Finally Friday April 4 - Case Western Reserve University

UNIVERSITY HOSPITALS CASE MEDICAL CENTER
APRIL 3, 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
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!
Say goodbye to your winter slumber and enter a fantastical world of
4. Please remember to fill out
towering flowers and larger-than-life ladybugs. Cleveland Botanical
Garden awakens your senses with Big Spring, a supersized indoor and
our Elective Tracking form.
outdoor celebration full of vibrant colors, fresh scents and the familiar
sound of spring showers. Now in its third year, Big Spring (March 21April 26) invites those young and young at heart to explore a wonderland
Google Doc.
of imagination and fun.
- Hussain Alquraini
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Click here for the link to the
UNIVERSITY HOSPITALS CASE MEDICAL CENTER
Like us on Facebook!
Check out the DOM Facebook Page for
program updates and pictures of recent events
APRIL 3, 2015
Important Dates
4/9: Fellowship Application
Meeting
Learn about the upcoming process!
Resident of the Week Award
6 to 7:30 PM
Resident of the week is: Jon Zande
4/13: Townhall
Stop by to discuss resident issues!
One of his co-residents wrote: “I’ve only worked with Jon for a little while,
but I have to say, he is the best co-intern I’ve ever worked with. He is
5:30 to 7 PM
always going out of his way to offer to help, even on his busy call days.
Even when there’s an issue that comes up with a patient that’s he’s not
5/5: Agre Society
directly covering, he does not simply notify the intern directly caring for
the patient. Instead he handles the issue himself, checks on the patient
speaker
Dr. Stan Gerson will be our featured
5:30 to 7 PM
and then lets the intern know. Jon is an all-around team player and it’s
unfortunate that he’s going into neurology and not IM or anesthesia
because I’d love to work with him more and I know he’d make one
outstanding senior resident.”
Current Chiefs
VA CHIEF
Scott Denstaedt
Thank you for your hard work!
Pager: 31533
Office: VA ext. 5034
Please remember to submit your nominations for resident of the week to
Scott.Denstaedt@uhhospitals.org
casechiefs@gmail.com.
QUALITY CHIEF
Marty Tam
6th Annual Department of Medicine Research Day
Pager: 36644
Office: UH ext. 45806
Our annual research day will be Friday, May 15th from 12-3:30 PM. All
Marty.Tam@uhhospitals.org
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
UH CHIEF
present your work. See you all then!
Angel Qin
Pager: 31250
Click here for more information and to register:
Office: UH ext. 43621
http://www.cwrumedicine.org/research-day
Angel.Qin@uhhospitals.org
Click here to submit your abstract electronically:
http://survey.constantcontact.com/survey/a07ealvjnr7i6id1lv7/a00yi7qi59
AMBULATORY CHIEF
bo/questions
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 33-year-old woman is evaluated for a 2-day history of diarrhea. She describes the
stools as mucoid but without visible blood. Bowel movements are associated with mild
abdominal cramping. She has no nausea or vomiting. The patient works with infants in a
day care center, and several children have recently had a diarrheal illness.
On physical examination, temperature is 37.8 °C (100.0 °F); other vital signs are normal.
Abdominal examination discloses normal bowel sounds and diffuse mild tenderness to
palpation. A stool sample shows no gross blood, but results of guaiac testing and a test
for fecal leukocytes are positive.
The patient is advised to increase fluid intake and take over-the-counter antipyretic
agents for fever. No antibiotics are prescribed. Two days later, a stool culture is reported
to be growing Shigella sonnei. The patient is contacted and reports that her diarrhea and
fever have both resolved and that she wishes to return to work.
Which of the following is the most appropriate treatment at this time?
A. Azithromycin
B. Ciprofloxacin
C. Metronidazole
D. No treatment is needed
NEJM IMAGE CHALLENGE
Infection with which one of the following
organisms is the most likely cause of this
rash?
