Phew, it's been awhile since we have had an announcement post. First of all, thank you all for your diligence, positive attitude, and support of each other during this grueling holiday season / interview season. We appreciate you all! Also huge congrats to our Fellow matchers: Neha and Eshan! Jeopardy Protocol: As we … Continue reading 12/4/19 Announcements
10/24/19 Announcements
WHEW...it's been quite the few days/weeks. Now that interview season is in full swing, we have officially entered the busy busy season. Thank you all for your hard work, dedication to your patients, and support of the interviewing process. We appreciate you! The MOVE: We are moving to our new temporary home (Mezz 4) on … Continue reading 10/24/19 Announcements
Tree-In-Bud(ding) Knowledge
Tree-in-bud sign or pattern describes the CT appearance of multiple areas of centrilobular nodules with a linear branching pattern. Although initially described in patients with endobronchial tuberculosis, it is now recognized in a large number of conditions. While the tree-in-bud appearance usually represents endobronchial spread of infection, given the closeness of small pulmonary arteries and small airways (sharing branching morphology-bronchovascular bundle), … Continue reading Tree-In-Bud(ding) Knowledge
Dr. Friedenberg: Acid – Base
Acid-Base Lecture Five-Step Approach Practice!!
taka-whatsitnow ?!?
what's that you say? you don't remember anything about TAKAYASU ARTERITIS? well you're in luck, cause here are the basics about this rare vasculitis that can initially present as pretty much anything ... sigh
greatness awaits you on 10.12.19!
Medical Jeopardy comes to Nor Cal 10/12/19. sponsored by the ACP, this pits Northern California's smartest Residents against one another Battle Royale style ...
9/13/19 Announce Mints
9/19 is Intern Retreat and it's going to be FUNNNNN. We also have enough drivers, so thank you all for signing up! We have a teleneurology service available from 10:30pm to 7am: They can be reached through the operator. Submit/acknowledge those OneLink reimbursements if you received an email from Helen (you need to get y'all's … Continue reading 9/13/19 Announce Mints
Heyde’s Syndrome
Check out this cool vid from NEJM! "Blood flow through a stenotic aortic valve alters the conformation of high-molecular-weight von Willebrand factor and exposes sites on A2 domains that can be cleaved by the plasma protease ADAMTS13. Consequently, high-molecular-weight von Willebrand factor multimers are reduced in size and are hemostatically less competent than the intact … Continue reading Heyde’s Syndrome
9/6/19 Skimming the Scoop
Intern Retreat Update: We received the unfortunate news this week that funding for Whitewater raftering has been pulled. No worries though! We are still going to have a blast hanging out together, eating oysters and ice cream, and going kayaking! Lunch Conference Case Report: There will be no Intern Morning Report this coming Monday, 9/9. We will instead … Continue reading 9/6/19 Skimming the Scoop
8.30.19 – what’s the 411?
friday 8.30.19 - the week's announcements
CKD of Unkown Cause – researchers look to climate change as the epidemic grows
a global medical mystery with devastating human consequences may be the first worldwide health crisis caused by climate change
giant cell myocarditis – rare, devastating, and unrelated to GCA
Giant Cell Myocarditis is a rare but devastating cause of Non-Ischemic Cardiomyopathy ... and it has NOTHING to do with GC Arteritis
you’re doing it wrong – well’s criteria and risk of PE
Using Well's Criteria for PE the way it was meant to be used. Posts on PERC and PESI coming soon!
Chagas Disease – your Sub-I was right!
Chagas disease is on the rise in the United States and becoming more widespread. Why? How do these patients present, and how do we make the diagnosis and then treat them appropriately? How can we prevent further transmission? In this segment, Drs. Mizuho Morrison and Neda Frayha review the ins and outs of Chagas disease, one of five neglected parasitic infections in the U.S. according to the CDC.
8/16/19 What’s the Haps?
Meal Cards: Helen is working on getting all you Seniors your meal cards. If you have your old meal card lying around, please get it over to Helen! If you lost your old meal card, you will be issued a new one. Upgraded iPhones: All Seniors should be receiving upgraded iPhones (look out for emails … Continue reading 8/16/19 What’s the Haps?
shoulders are magic
Balls, Sockets, SLAPs, and Taps - reliable, evidence-based exam maneuvers to illuminate the Glenoid Cavity
Adult-Onset Still Disease: Evanescent, Salmon-Colored Rash
Adult-onset Still Disease (AOSD) is a rare disorder that affects multiple organ systems. Symptoms and signs include daily high spiking fever, evanescent salmon-colored rash on the trunk and extremities, arthritis, lymphadenopathy, and leukocytosis. It is most commonly diagnosed in young adults (median age, 36 years) but has been described in older age groups. Some reports … Continue reading Adult-Onset Still Disease: Evanescent, Salmon-Colored Rash
8/9/19 What’s New, Doc?
Welcome Sadia and Sub-I's (Shana, Laura, and Steven)! Intern Morning Report: Intern Morning will be back next week and at least through September. We will likely gradually transition to Lunch Reports on Mondays in October. ICU Schedule: The ICU schedule is changing to improve the JICU rotation and make the Intern rotations more equitable. This … Continue reading 8/9/19 What’s New, Doc?
