
Saturday, March 28
NACR: Hussain Alquraini
NF Residents: Abdullah Aljorayid or Aditya Khetan
UH Saturday PM: Ahmed Alsalem
NF Interns: Megan Chan, Justin Morrison, Andrew Patterson
MICU Moonlighter: Jacob Sadik
Sunday, March 29
NACR: Lesley Kellie
NF Residents: Abdullah Aljorayid or Aditya Khetan
NF Interns: Tiffany Megan Chan, Justin Morrison, Andrew
Patterson
Ratnoff
Won Ho has a black weekend
Senior Weekend Jeopardy
Shenil Shah (Fri 5 PM – Mon 8 AM)
Bochra Jandali (Back-up Jep; Saturday only)
Wearn
Chris Linz has a black weekend
Intern Weekend Jeopardy
Terry Barrett
Weisman
Ashwini Nayak will work her Saturday pre-call day; the
first half of her Sunday long call will be covered by
Bochra Jandali then Ashwini will return to finish the call
VA WEEKEND COVERAGE
Saturday, March 28
Mati Hlatshwayo on Blue is off and will be covered by Stephanie Michal
Peri Davitkov on White is on medium call
Andres Barrero Ortiz on Green has a golden weekend and will be covered by Nupur Jhawar
Ning Zhou on Orange has a black weekend
VACR consults will be seen by Ning Zhou and attending Dr. Charlie Lopresti
VA MICU 24 hour resident is Anthony Betbadal
VA Sat PM Resident is Nate Stehouwer
VA Sat PM Intern is Niranjani Buch
Sunday, March 29
Mati Hlatshwayo on Blue is on call
Peri Davitkov on White is off and will be covered by Stephanie Michal
Andres Barrero Ortiz on Green has a golden weekend and will be covered by Nupur Jhawar
Ning Zhou on Orange has a black weekend
VACR consults will be seen by Mati Hlatshwayo and attending Dr. Chris King
PAGE 5
UNIVERSITY HOSPITALS CASE MEDICAL CENTER
MARCH 27, 2015
MKSAP 16 Answer
Research Corner
Answer: A. Ambulatory blood pressure monitoring
Need an idea for a project or a research
mentor?
Resistant hypertension is defined as blood pressure that
remains above goal despite treatment with the optimal
Did you know our program website has a search
function where you can find ALL abstracts
dosages of three antihypertensive agents of different
classes, including a diuretic.
presented at the Department of Medicine annual
Research Day since 2010?
NEJM Image Challenge
You can search through specialty, topic, author
or any other keyword.
Answer: A. Becker’s nevus
Check it out here!
Becker’s nevus nevus is a benign nevoid
hypermelanosis, characterized by a circumscribed
http://medicine.case.edu/research/researchabstract-directory
hyperpigmented patch with an irregular edge. Overlying
hypertrichosis, as in this case, frequently develops
several years later. The lesion typically develops on the
upper trunk, shoulders, or upper arms of adolescent
males. Becker’s nevi are generally asymptomatic, and
no treatment is usually required. (Adapted from NEJM)
Meet Your Class
Jonathan Zande
Neurology Prelim
Birth Place: Detroit, MI
Medical School: Michigan State University
College of Human Medicine
Favorite Food: Spaghetti
Favorite Superhero: Batman
Last Sang: Heartbeat Song by Kelly Clarkson
PAGE 6