Author: hghinternalmed

Morning report 8/15/17

Morning report 8/15/17

Wow! What an interesting case presented by Dr. Seuss of a gentleman with an atypical presentation of psoriasis with psoriatic arthritis! I think this case exposed so deficiencies in knowledge about inflammatory arthritides! Here are the teaching points for review: What are the pertinent ROS that help distinguish between inflammatory and non-inflammatory arthritis? Presence of … Continue reading Morning report 8/15/17

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Morning report 7/20/17

Morning report 7/20/17

37 year-old male who, 48 hours after a GI illness, developed fixed, dilated pupils, dysphagia, and bilateral ptosis, with progression to neuromuscular hypercapnic respiratory failure. Diagnosis: foodborne botulism. Teaching points: Botulism toxin blocks Ach release at presynaptic neurons and at the NMJ = motor and endocrine symptoms Foodborne botslism presents with: GI prodrome à 12-36 … Continue reading Morning report 7/20/17

Morning Report 6/29 – Diabetes Insipidus

Morning Report 6/29 – Diabetes Insipidus

We had a super interesting case presented this morning by Vivan Tran! Diabetes Insipidus is diagnosed by a water deprivation test. There should be little increase in urine osms over time if the patient has DI. After administration of desmopressin, the urine osms increase dramatically in central DI, and stay low in nephrogenic DI.   … Continue reading Morning Report 6/29 – Diabetes Insipidus