Today we had a case of TB Pleural effusions and recognized how difficult it can be to diagnose

Today, we discussed hyperkalemic emergencies and the indications/contraindications for each treatment

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.

Today we discussed the case of a young man with HIV and history of methamphetamine use disorder who presented with acute altered mental status, found to be febrile, tachypnic, tachycardic. Laboratory evaluation showed an elevated CK and he was diagnosed with and treated for Rhabdomyolysis.

Today we have a patient who presented with acute RLE weakness and R sided arm & leg numbness, found to have a R thalamic infarct.

Today, we had a pt with a hx of MSSA bacteremia and osteomyelitis who was discharged and returned 1 week later with HTN, edema, oligura and hematuria, found to have infection-related glomerulonephritis

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.

We discussed a middle aged woman with hematologic malignancy who presented with symptoms of confusion and lethargy found to have AKI and elevated uric acid, hyperkalemia and hyperphosphatemia, diagnosed with Tumor Lysis Syndrome.

 

 

 

We discussed an elderly woman with AML on palliative chemotherapy who presented with subacute neck swelling and acute fever, found to have neutropenic fever with tonsillitis.