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.

Today we had a pt present with significant BL periorbital edema and a facial & neck rash that was ultimately diagnosed with dermatomyositis

Today we talked about a pt who presented with bulbar weakness who required intubation and ultimately a tracheostomy due to ingestion of black tar heroin c/b botulism

Today we had a patient with recently diagnosed syphilis who developed acute hearing loss 2/2 otosyphilis. A key learning point is that CSF studies may be bland and if the clinical picture is concerning for neurosyphilis, you should still treat