Surgery for Infective Endocarditis
The decision to pursue surgery for treatment of infective endocarditis is complex and requires a multidisciplinary approach. Early surgery (during hospitalization and before completion of an antimicrobial course) is recommended for patients with (1) symptomatic heart failure and valvular dysfunction; (2) left-sided infective endocarditis caused by fungal infections or highly-resistant organisms; (3) associated complications, such as annular or aortic abscess, destructive penetrating lesions, … Continue reading Surgery for Infective Endocarditis
8/2019 HBS Attending Schedule
8/2/19 The Newsies
Happy August Everybody! We have entered Cardiology Month. There are a ton of announcements this week: The Return of Teaching Tuesday:Â Hurray for the return of dedicated teaching/learning time! 8/5 Morning Report: There is no MR on 8/5 (enjoy the extra time to pre-round or sleep!). MR will happen during the lunch time slot instead. Medtrics … Continue reading 8/2/19 The Newsies
Pleural Effusions: 0.5, 0.6, 0.6666666666666666666666666
Tolvaptan (ADH Antagonist) and Hyponatremia
Indications: Heart Failure (NYHA class III and IV) and SIADH (especially if sodium has not responded to fluid restriction) Contraindications: Hypovolemia, Anuria, Liver Impairment ***Do not use if you have to raise the sodium quickly!*** For more information regarding Tolvaptan: Read Here!
resident retreat – ballots are in
the polls closed late last night and the ballots are counted. your 2019 Resident Retreat is ... [drumroll] outdoor fun followed by a group dinner! we’ve got a breakdown of the votes below and as you can see this was a landslide victory for outdoor fun. the planning has already begun but what we really … Continue reading resident retreat – ballots are in
‘killer’ kheder clobbers ekg conference
ekg don't-misses with mr overdrive suppression himself dr. kevin kheder - noon conference 7/27/19
7/24/19 What’s New?
Case Report Sign-Up’s: Brandon has gotten us into the Case Report mood. Sign up here if you wish to do one!Kitchen Duty: The kitchen needs cleaning! Those on Jeopardy (Chris, Will, Tyler, Alan), please find time over the next week to keep the place spruced up!Intern/Resident Retreat: The Intern Retreat is set! Y'all are going … Continue reading 7/24/19 What’s New?
testes … testes … is this on?
We look at all things testes ... cancer that is! Thanks to Eshan and our new Heme/Onc Fellow Elad for a another great AM Report
coaching on the wards
dr lin knocked if out of the park today in noon conference — check out the Atul Guwande article referenced at the beginning
TPP and Hypokalemia
"Thyrotoxic periodic paralysis (TPP), a disorder most commonly seen in Asian men, is characterized by abrupt onset of hypokalemia and paralysis. The condition primarily affects the lower extremities and is secondary to thyrotoxicosis. It has been increasingly reported in the USA due to the rise in the immigrant population. Hypokalemia in TPP results from an … Continue reading TPP and Hypokalemia
7.19.19 anNOUNcements
Thrive Kitchen: Join Isaac for some healthy cooking! Watch Us Play Volleyball! We are in the midst of WorkForceAthletics Volleyball league. Come cheer on Dr. Lawrence, Aaron, and Erin as we take on teams from around the Bay Area. Ask one of us for details! Games are every Monday evening. Sign Up for Journal Club … Continue reading 7.19.19 anNOUNcements
Faget Sign: Hot Bod + Slow Heart
Faget Sign: Relative bradycardia in association with fever (Temperature-pulse dissociation). Originally described by Jean-Charles Faget in patients with yellow fever (1859). "Discordance entre la courbe du pouls et celle de la temperature dans la fièvre jaune." Subsequently observed in multiple febrile illnesses especially intracellular bacterial infections.
let’s go to the shingle-mingle
no it's not a long-lost Beach Boys song, here are some AM Report pearls about everyone's favorite vesiculo-papular rash - SHINGLES
tPA: To Use or Not To Use
Treatment with intravenous recombinant tissue plasminogen activator (alteplase) within 3 hours of ischemic stroke onset is associated with a significant reduction in disability at 3 months after stroke; treatment within 4.5 hours of onset also may have clinical benefit but is not FDA approved.
out the CAGE
The CAGE questionnaire can ID EtOH Use D/O in your patient ... as long as he's a white dude
7.12.2019 announceMINTS
7.12.19: Retreat Dates; AM REPORT Expectations; Teaching Tuesday; Committee Meetings; Electives
Opportunistic Infections with JULIE Suh, MD & STUD
Dr StUHd’s OI table to end all tables!
7/5/19 pronouncements
AM Report, Electives, Online Resources, Rounding with the Chiefs, Bootcamp's End, XCOVER, Meal Cards, Retreat, Committees
Liver Function Tests Decoded
LFTs and liver pathology 201 as summarized by the good folks at the Critical Care blog, "Taming the SRU"
hepatitis and transaminitis: the [fun]damentals
dominating LFTs and the liver is a marathon not a sprint, so limber up y'all because training starts now
ANDROMEDA-SHOCK and The Bottom Line
How do you know it's a good day in Chiefland? The sun is shining, the birds are chirping, and we're spending our time going over Tyler Denman's incredible Noon Conference on Sepsis and reading up on one of the most recent landmark trials on Sepsis Management - ANDROMEDA SHOCK. If you, like us, sometimes struggle … Continue reading ANDROMEDA-SHOCK and The Bottom Line
Dr. Pappas – The Shoulder
Shoulder Lecture Pain Diagram
Interview Tour
Interview Tour