Today, we had an HIV-negative patient who was likely immuncompromised from EtOH cirrhosis who presented as a trauma after an unwitnessed fall with AMS, later found to have Cryptococccal meningitis!

Given our shortened half day, we played a quick game about dietary supplements. Main takeaway is that they are not regulated!

Today we had a middle aged male with hx of obesity and etoh who presented with necrotizing pancreatitis. We went over uncommon complications of pancreatitis

Today, we had a pt who presented with colon cancer despite being fairly up to date with guidelines. We went over the limitations of different screening modalities as well as lesser known screening recommendations

Today we discussed the case of a young man with history of well controlled asthma who presented with subacute dyspnea, and productive cough with respiratory distress, thought to have severe acute asthma with likely triggers of smoking as well as poor air quality due to the California fires. Finally we discussed that his living in a neighborhood that was redlined throughout the mid to late 20th century contributes to his likelihood of ED presentations with asthma exacerbation.

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Today, we had a pt with ALS and a cholecystostomy tube who presented with R flank pain and found to have GNR bacteremia and candidemia!

Today, we had a young male with a hx of autoimmune adrenal insufficiency who presented with N/V/D and found to be in adrenal crisis