Finally Friday April 10

UNIVERSITY HOSPITALS CASE MEDICAL CENTER
APRIL 10, 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
It is opening weekend for the Cleveland Indians! Come out and watch the
ALWAYS have the pager.
Tribe take on Detroit Tigers in this Central Division battle! Tickets are
cheap, and the weather should not be that bad.
2. Remember to complete the
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.
If you are looking for a night in though, Game of Thrones premieres this
Sunday. Stayed tuned to find out who lives!
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UNIVERSITY HOSPITALS CASE MEDICAL CENTER
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program updates and pictures of recent events
APRIL 10, 2015
Important Dates
4/13: Townhall
Stop by to discuss resident issues!
5:30 to 7 PM
Resident of the Week Award
4/14: Scheduling Requests Due!
Resident of the week is: Rania Abdul Rahman
Make sure to get your requests in
before the deadline!
One of her co-residents wrote: “Rania has been absolutely outstanding.
I’ve worked with a lot of great senior residents during these past months,
5/5: Agre Society
but Rania is amazing. She keeps an eye on everything that’s going on
without being overbearing. She is very approachable and doesn’t talk
Dr. Stan Gerson will be our featured
down to me when I ask her questions. While other seniors sit at the
computer and tell us what needs to be done, Rania starts notes, makes
5:30 to 7 PM
speaker
consult phone calls and does everything she can to help us so that we
don’t feel overwhelmed.”
Thank you for your hard work!
Current Chiefs
VA CHIEF
Scott Denstaedt
Please remember to submit your nominations for resident of the week to
casechiefs@gmail.com.
Pager: 31533
Office: VA ext. 5034
Scott.Denstaedt@uhhospitals.org
6th Annual Department of Medicine Research Day
QUALITY CHIEF
Marty Tam
Our annual research day will be Friday, May 15th from 12-3:30 PM. All
Pager: 36644
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
Office: UH ext. 45806
Marty.Tam@uhhospitals.org
present your work. See you all then!
UH CHIEF
Click here for more information and to register:
Angel Qin
http://www.cwrumedicine.org/research-day
Pager: 31250
Office: UH ext. 43621
Click here to submit your abstract electronically (deadline is 5/4!):
Angel.Qin@uhhospitals.org
http://survey.constantcontact.com/survey/a07ealvjnr7i6id1lv7/a00yi7qi59
bo/questions
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 68-year-old woman underwent a right hemicolectomy 2 years ago for stage III colon
cancer. She received 6 months of chemotherapy with 5-fluorouracil, leucovorin, and
oxaliplatin (FOLFOX) after surgery. On a recent routine follow-up visit, a serum CEA
level was found to be elevated to 43 ng/mL. She has no known medical comorbidities
and takes no medications. She works full time and recently returned from a ski vacation.
On physical examination, temperature is 37.1 °C (98.8 °F), blood pressure is 125/85 mm
Hg, pulse rate is 80/min, and respiration rate is 14/min. The physical examination is
notable for a palpable liver edge just below the right costal margin. The abdomen is soft
with no distention or masses, and bowel sounds are normal. No supraclavicular lymph
nodes are palpable. Laboratory studies indicate a hemoglobin level of 13.5 g/dL (135
g/L), a leukocyte count of 9000/µL (9.0 × 109/L), and a platelet count of 288,000/µL (288
× 109/L). Contrast-enhanced CT scan of the chest, abdomen, and pelvis demonstrates
three hypodense lesions on the right lobe of the liver ranging in diameter from 1.5 to 4.0
cm. No other abnormalities are seen on the scan.
Which of the following is the most appropriate management?
A. CT-guided fine-needle aspiration of liver lesion
B. Hepatic arterial embolization
C. Palliative systemic chemotherapy
D. Radiation therapy to the liver
E. Right hepatectomy
NEJM IMAGE CHALLENGE
What is the most likely diagnosis in this 65year-old woman with a 7-day history of
throat pain and difficulty swallowing?
A. Epiglottitis
B. Foreign body aspiration
C. Peritonsillar abscess
D. Retropharyngeal abscess
E. Thyroid nodule
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APRIL 10, 2015
UNIVERSITY HOSPITALS CASE MEDICAL CENTER
UH Conference Schedule
MONDAY, 4/13:
Resident Morning Report: 10:30 - 11:30 AM
APRIL 10, 2015
VA Conference Schedule
MONDAY, 4/13:
Noon Conference: 12:00 - 1:00 PM
Attending Rounds – Dr. Brook Watts
Noon Conference: 12:00 - 1:00 PM
Senior Talk – Dr. Patrick Koo
TUESDAY, 4/14:
Resident Morning Report: 10:00 - 11:00 AM
TUESDAY, 4/14:
Intern Morning Report 11:00 - 11:30 AM
Grand Rounds: 12:00 - 1:00 PM
"Screening, Treatment and Prevention of
Rheumatic Heart Disease in Uganda" by Dr.
Chris Longenecker
Grand Rounds: 12:00 - 1:00 PM
"Screening, Treatment and Prevention of
Rheumatic Heart Disease in Uganda" by Dr.
