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.
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
We went over the steps for performing a paracentesis today. Here are some slides with reminders on what to do!
For academic half day, we reviewed acids & bases. Here is the framework we went over as well as a few examples putting it into practice
Today, we had a patient with undiagnosed HIV who presented with fever, cough, SOB and found to have pneumocystis pneumonia
Today, we talked about management of atrial fibrillation! We reviewed that rate & rhythm control had similar mortality rates and aiming for a HR goal of 110 was non-inferior to HR goal of 80. We talked about 2 risk calculators for anticoagulation and that DOACs have been shown to be non-inferior to warfarin for patients with low CHADsVASC
For intern academic half day, we reviewed a framework for approaching EKGs! Remember, 3 categories with 3 things each!
Today, we had a patient with a significant smoking & alcohol history & GERD who presented with progressive dysphagia (solids then liquids) and ultimately found to have Esophageal SCC
SCVMC IM Chief Resident Blog 