Today, we had a case of a female with hx of gastric bypass who presents with progressive peripheral numbness and eventually weakness due to copper deficiency
Today we talked about a young male who presented with ascites of unclear etiology who was initially thought to have cirrhosis, but ended up having a mucinous appendiceal tumor that ruptured and led to peritoneal seeding and the syndrome: Pseudomyxoma Peritonei
Today we talked about an elderly female patient with a hx of a stroke c/b hemiparesis who developed hypernatremia because she was unable to access water
Today, we reviewed the new safety & efficacy data published by Pfizer in NEJM and went over what we should do for anticipated side effects & what to consider if you get or give the vaccine
Today we talked about a female from Arizona who presented with cough, fever, fatigue with an unusual painful paresthesia who was found to have coccidiomycosis with potentially CNS involvement!
Today we talked about a female who presented with a R pleural effusion, ascites, and an ovarian mass, suggestive of Meigs Syndrome. It was eye-opening to broaden our differential for ascites and important to recognize as treatment is via resection, not diuretics!
Today, we talked about a poorly controlled diabetic who presented with recurring hypoglycemic episodes and a markedly improved A1c who had results suggestive of an insulinoma
Today, we talked about a pt with a hx of depression & EtOH use who unknowingly swallowed a bread tag tie, leading to an elusive Upper GI Bleed that ultimately required small bowel resection!
Today, we reviewed what we knew about the COVID vaccines from the press released information from Pfizer, Moderna & AztraZeneca
Noon Report from a few weeks ago!
We discussed the case of a middle aged man with history of LTBI who presented with chronic episodic dizziness associated with syncope, chronic unintentional weight loss and fatigue, found to have a new systolic murmur on exam, with EKG showing bradycardia, low voltages, while the echocardiogram showed new diastolic dysfunction, and significant septal thickening. The discordance between echocardiogram showing LV hypertrophy without evidence of increased voltages on EKG increased suspicion for infiltrative process within the heart, leading to a diagnosis of cardiac amyloidosis.