UNIVERSITY HOSPITALS CASE MEDICAL CENTER APRIL 17, 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. Who doesn’t love a good pickle?? Cleveland is known for many things – including, but not limited to, not being Detroit – but I bet you didn’t know that there are some good looking pickles around! Artisanal pickles are the new “it” thing. Craft beers are sooo last year. There’s a new artisanal pickle company in town called Randy’s Pickles, and they’re making small batch, hand-made pickles. You can get flavors such as: 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 Mustache on Fire variety, which is a hotter version of the peppery Spicy Dill Black Pepper Chip Pickles Grandma Knows Best Peppers, which are sweet-hot peppers attendings are welcome to complete! 4. Please remember to fill out It’s sold at farmers markets, various grocery stores around town (Heinen's Fine Foods, Giant Eagle Market Districts), or the easiest way to get your our Elective Tracking form. hands on these pickles is probably checking out their website, randyspickles.com. So look forward to a weekend noshing on a gourmet Google Doc. pickle. Or just drink a craft beer. Or drink a craft beer AND eat a fancy pickle. Weekend plans, done. - Priyam Tripathi PAGE 1 Click here for the link to the UNIVERSITY HOSPITALS CASE MEDICAL CENTER Like us on Facebook! Check out the DOM Facebook Page for program updates and pictures of recent events APRIL 17, 2015 Important Dates 5/5: Agre Society Dr. Stan Gerson will be our featured speaker Resident of the Week Award 5:30 to 7 PM Resident of the week is: Philicia Duncan and Ogechi Agwu 5/8: Peri-operative Conference For all the PGY2s out there Two of their co-residents wrote: “The two of them have been very knowledgeable about our patients and incredibly helpful to all the interns. 12 to 4 PM Ogechi really helped one of the interns who had clinic in the afternoon with her patients and notes (without being asked), leaving very little to do 5/14: Bronson’s Day Best day of the year for the interns! after clinic. Philicia also helped an intern with a complicated peritoneal dialysis patient figure out PD orders, after leaving the hospital (she even called back to make sure it was figured out). The two of them have been AWESOME seniors, we're glad to have them!” Thank you for your hard work! Current Chiefs VA CHIEF Scott Denstaedt Please remember to submit your nominations for resident of the week to [email protected]. Pager: 31533 Office: VA ext. 5034 [email protected] 6th Annual Department of Medicine Research Day QUALITY CHIEF Marty Tam Our annual research day will be Friday, May 15th from 12-3:30 PM. All Pager: 36644 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 Office: UH ext. 45806 [email protected] present your work. See you all then! UH CHIEF Click here for more information and to register: Angel Qin http://www.cwrumedicine.org/research-day Pager: 31250 Office: UH ext. 43621 Click here to submit your abstract electronically (deadline is 5/4!): [email protected] http://survey.constantcontact.com/survey/a07ealvjnr7i6id1lv7/a00yi7qi59 bo/questions AMBULATORY CHIEF Khanjan Shah Pager: 31529 Office: VA ext. 5046 [email protected] PAGE 2 UNIVERSITY HOSPITALS CASE MEDICAL CENTER MKSAP 16 QUESTION A 49-year-old woman is evaluated for vertigo of 1 week's duration. She was seen 1 week ago in the emergency department. During that visit, she described severe vertigo that predictably occurred while abruptly turning her head to the right and lasted less than 1 minute. She had no antecedent viral illness, headache, hearing loss, tinnitus, diplopia, dysarthria, dysphagia, or weakness. She was diagnosed with benign paroxysmal positional vertigo and given instructions for head tilting exercises (Epley maneuver). Her symptoms improved but have not abated. She is afraid to drive because of the symptoms. She has no history of hypertension, diabetes mellitus, hyperlipidemia, or tobacco use. On physical examination, vital signs are normal. With the Dix-Hallpike maneuver, she develops horizontal nystagmus and nausea after 15 seconds. The nystagmus lasts approximately 1 minute. The Epley maneuver is unsuccessful in relieving symptoms. The remainder of the examination is normal, including the neurologic examination. Which of the following is the most appropriate management? A. Brain MRI B. Hydrochlorothiazide C. Meclizine D. Vestibular rehabilitation NEJM IMAGE CHALLENGE What is the most likely cause of this physical exam finding in a 65-year-old woman undergoing treatment for breast cancer? A. Vitamin E deficiency B. Chemotherapy C. Scleroderma D. Chronic inflammatory demyelinating polyneuropathy E. Mercury toxicity PAGE 3 APRIL 17, 2015 UNIVERSITY HOSPITALS CASE MEDICAL CENTER UH Conference Schedule