UNIVERSITY HOSPITALS CASE MEDICAL CENTER MAY 1, 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. The Cleveland Indians are in town playing the Toronto Blue Jays this weekend and the weather should be perfect for going to the game (sunny and in the 60s)! Go check out the new updates to the stadium, especially a new indoor/outdoor two-story bar in right field called “The Corner.” A District Ticket is only $13 and includes a standing-room-only ticket to the game in “The Corner” and your first beer is free! Also added are stands from several of Cleveland’s favorite restaurants, including Melt, Barrio, Great Lakes, and Sweet Moses Ice Cream. Tickets are affordable, starting at $10 for bleachers tickets. 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 attendings are welcome to See you there! Friday, May 1 at 7:10 pm Saturday, May 2 at 4:10 pm Sunday, May 3 at 1:10 pm - Cassie Kovach PAGE 1 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 MAY 1, 2015 Important Dates 5/6: 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: Spencer Couturier 5/8: Peri-operative Conference For all the PGY2s out there One of his co-residents wrote: “I would like to nominate Spencer Couturier for intern of the week for his excellent work on VA Green team. 12 to 4 PM He had a busy service and was able to manage complex issues efficiently. Always available to help out the team! Thanks!” 5/14: Bronson’s Day Best day of the year for the interns! Thank you for your hard work! Please remember to submit your nominations for resident of the week to [email protected]. Current Chiefs VA CHIEF Scooter Denstaedt 6th Annual Department of Medicine Research Day Pager: 31533 Office: VA ext. 5034 Our annual research day will be Friday, May 15th from 12-3:30 PM. All [email protected] 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! QUALITY CHIEF Marty Tam Pager: 36644 Office: UH ext. 45806 Click here for more information and to register: http://www.cwrumedicine.org/research-day [email protected] Click here to submit your abstract electronically (deadline is 5/4): UH CHIEF http://survey.constantcontact.com/survey/a07ealvjnr7i6id1lv7/a00yi7qi59 Angel Qin bo/questions Pager: 31250 Office: UH ext. 43621 If you want your poster to be printed through the DOM, please submit them by 5/5 and they will be ready by 5/11. For complete posters, [email protected] please send a PDF file to: [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 18-year-old woman is evaluated for amenorrhea. The patient underwent menarche at age 12 years and has never had any subsequent menses. She has no medical history of note. Family history is remarkable only for hypothyroidism. She takes no medication. On physical examination vital signs are normal; BMI is 22 (height, 147.3 cm [58.0 in]; weight, 48.6 kg [107.0 lb]). Visual field, thyroid, and pelvic examination findings are normal. Results of laboratory studies show an initial serum follicle-stimulating hormone level of 53 mU/mL (53 units/L) and a subsequent level of 62 mU/mL (62 units/L) on repeat testing. Serum thyroid-stimulating hormone, human chorionic gonadotropin, and prolactin levels are normal. Which of the following is the most appropriate next diagnostic test? A. Karyotyping B. Pelvic ultrasonography C. Progesterone challenge test D. Serum estradiol measurement NEJM IMAGE CHALLENGE The following physical exam finding is most commonly associated with which one of the following? A. Chronic kidney disease B. Thyroid dysfunction C. End-stage liver disease D. Pulmonary disease E. Systemic infection PAGE 3 MAY 1, 2015 UNIVERSITY HOSPITALS CASE MEDICAL CENTER UH Conference Schedule MONDAY, 5/4: Resident Morning Report: 10:30 - 11:30 AM MAY 1, 2015 VA Conference Schedule MONDAY, 5/4: Noon Conference: 12:00 - 1:00 PM Attending Rounds – Dr. Faramarz Ismail-Beigi Noon Conference: 12:00 - 1:00 PM Ankylosing Spondylitis – Dr. Maya Mattar TUESDAY, 5/5: Resident Morning Report: 10:00 - 11:00 AM TUESDAY, 5/5: Intern Morning Report 11:00 - 11:30 AM Grand Rounds: 12:00 - 1:00 PM "The New ACC/AHA Guidelines on CVD Prevention: Concept and Controversy" by Dr. Sidney Smith (University of North CarolinaChapel Hill) Grand Rounds: 12:00 - 1:00 PM "The New ACC/AHA Guidelines on CVD Prevention: Concept and Controversy" by Dr. Sidney Smith (University of North CarolinaChapel