Heart Failure Management – 8.7.2013
Dr. Colucci taught about management of acute decompensated heart failure. His slides are available here.
Stress Testing – 8.5.2013
Find his slides here as well as the newest AHA guidelines.
Cardiac Emergencies – 7.1.13
Dr. Sheilah Bernard lead a great discussion on cardiac emergencies. Here are the slides from Dr. Bernard’s noon conference.
Is this syncope worrisome?
A case of a 58yom with a history of HTN who presented after a syncopal episode at Logan airport after eating sushi with wasabi. He felt faint and diaphoretic and like his throat was closing and then had a brief LOC after which he felt fine again. He had no visible seizure activity. His exam […]
Acute Pulmonary Embolus
A 49 y.o. M with HTN, HL and prior history of treated PE presents with dyspnea on exertion and CT-PA showing acute pulmonary embolus. Oxygen saturation was in the 80s on room air, but patient was normal heart rate and normal blood pressure. What are the next steps in management? Remember that after the patient’s […]
Resources For Code Leadership
Given that the overall trend, in the hospital as well as nationwide, has been a decline in the number of Codes and an increase in the number of Rapid Responses, Residents have expressed significant concerns of feeling unprepared in leading codes. In response to this, we have sensed the need to implement a Code Leadership Training Series which includes the following […]
Carotidynia and Fever
After the holiday weekend, people are back in action and solved/managed this complex case today. 53 yo F presenting with fevers, productive cough, nausea/vomiting/diarrhea with left neck/shoulder pain x 3 days. Tenderness was localized to area right below the angle of the jaw and overlying the carotid bifurcation. She was eventually found to have a mycotic […]
Cardiac Tamponade in HIV patient
45 year old M with history of HIV/AIDS (CD4 150, VL 18, 000) presents with one week of worsening dyspnea on exertion. One month prior to admission, he was treated with Azithromycin for a productive cough and symptoms of URI. He reports that his baseline is walking on average 5 miles per day while he […]
Inferior MI with RV infarct
A 68 yo M with ESRD (on HD) brought in by EMS after a syncopal event at home. He was found to be bradycardic (30s) in junctional rhythm with hypotension and eventually found to have inferior ST elevation with reciprocal changes. We talked about how to recognize an RV infarct in the setting of inferior STEMI by using; if […]
Lyme Carditis
Today’s Resident Report featured a fascinating case of Lyme carditis. Cardiac Implications of Lyme Disease – International Journal of Cardiology Volume 129, Issue 1, 16 September 2008, Pages 15-21 2006 IDSA Guidelines for Treatment of Lyme Disease – Clinical Infectious Diseases 2006; 43:1089–134 Did you know that there is a huge controversy in treatment of chronic […]