MONDAY, 4/20: Resident Morning Report: 10:30 - 11:30 AM APRIL 17, 2015 VA Conference Schedule MONDAY, 4/20: Noon Conference: 12:00 - 1:00 PM Attending Rounds – Dr. Ramy Masroujeh Noon Conference: 12:00 - 1:00 PM Senior Talk – Dr. Georgia Davis TUESDAY, 4/21: Resident Morning Report: 10:00 - 11:00 AM TUESDAY, 4/21: Intern Morning Report 11:00 - 11:30 AM Grand Rounds: 12:00 - 1:00 PM "Bariatric and Metabolic Surgery in 2015" by Mujjahid Abbas Grand Rounds: 12:00 - 1:00 PM "Bariatric and Metabolic Surgery in 2015" by Mujjahid Abbas WEDNESDAY, 4/22: Resident Morning Report 10:00-11:00 AM WEDNESDAY, 4/22: Resident Morning Report: 10:30 - 11:30 AM Noon Conference: 12:00 - 1:00 PM Senior Talk – Dr. Stephanie Michal THURSDAY, 4/23: Intern Morning Report: 11:00 AM - 12:00 PM Noon Conference: 12:00 - 1:00 PM Geriatrics Topic FRIDAY, 4/24: Resident Journal Club: 10:30 - 11:30 AM UH Morbidity and Mortality: 12:00 - 1:00 PM Lessons Learned M&M - 59-year-old man with history of transitional cell carcinoma of the bladder who presented with hematuria and was lost to follow-up - 46-year-old man with follicular lymphoma who had neutropenic fever during EMR downtime without prompt initiation of antibiotics - 76-year-old man who presented with malaise found to have B cell lymphoma with likely missed tumor lysis syndrome PAGE 4 VA Morbidity and Mortality: 12:00 - 1:00 PM 50-year-old woman who presents with rheumatism and an enlarged cardiac silhouette on plain chest radiography Mathilde Pioro, MD Jose Ortiz, MD THURSDAY, 4/23: Intern Morning Report: 10:00 - 11:00 AM Noon Conference: 12:00 - 1:00 PM Attending Rounds – Dr. Sarah Augustine FRIDAY, 4/24: Resident Journal Club: 10:00 - 11:00 AM Noon Conference: 12:00 - 1:00 PM Senior Talk – Dr. Shiv Madan UNIVERSITY HOSPITALS CASE MEDICAL CENTER APRIL 17, 2015 UH WEEKEND COVERAGE Carpenter Sejal Danawala has a golden weekend and will be covered by Lesley Kellie Dworken Faisal Matto is off Saturday and will be covered by Anodika Fatehchand Eckel Neetu Srivastava and Dave Thomas will arrange coverage amongst themselves Hellerstein Maya Serhal and Stephanie Michal will arrange coverage amongst themselves Naff Christine James has a black weekend Ratnoff Bryan Hambley is off Sunday and will be covered by Wissam Alajaji Wearn Namrata Patel is off Sunday and will be covered by Anodika Fatehchand Friday, April 17 NACR: Cassie Kovach NF Residents: Dafina Pruthi, Jacob Sadik NF Interns: Spencer Couturier, Andrew Zhang, Saurav Uppal MICU Moonlighter: Shiv Madan Saturday, April 18 NACR: Cassie Kovach NF Residents: Dafina Pruthi or Jacob Sadik UH Saturday PM: Rohit Raj NF Interns: Spencer Couturier, Andrew Zhang, Saurav Uppal MICU Moonlighter: Gabe Thornton Sunday, April 19 NACR: Cassie Kovach NF Residents: Dafina Pruthi or Jacob Sadik NF Interns: Spencer Couturier, Andrew Zhang, Saurav Uppal Senior Weekend Jeopardy Aditya Khetan (Fri 5 PM – Mon 8 AM) Wissam Alajaji (Back-up Jep; Saturday only) Intern Weekend Jeopardy Scott Yasinow Weisman Courtney Batt has a black weekend VA WEEKEND COVERAGE Saturday, April 18 Nate Summers on Blue has a black weekend Bouchra Jandali on White has a golden weekend and will be covered by Rose Lee Ahmed Alsalem on Green is off and will be covered by Khadieja Khalid Roopa Dhatt on Orange is on medium call VACR consults will be seen by Nate Summers and attending Dr. Mathilde Pioro VA MICU 24 hour resident is Priyam Tripathi VA Sat PM Resident is Shiv Madan VA Sat PM Intern is Katia Khoury Sunday, April 19 Nate Summers on Blue has a black weekend Bouchra Jandali on White has a golden weekend and will be covered by Rose Lee Ahmed Alsalem on Green is on call Roopa Dhatt on Orange is off and will be covered by Khadieja Khalid VACR consults will be seen by Ahmed Alsalem and attending Dr. Charlie Lopresti PAGE 5 UNIVERSITY HOSPITALS CASE MEDICAL CENTER APRIL 17, 2015 MKSAP 16 Answer Research Corner Answer: D. Vestibular rehabilitation Need an idea for a project or a research mentor? Vestibular rehabilitation is effective in treating peripheral vertigo. Did you know our program website has a search function where you can find ALL abstracts NEJM Image Challenge presented at the Department of Medicine annual Research Day since 2010? Answer: B. Chemotherapy You can search through specialty, topic, author or any other keyword. This person’s fingerprints were erased when she Check it out here! developed hand–foot syndrome (or palmar–plantar erythrodysesthesia), a side effect of certain http://medicine.case.edu/research/research- chemotherapeutic agents that is characterized by redness, swelling, and pain on the palms of the hands or soles of the feet. (Adapted from NEJM) abstract-directory Welcome to Cleveland! PAGE 6
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