Hill) WEDNESDAY, 5/6: Resident Morning Report 10:00-11:00 AM WEDNESDAY, 5/6: Resident Morning Report: 10:30 - 11:30 AM Noon Conference: 12:00 - 1:00 PM Renal Topic – Dr. Arash Rashidi THURSDAY, 5/7: Intern Morning Report: 11:00 AM - 12:00 PM Noon Conference: 12:00 - 1:00 PM Meds Peds Conference – Rainbow Amphitheatre VA Morbidity and Mortality: 12:00 - 1:00 PM Two cases of advanced heart failure status post destination left ventricular assist device placement Dr. Jose Ortiz Dr. Brian Cmolik Dr. Yakov Elgudin Dr. Kim Schaub THURSDAY, 5/7: Intern Morning Report: 10:00 - 11:00 AM FRIDAY, 5/8: Resident Journal Club: 10:30 - 11:30 AM Noon Conference: 12:00 - 1:00 PM Senior Talk – Dr. Oge Ndum UH Morbidity and Mortality: 12:00 - 1:00 PM 61-year-old man with no known medical history who presented with digital necrosis found to have profound eosinophilia FRIDAY, 5/8: Resident Journal Club: 10:00 - 11:00 AM Dr. Salil Deo Dr. Linda Sandhaus Dr. Alvin Schmaier PAGE 4 Noon Conference: 12:00 - 1:00 PM Attending Rounds – Dr. Lisa Arfons UNIVERSITY HOSPITALS CASE MEDICAL CENTER MAY 1, 2015 UH WEEKEND COVERAGE Carpenter Jack Hornick has a black weekend Dworken Courtney Batt is off Sunday and will be covered by Sadeer Al-Kindi Eckel Stephen Morris and Rishi Sharma will arrange coverage amongst themselves Hellerstein Rania Abdul Rahman and Stephanie Michal arrange coverage amongst themselves Naff Namrata Patel has a golden weekend will be covered by Ziyad Al-Shathri Ratnoff Ahmad Younes has Saturday off and will be covered by Sadeer Al-Kindi Wearn Oge Ndum has Saturday off and will be covered by Dieja Khalid Friday, May 1 NACR: Bryan Hambley NF Residents: Alina Iovleva, Rachel Romero NF Interns: Faisal Alsallom, Paul Coletta, Macym Rizvi MICU Moonlighter: Shiv Madan Saturday, May 2 NACR: Bryan Hambley NF Residents: Alina Iovleva or Rachel Romero UH Saturday PM: Dhivya Prabhakar NF Interns: Faisal Alsallom, Paul Coletta, Macym Rizvi MICU Moonlighter: Atallah Baydoun Sunday, May 3 NACR: Bryan Hambley NF Residents: Alina Iovleva or Rachel Romero NF Interns: Faisal Alsallom, Paul Coletta, Macym Rizvi Senior Weekend Jeopardy Megan Moini (Fri 5 PM – Mon 8 AM) Georgia Davis (Back-up Jep; Sunday only) Intern Weekend Jeopardy Asrar Alahmadi Weisman Georgia Davis has a golden weekend but will cover herself on Sat; Sun will be covered by Dieja Khalid VA WEEKEND COVERAGE Saturday, May 2 Bridgette Christopher on Blue has a golden weekend and will be covered by Philicia Duncan Bouchra Jandali on White has a black weekend Galina Lyles on Green is on medium call Roopa Dhatt on Orange is off and will be covered by Faisal Matto VACR consults will be seen by Bouchra Jandali and attending Dr. Ramy Masroujeh VA MICU 24 hour resident is Jason Tuckerman VA Sat PM Resident is Dhruti Chen VA Sat PM Intern is Elise Brady Sunday, May 3 Bridgette Christopher on Blue has a golden weekend and will be covered by Philicia Duncan Bouchra Jandali on White has a black weekend Galina Lyles on Green is off and will be covered by Faisal Matto Roopa Dhatt (Leland Hull) on Orange is on call VACR consults will be seen by Roopa Dhatt (Leland Hull) and attending Dr. Sarah Augustine PAGE 5 UNIVERSITY HOSPITALS CASE MEDICAL CENTER MAY 1, 2015 MKSAP 16 Answer Research Corner Answer: A. Karyotyping Need an idea for a project or a research mentor? In a woman with primary ovarian insufficiency, Turner syndrome must be excluded as the cause by obtaining Did you know our program website has a search function where you can find ALL abstracts the patient's karyotype. presented at the Department of Medicine annual Research Day since 2010? You can search through specialty, topic, author or any other keyword. NEJM Image Challenge Check it out here! Answer: A. Chronic kidney disease Lindsay's nails (or half-and-half nails) were described in http://medicine.case.edu/research/research- 1967 as red, pink, or brown bands occupying 20 to 60% of the nail bed in patients with chronic kidney disease. (Adapted from NEJM) abstract-directory Meet Your Class Assim Alabdulkader (with Team Green!) Preliminary Intern Birth Place: Dammam, Saudi Arabia Medical School: University of Dammam Favorite Food: Indian and Italian Favorite Museum: Cleveland Botanical Garden Favorite Organ: The Liver PAGE 6
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