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

8/2/19 The Newsies

Happy August Everybody! We have entered Cardiology Month. There are a ton of announcements this week: The Return of Teaching Tuesday: 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

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!