Finally Friday March 20 - Case Western Reserve University

UNIVERSITY HOSPITALS CASE MEDICAL CENTER
MARCH 20, 2015
Finally Friday
Resident Newsletter
UH Department of Internal Medicine Residency Program
SMAK Corner
Friendly Reminders
1. For any call-offs, please
page the ambulatory chief at
31529. We are not always
available immediately by
phone or email, but we
ALWAYS have the pager.
2. Remember to complete the
Spring is almost here!!! It makes its official arrival on the evening of
Friday, March 20th. And after a very long Ohio winter some of the first
signs of spring are starting to appear: the days are getting longer, the
weather is warming up (at least a little bit), and much of the February
snow has melted. But one of the surest signs that spring is just around the
corner is the annual return of baseball! Spring training is already
underway, and Opening Day is now just about 2 weeks away. The
Cleveland Indians will start their season with a series of games in Texas
against the Houston Astros from April 6-8th. They will then return to
Cleveland for their home opener on Friday, April 10th against the Detroit
Tigers. Going to an Indians game can be a fun way to get outdoors into
the spring sunshine, enjoy a hotdog and a beer, and take in a professional
sporting event relatively inexpensively. Tickets are usually fairly easy to
obtain even on the day of game. My suggestion: take some friends and sit
in the bleacher section (where tickets are usually $10 each); the view is
great and the price is cheap! For more information about tickets please
visit indians.mlb.com.
- Jason Tuckerman
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Medication Reconciliations
at the time of admission.
3. Discharge Summaries on the
day of discharge as always.
Interns, residents, and
attendings are welcome to
complete!
4. Please remember to fill out
our Elective Tracking form.
Click here for the link to the
Google Doc.
UNIVERSITY HOSPITALS CASE MEDICAL CENTER
Like us on Facebook!
Check out the DOM Facebook Page for
program updates and pictures of recent events
MARCH 20, 2015
Important Dates
3/20: Residency Match Day!
Time to find out who our new
residents will be!
Resident of the Week Award
Residents of the week are: Jahnavi Gollamudi and Elise Brady
One of the VA attending said regarding a patient on a surgical service: “I
would like to relate to you the incredible help I received from your
residents. They came to the rapid response and appeared at the
bedside. Although they had every reason to exit the scene since a
surgery-department attending was already there, they in-fact stayed,
evaluated the patient, reviewed the chart, determined that this could be a
CVA, rapidly ordered a CT scan and activated the VA-UH stroke
protocol. They stayed with the patient until transport came for the move
to UH. Their care was potentially life-saving for him. I can’t thank them
enough for providing such great care.”
Thank you for your hard work!
Please remember to submit your nominations for resident of the week to
casechiefs@gmail.com.
6th Annual Department of Medicine Research Day
Our annual research day will be Friday, May 15th from 12-3:30 PM. All
PGY3s are required to present a poster on their quality projects. Also for
those that have done research electives this year you will also need to
present your work. See you all then!
Click here to register and submit your abstract:
http://www.cwrumedicine.org/research-day
3/30: Doctor’s Day
Stop by the UH Cafeteria Atrium for
a gift!
10 AM to 2 PM
4/1: Agre Society
Dr. Fabio Cominelli will be our
featured speaker
5:30 to 7 PM
4/1: April
Current
Fool’s Day
Chiefs
Always an interesting day…
VA CHIEF
Scott Denstaedt
Pager: 31533
Office: VA ext. 5034
Scott.Denstaedt@uhhospitals.org
QUALITY CHIEF
Marty Tam
Pager: 36644
Office: UH ext. 45806
Marty.Tam@uhhospitals.org
UH CHIEF
Angel Qin
Pager: 31250
Office: UH ext. 43621
Angel.Qin@uhhospitals.org
AMBULATORY CHIEF
Khanjan Shah
Pager: 31529
Office: VA ext. 5046
Khanjan.Shah@uhhospitals.org
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UNIVERSITY HOSPITALS CASE MEDICAL CENTER
MKSAP 16 QUESTION
A 37-year-old woman is evaluated for a 1-week history of headache. She describes the
headache as constant, worse when she first awakens, and characterized by a feeling of
increased pressure. She reports no other focal neurologic symptoms. The patient has a
10-pack-year history of tobacco use. Her only medication is a low-dose estrogen oral
contraceptive.