A. Coxsackie virus type A16
B. Echovirus type 16
C. Group A streptococcus
D. Herpes simplex virus type 1
E. Norwalk virus
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APRIL 3, 2015
UNIVERSITY HOSPITALS CASE MEDICAL CENTER
UH Conference Schedule
MONDAY, 4/6:
Resident Morning Report: 10:30 - 11:30 AM
APRIL 3, 2015
VA Conference Schedule
MONDAY, 4/6:
Noon Conference: 12:00 - 1:00 PM
Attending Rounds – Dr. Mathilde Pioro
Noon Conference: 12:00 - 1:00 PM
Senior Talk – Dr. Katie Linder
TUESDAY, 4/7:
Resident Morning Report: 10:00 - 11:00 AM
TUESDAY, 4/7:
Intern Morning Report 11:00 - 11:30 AM
Grand Rounds: 12:00 - 1:00 PM
"Candidemia: Antifungal Stewardship and the
Importance of Rapid Diagnosis" by Michael
Pfaller, MD (University of Iowa)
Grand Rounds: 12:00 - 1:00 PM
"Candidemia: Antifungal Stewardship and the
Importance of Rapid Diagnosis" by Michael
Pfaller, MD (University of Iowa)
WEDNESDAY, 4/8:
Resident Morning Report 10:00-11:00 AM
WEDNESDAY, 4/8:
Resident Morning Report: 10:30 - 11:30 AM
Noon Conference: 12:00 - 1:00 PM
HIV and Lipids – Dr. Chris Longenecker
THURSDAY, 4/9:
Intern Morning Report: 11:00 AM - 12:00 PM
Noon Conference: 12:00 - 1:00 PM
Med-Peds Combined Conference (Rainbow
Amphitheatre)
FRIDAY, 4/10:
Resident Journal Club: 10:30 - 11:30 AM
UH Morbidity and Mortality: 12:00 - 1:00 PM
50-year-old woman with persistent GI bleeding
of unclear etiology
Sarah White, MD
Stephen Dreyer, MD
Meer Akbar Ali, MD
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VA Morbidity and Mortality: 12:00 - 1:00 PM
77-year-old man with schizophrenia who
presents with altered mental status, fevers and
rash
Fawad Taj, MD
Mohamad Shatat, MD
Steven Adoryan, RPh BCPS
THURSDAY, 4/9:
Intern Morning Report: 10:00 - 11:00 AM
Noon Conference: 12:00 - 1:00 PM
Attending Rounds – Dr. Charlie Lopresti
FRIDAY, 4/10:
Resident Journal Club: 10:00 - 11:00 AM
Noon Conference: 12:00 - 1:00 PM
Senior Talk – Dr. John Graham
UNIVERSITY HOSPITALS CASE MEDICAL CENTER
APRIL 3, 2015
UH WEEKEND COVERAGE
Carpenter
Shiv Madan has a black weekend
Dworken
John Graham is off Sunday and will be covered by
Brandon Szeto
Eckel
Philicia Duncan and Patrick Koo will arrange coverage
amongst themselves
Hellerstein
Georgia Davis and Mo Sabeh will arrange coverage
amongst themselves
Friday, April 3
NACR: Stephanie Kim
NF Residents: Abdullah Aljorayid, Aditya Khetan
NF Interns: Megan Chan, Justin Morrison, Andrew Patterson
MICU Moonlighter: Katie Linder
Saturday, April 4
NACR: Stephanie Kim
NF Residents: Abdullah Aljorayid or Aditya Khetan
UH Saturday PM: Andrew Harris
NF Interns: Megan Chan, Justin Morrison, Andrew Patterson
MICU Moonlighter: Katie Linder
Naff
Christine James has a golden weekend will be covered
by Stephen Morris
Sunday, April 5
NACR: Stephanie Kim
NF Residents: Abdullah Aljorayid or Aditya Khetan
NF Interns: Tiffany Megan Chan, Justin Morrison, Andrew
Patterson
Ratnoff
Won Ho has Saturday off and will be covered by
Brandon Szeto
Senior Weekend Jeopardy
Jacob Sadik (Fri 5 PM – Mon 8 AM)
Tony Betbadal (Back-up Jep; Sunday only)
Wearn
Chris Linz has Saturday off and will be covered by Tony
Betbadal
Intern Weekend Jeopardy
None
Weisman
Ashwini Nayak has a golden weekend and will be
covered by Dafina Pruthi
VA WEEKEND COVERAGE
Saturday, April 4
Mati Hlatshwayo on Blue has a golden weekend and will be covered by Priyam Tripathi
Peri Davitkov on White has a black weekend
Andres Barrero Ortiz on Green is on medium call
Ning Zhou on Orange is off and will be covered by John Sullivan
VACR consults will be seen by Peri Davitkov and attending Dr. Scott Denstaedt
VA MICU 24 hour resident is Wissam Alajaji
VA Sat PM Resident is Namrata Patel
VA Sat PM Intern is Kimone Smith
Sunday, April 5
Mati Hlatshwayo on Blue has a golden weekend and will be covered by Priyam Tripathi
Peri Davitkov on White has a black weekend
Andres Barrero Ortiz on Green is off and will be covered by John Sullivan
Ning Zhou on Orange is on call
VACR consults will be seen by Ning Zhou and attending Dr. Ronda Mourad
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UNIVERSITY HOSPITALS CASE MEDICAL CENTER
APRIL 3, 2015
MKSAP 16 Answer
Research Corner
Answer: B. Ciprofloxacin
Need an idea for a project or a research
mentor?
In a patient with shigellosis confirmed by microbiologic
diagnosis, ciprofloxacin is indicated to hasten clearance
of fecal shedding of bacteria and reduce the risk of
secondary spread to other persons even if the illness
Did you know our program website has a search
function where you can find ALL abstracts
has resolved.
presented at the Department of Medicine annual
Research Day since 2010?
You can search through specialty, topic, author
or any other keyword.
NEJM Image Challenge
Check it out here!
Answer: A. Coxsackie virus type A16
The rash represents the characteristic palmar lesions of
http://medicine.case.edu/research/research-
uncomplicated hand, foot, and mouth disease due to
infection with viruses from the enterovirus group that
abstract-directory
includes coxsackie virus A16 and enterovirus 71.
(Adapted from NEJM)
Meet Your Class
Trisha Dickey
Neurology Prelim
Birth Place: Youngstown, OH
Medical School: University of Toledo College
of Medicine and Life Science
Favorite Food: Anything sugary (“diabetic
enthusiast”)
Favorite Activity: Napping
Embarrassing Songs on Phone: Anything
*N Sync
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