Neutropenic Fever and HIV
Today’s case was a 41 y.o. F with AIDS not on HAART who presented with a suspected groin abscess and also was found to have a low ANC (580). In the past she has been found to be neutropenic. Do you treat a neutropenic fever differently in HIV? We discussed neutropenic fever treatment in general, and […]
Syncope
First, I wanted to thank you guys for being so excellent at resident report and participating with such vigor….that is what we (the Chiefs) live for! the best predictor for a cardiac cause for syncope in a patient with suspected/certain heart disease is the presence of the underlying cardiac dx the best predictor for a cardiac cause […]
Palpable Purpura
Hi guys, this case involved a patient with palpable purpura who was found to have a small veessel vasculits. NEJM Review of Small Vessel Vasculitis
Acute Chest Syndrome/VOC
Today’s case dealt with a sickle cell crisis and treatment of acute chest syndrome, depending on its severity. Here is a wonderful review of sickle cell disease from the Lancet: Lancet 2010 376: 2018-2031 And here is a short review of acute chest syndrome from the Internal Medicine Journal: Intenal Medicine Journal 2010 40; 372-380
Pericarditis
What are treatments for acute pericarditis? The COPE Trial is a randomized, controlled trial which compared added colchicine to standard regimens of NSAIDs. Symptoms and incidence of recurrence were decreased compared to COPE Trial; Circulation. 2005; 112: 2012–2016.
BiPap in COPD Exacerbations
Today’s morning report was about the use of BiPap in COP exacerbations. Here is a seminal paper from the NEJM re: BiPap use in COPD exacerbations. This was the first paper to show that non-invasive positive pressure ventilation had a morbidity and mortality benefit in patients with severe COPD exacerbations. And here is a link […]