On physical examination, temperature is normal, blood pressure is 112/78 mm Hg, pulse
rate is 62/min and regular, and respiration rate is 16/min; BMI is 37. Bilateral papilledema
is noted. The Valsalva maneuver increases the headache pain. All other general and
neurologic examination findings are unremarkable.
Results of laboratory studies show a normal leukocyte count, a platelet count of
322,000/µL (322 × 109/L), an INR of 1.1, and an activated partial thromboplastin time of
36 s. An MRI of the brain without contrast is normal.
Which of the following is the most appropriate next diagnostic test?
A. Cerebral angiography
B. Lumbar puncture
C. Magnetic resonance venography
D. Measurement of serum lupus anticoagulant level
NEJM IMAGE CHALLENGE
What is the most likely diagnosis?
A. Candidiasis
B. Geographic tongue
C. Herpes zoster
D. Lichen planus
E. Pemphigus
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MARCH 20, 2015
UNIVERSITY HOSPITALS CASE MEDICAL CENTER
UH Conference Schedule
MONDAY, 3/23:
Resident Morning Report: 10:30 - 11:30 AM
MARCH 20, 2015
VA Conference Schedule
MONDAY, 3/23:
Noon Conference: 12:00 - 1:00 PM
Attending Rounds – Dr. Christopher King
Noon Conference: 12:00 - 1:00 PM
Senior Talk – Dr. Maya Serhal
TUESDAY, 3/24:
Resident Morning Report: 10:00 - 11:00 AM
TUESDAY, 3/24:
Intern Morning Report 11:00 - 11:30 AM
Grand Rounds: 12:00 - 1:00 PM
"Improving Veteran Access to Lung Cancer
Care” by Rami Manochak ian, MD
Grand Rounds: 12:00 - 1:00 PM
"Improving Veteran Access to Lung Cancer
Care” by Rami Manochak ian, MD
WEDNESDAY, 3/25:
Resident Morning Report 10:00-11:00 AM
WEDNESDAY, 3/25:
Resident Morning Report: 10:30 - 11:30 AM
Noon Conference: 12:00 - 1:00 PM
Renal Topic
THURSDAY, 3/26:
Intern Morning Report: 11:00 AM - 12:00 PM
Noon Conference: 12:00 - 1:00 PM
Geriatrics Topic – Dr. Myreen Thomas
VA Morbidity and Mortality: 12:00 - 1:00 PM
69-year-old man with history of thymoma status
post thymectomy who presents with
leuk ocytosis, cough, and bilateral lung infiltrates
David Blumenthal, MD
Mohamad Shatat, MD
Evi Stavrou, MD
THURSDAY, 3/26:
Intern Morning Report: 10:00 - 11:00 AM
FRIDAY, 3/27:
Resident Journal Club: 10:30 - 11:30 AM
Noon Conference: 12:00 - 1:00 PM
Attending Rounds – Dr. Scott Denstaedt
UH Morbidity and Mortality: 12:00 - 1:00 PM
27-year-old African American woman with
Hemoglobin SS disease presenting with
concerns for acute chest syndrome
FRIDAY, 3/27:
Resident Journal Club: 10:00 - 11:00 AM
Jane Little, MD
Tara Alin, CNP
Rose Berila, CNS
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Noon Conference: 12:00 - 1:00 PM
Senior Talk – Dr. Lesley Kellie
UNIVERSITY HOSPITALS CASE MEDICAL CENTER
MARCH 20, 2015
UH WEEKEND COVERAGE
Carpenter
Namrata Patel has a golden w eekend and w ill be
covered by Bochra Jandali
Dw orken
Paul Shaniuk is off Saturday and w ill be covered by
Oge Ndum
Eckel
Philicia Duncan and Ogechi Agw u w ill arrange coverage
amongst themselves
Hellerstein
Rohit Raj and Prashanth Thakker w ill arrange coverage
amongst themselves