Chris Longenecker
WEDNESDAY, 4/15:
Resident Morning Report 10:00-11:00 AM
WEDNESDAY, 4/15:
Resident Morning Report: 10:30 - 11:30 AM
Noon Conference: 12:00 - 1:00 PM
ID Topic – Dr. Keith Armitage
THURSDAY, 4/16:
Intern Morning Report: 11:00 AM - 12:00 PM
Noon Conference: 12:00 - 1:00 PM
Vascular Medicine – Dr. Teresa Carman
FRIDAY, 4/17:
Resident Journal Club: 10:30 - 11:30 AM
UH Morbidity and Mortality: 12:00 - 1:00 PM
24-year-old man with multiple complications
from AIDS
Dr. Benigno Rodriguez
Dr. Baha Arafah
Dr. Bassem William
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VA Morbidity and Mortality: 12:00 - 1:00 PM
70-year-old man who presents with one and a
half months of productive cough with meals
Dr. Jihane Faress
Dr. Ashley Faulx
Dr. Rami Manochakian
THURSDAY, 4/16:
Intern Morning Report: 10:00 - 11:00 AM
Noon Conference: 12:00 - 1:00 PM
Attending Rounds – Dr. Atillah Nemeth
FRIDAY, 4/17:
Resident Journal Club: 10:00 - 11:00 AM
Noon Conference: 12:00 - 1:00 PM
Senior Talk – Dr. Mati Hlatshwayo
UNIVERSITY HOSPITALS CASE MEDICAL CENTER
APRIL 10, 2015
UH WEEKEND COVERAGE
Carpenter
Sejal Danawala is off Saturday and will be covered by
Roopa Dhatt
Dworken
Faisal Matto has a black weekend
Eckel
Neetu Srivastava and Dave Thomas will arrange
coverage amongst themselves
Hellerstein
Maya Serhal and Stephanie Michal will arrange
coverage amongst themselves
Naff
Christine James is off on Sunday and will be covered by
Jahnavi Gollamudi
Ratnoff
Bryan Hambley has a golden weekend and will be
covered by Ning Zhou
Wearn
Namrata Patel has a golden weekend and will be
covered by Rania Abdul Rahman
Friday, April 10
NACR: John Sullivan
NF Residents: Dafina Pruthi, Jacob Sadik
NF Interns: Spencer Couturier, Andrew Zhang, Saurav Uppal
MICU Moonlighter: Khanjan Shah
Saturday, April 11
NACR: Cassie Kovach
NF Residents: Dafina Pruthi or Jacob Sadik
UH Saturday PM: Roopa Dhatt
NF Interns: Spencer Couturier, Andrew Zhang, Saurav Uppal
MICU Moonlighter: Khanjan Shah
Sunday, April 12
NACR: Georgia Davis
NF Residents: Dafina Pruthi or Jacob Sadik
NF Interns: Spencer Couturier, Andrew Zhang, Saurav Uppal
Senior Weekend Jeopardy
Abdullah Aljorayid (Fri 5 PM – Mon 8 AM)
Jahnavi Gollamudi (Back-up Jep; Saturday only)
Intern Weekend Jeopardy
Fahd Nadeem
Weisman
Courtney Batt is off Sunday and will be covered by
Ogechi Agwu
VA WEEKEND COVERAGE
Saturday, April 11
Nate Summers on Blue is on medium call
Bochra Jandali on White is off and will be covered by Atallah Baydoun
Ahmed Alsalem on Green has a black weekend
Roopa Dhatt on Orange has a golden weekend and will be covered by Mati Hlatshwayo
VACR consults will be seen by Ahmed Alsalem and attending Dr. Charlie Lopresti
VA MICU 24 hour resident is Ahmad Younes
VA Sat PM Resident is Megan Moini
VA Sat PM Intern is Christina Guzman
Sunday, April 12
Nate Summers on Blue is off and will be covered by Atallah Baydoun
Bochra Jandali on White is on call
Ahmed Alsalem on Green has a black weekend
Roopa Dhatt on Orange has a golden weekend and will be covered by Mati Hlatshwayo
VACR consults will be seen by Bochra Jandali and attending Dr. Attila Nemeth
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UNIVERSITY HOSPITALS CASE MEDICAL CENTER
APRIL 10, 2015
MKSAP 16 Answer
Research Corner
Answer: E. Right hepatectomy
Need an idea for a project or a research
mentor?
Surgical resection of a few isolated metastatic lesions
may be curative for patients with colorectal cancer.
Did you know our program website has a search
function where you can find ALL abstracts
NEJM Image Challenge
presented at the Department of Medicine annual
Research Day since 2010?
Answer: A. Epiglottitis
You can search through specialty, topic, author
or any other keyword.
The lateral soft-tissue radiograph reveals the “thumb
Check it out here!
sign” that indicates a swollen epiglottis, suggestive of
epiglottitis. The diagnosis was confirmed on subsequent
http://medicine.case.edu/research/research-
imaging and laryngoscopy. The patient recovered
following treatment with dexamethasone and
ceftriaxone. (Adapted from NEJM)
abstract-directory
Picture of the Week
Welcome to Fundamentals of
Clinical Medicine!
"FCM is the highlight of intern year!"
“My favorite part of FCM was doing the hand
dancing!”
“FCM was super fun, and I really enjoyed
bonding with my co-interns over beautiful (and
sometimes not so beautiful) art!”
“Also, our black fleeces are a wildly unifying
force, as you can see in the pic!”
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