Today we discussed the case of a young woman with alcohol-induced cirrhosis who presented with abdominal pain and ascites, found to have SBP.
Check out Wiki Journal Club’s “Albumin for SBP” Breakdown https://www.wikijournalclub.org/wiki/Albumin_for_SBP
Today we discussed the case of a young man with recent use of Whippets who presented with acute onset bilateral lower extremity and upper extremity numbness and paresthesias, found to have Vitamin B12 deficiency despite lack of anemia or macrocytosis.
We learned that Nitrous Oxide acts by direct depletion of Vitamin B12 as it irreversibly binds to cobalt ions of vitamin B12 and inactivates it. In turn the pathways that rely on Vitamin B12 in order to synthesize DNA, RNA and myelin are disrupted, leading to demyelination and damage in the dorsal columns.
Today, we talked about a case of adrenocortical carcinoma in a young female, noting the aggressive nature of the disease and the inability to differentiate benign vs carcinoma with an adrenal biopsy!
Today we talked about how to manage UC Flares in the hospital setting, especially in this era with COVID
Today, we had a case of CMML, which is a worse prognosis & higher rate of blast crisis than CML, which ultimately transformed into AML!
Today we discussed the case of a young woman with subacute onset URI symptoms and polyarticular arthralgias with acute onset unilateral painful red eye and photophobia, in context of recent travel to Texas and insect bites.
Today we discussed a young woman who presented with intentional aspirin overdose as a suicide attempt. We discussed her presentation, management, and indications for dialysis in treatment of salicylate toxicity.
Today we had an iatrogenic Serotonin Syndrome caused by Linezolid, Morphine & Zofran given in the ED! Be careful of what you give to patients on serotonergic medications!
Today, we had a patient present who presented with chronic progressive L-access arm swelling, facial swelling and headache due to TCVO due to the presence of a TDC & Mediport crowding her SVC. Don’t leave lines in your patient unnecessarily!
Today we had a patient presenting with subacute weakness 6 months after starting a statin and found to have statin rhabdomyolysis. Don’t forget that it can occur at any time (but usually 6 months after starting)!