Naff
Gabe Thornton has a black w eekend
Ratnoff
Ning Zhou is off Sunday and w ill be covered by
Stephanie Kim
Wearn
Patrick Koo is off Sunday and w ill be covered by
Perihan Dem achkie
Friday, March 20
NACR: Shenil Shah
NF Residents: Yosra Moria, Hussain Alquraini
NF Interns: Tiffany George, Emad Mansoor, Leanna Robertson
MICU Moonlighter: Katie Linder
Saturday, March 21
NACR: Shenil Shah
NF Residents: Yosra Moria, Hussain Alquraini
UH Saturday PM: Dave Thom as
NF Interns: Tiffany George, Emad Mansoor, Leanna Robertson
MICU Moonlighter: Katie Linder
Sunday, March 22
NACR: Shenil Shah
NF Residents: Yosra Moria, Hussain Alquraini
NF Interns: Tiffany George, Emad Mansoor, Leanna Robertson
Senior Weekend Jeopardy
Nam rata Patel (Fri 5 PM – Mon 8 AM)
Stephanie Kim (Back-up Jep; Saturday only)
Oge Ndum (Back-up Jep; Sunday only)
Intern Weekend Jeopardy
Sindhu Richards
Weism an
Lesley Kellie has a black w eekend
VA WEEKEND COVERAGE
Saturday, March 21
Leland Hull on Blue has a black w eekend
Brandon Szeto on White has a golden w eekend and w ill be covered by Ashw ini Nayak
Anodika Fatehchand on Green is off and w ill be covered by Bryan Ham bley
Nupur Jhaw ar on Orange is on medium call
VACR consults w ill be seen by Leland Hull and attending Dr. Megan McNam ara
VA MICU 24 hour resident is Ahm ad Younes
VA Sat PM Resident is Stephanie Michal
VA Sat PM Intern is Akiva Diam ond (coming in at 9 PM)
Sunday, March 22
Leland Hull on Blue has a black w eekend
Brandon Szeto on White has a golden w eekend and w ill be covered by Ashw ini Nayak
Anodika Fatehchand on Green is on call
Nupur Jhaw ar on Orange is off and w ill be covered by Bryan Ham bley
VACR consults w ill be seen by Anodika Fatehchand and attending Dr. Joshua Augustine
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UNIVERSITY HOSPITALS CASE MEDICAL CENTER
MARCH 20, 2015
MKSAP 16 Answer
Research Corner
Answer: C. Magnetic resonance venography
The diagnostic test of choice for diagnosing dural sinus
venous thrombosis is magnetic resonance venography.
Need an idea for a project or a research
mentor?
NEJM Image Challenge
Answer: C. Herpes zoster
The vesicular eruptions along the V3 trigeminal
dermatome, including the left side of the tongue and
mandible, are most consistent with a diagnosis of herpes
zoster infection. The patient was prescribed a 2-week
course of oral valacyclovir. (Adapted from NEJM)
Did you know our program website has a search
function where you can find ALL abstracts
presented at the Department of Medicine annual
Research Day since 2010?
You can search through specialty, topic, author
or any other keyword.
Check it out here!
http://medicine.case.edu/research/researchabstract-directory
Meet Your Class
Katia Khoury
Categorical Intern
Birth Place: Rabieh, Lebanon
Medical School: American University of
Beirut
Favorite Food: “Literally” anything and
everything
Why Cleveland: The weather…not
Favorite Embarrassing Songs: “Ces soirées
là” and “What Does the Fox Say?”
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