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UTHSCSA Chiefs
UTHSCSA Internal Medicine Residency: Tweeting our morning report clinical pearls
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UTHSCSA Chiefs 18 Jul 14
Most common causes of extremely elevated transaminases: ischemic (shock) liver, hepatitis, Tylenol OD
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UTHSCSA Chiefs 18 Jul 14
DILI: Drug Induced Liver Injury. Refer to ACG Guidelines [Am J Gastroenterol] for calculation of R value.
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UTHSCSA Chiefs 12 Jun 14
Great case of Coccidiomycosis in Morning Report today! Remember serologic tests are specific but not sensitive.
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UTHSCSA Chiefs 25 Feb 14
Myasthenia treatment: anticholinest., +/- immunosuppresives, +/- IvIG & plasmapheresis if crisis. Thymectomy if thymoma
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UTHSCSA Chiefs 25 Feb 14
Order CT chest to check for presence of thymoma in pts with myasthenia gravis. 30% also have thyroid disease, check TFTs
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UTHSCSA Chiefs 25 Feb 14
MG Dx confirmed w/ Serum autoAbs(anti-Ach recept, anti-MuSK Ab), neither may be present in ocular MG. +/- EMG/NCS if Abs neg
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UTHSCSA Chiefs 25 Feb 14
MG clinical: Ocular(ptosis/double vision), Bulbar(dysphagia/dysarthria), weakness, gait abnl, diaphragm affected in MG crisis
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UTHSCSA Chiefs 25 Feb 14
Myasthenia Gravis(MG) clinical: Hallmark- MSK weakness that increases during activity & improves after periods of rest
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UTHSCSA Chiefs 17 Feb 14
A: Clostridium Perfringens. Correct
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UTHSCSA Chiefs 14 Feb 14
Q: Intravascular hemolysis 2/2 lytic enzymes from which gram-positive bacteria may cause red cell ghosts on periph smear?
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UTHSCSA Chiefs 14 Feb 14
A: Human Herpesvirus 6. Correct
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UTHSCSA Chiefs 13 Feb 14
Q: Reactivation of which viral infection is classically associated with DRESS syndrome?
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UTHSCSA Chiefs 13 Feb 14
DRESS Rx: stop drug, symptomatic relief. Pred 0.5-2mg/kg if severe organ injury, taper over 8-12 wks once labs normalize.
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UTHSCSA Chiefs 13 Feb 14
DRESS: Classically a/w antiepliptics. ? genetic predispo a/w allopurinol or carbamazepine. Avg onset 2-6 wks after new med
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UTHSCSA Chiefs 13 Feb 14
DRESS syndrome: morbilliform rash, eosinophilia, fever, LAD, facial edema, liver/kidney/lung involvement
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UTHSCSA Chiefs 13 Feb 14
Morbilliform rash = measle like. MC type of adv drug rxn. Diffuse, symmetric erythematous macules/papules 1wk after drug
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UTHSCSA Chiefs 13 Feb 14
A: SLE is a/w shrinking lung syndrome which is SOB, pleuritic CP, and diminishing lung volumes. Correct
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UTHSCSA Chiefs 12 Feb 14
What rheumatic disease is associated with the shrinking lung syndrome?
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UTHSCSA Chiefs 12 Feb 14
A: Paget's Disease. Correct
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UTHSCSA Chiefs 10 Feb 14
Q: What acquired bone disease is often associated with hearing loss?
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