Category Archives: Morning Report

STEMI with COVID19 and DKA

Today we discussed a case of a middle aged man with diabetes and hyperlipidemia who presented with subacute viral illness and acute pressure like chest pain, found to have COVID19, and on EKG with ST elevation in lateral leads with 80% LAD occlusion on cardiac cath, as well as DKA.

Study of Acute MI Hospitalizations in Kaiser Northern California
Paper from New York Presbytarian and Columbia proposing a pathway for STEMI at the current time at their institutions given limited capacity.

Gonococcal Septic JOINT

Today we discussed the case of a young woman in her 30s with subacute onset monoarticular pain and swelling, found to have significant leukocytosis, thrombocytosis, with synovial fluid showing WBC elevated nearly to 50K with synovial fluid cultures later growing gonococcal species. We reviewed interpretation of synovial fluid and gonococcal septic joint.

Synovial Fluid