SVH Medicine Residency - Morning Report

Typical Morning Report Cases

A 74 year old patient with syncope and abnormal EKG (CAD)
A 71 year old lady developing tachycardia 3 days post total knee replacement (PE)
A 61 year old lady with NSAID induced GI bleeding and evidence of occult malignancy (gastric ulcer)
A 74 y old lady presenting with fatigue (AML)
A 61 y old lady with epigastric pain (gallstone pancreatitis)
A 65 y old man with a solitary pulmonary nodule (small cell lung cancer)
A 48 y old man with FUO (Hepatocellular carcinoma)
A 68 y old with weakness (hypothyroidism)
A young IV drug abuser with sudden onset hemiparesis (brain abscess)
An 18 y old female with recurrent nausea and vomiting (?sexual abuse/incidental diagnosis of renal fibromuscular dysplasia)
An elderly man with left sided weakness (metastatic lung cancer)
An elderly man with visual changes (temporal arteritis)
A young man with malaria and minimal change disease (nephrotic syndrome)
An elderly man with prostate CA, anemia, thrombocytopenia and weakness (stage IV prostate CA)
A 19 y old male with edema (nephrotic syndrome)
A young male with DKA (inaugural episode of DM)

Metastatic pancreatic CA in a man with obstructive jaundice
Aspergillus and Streptococcus found in lung cavitations in a man with recurrent pneumonia
B-cell lymphoma in a woman with progressive dysphagia and an anterior mediastinal mass
Acute thrombocytopenia in a 51 year old woman with bruising
Myocarditis in a young woman presenting with cardiogenic shock 2 months after URI
Polycystic Kidney Disease in a middle aged man with flank pain and hematuria Pericarditis
Ascites from possible portal vein thrombosis in a woman with Hep. C, HIV, &ETOH history
Acute mental status change in a 25 year old woman with psychosis/PTSD vs. organic disease
Fever, cough, hemoptysis for 6 years in a woman diagnosed with thoracic lymphoma
Seventh CN palsy and hemiparesis in a patient with likely multiple sclerosis
Weakness and hyponatremia in a woman with SIADH from small cell lung cancer

Hyponatremia from SIADH as a cause of acute mental status change
Shortness of breath caused by anemia secondary to ALL
Work-up of chronic diarrhea
Abdominal pain caused by pancreatic cystic adenocarcinoma
RUQ pain in a patient with SLE caused by Salmonella subphrenic abscess
Sarcoidosis in an elderly patient presenting with symptoms of hypercalcemia
Dysphagia and proximal weakness in a middle-aged man diagnosed with occulopharyngeal dystrophy
S. aureus bacteremia from liver abscess in a patient presenting with fever without obvious source
Legionella pneumonia presenting as mental status change and worsening infiltrates on antibiotic treatment
Increasing fatigue caused by warm antibody mediated hemolytic anemia
Nausea, vomiting and jaundice in an alcoholic patient subsequently diagnosed with hepatitis C and hemochromatosis
Work-up for recurrent DVT in a young male eventually diagnosed to be heterozygote for factor 5 Leyden
Right sided abdominal and flank pain caused by renal infarct
Chronic mesenteric ischemia in a young man with PVD
Ophthalmic herpes zoster in a elderly lady with CLL
Rabies in a young patient (journal review) + discussion of prophylaxis and treatment
Shy-Drager syndrome in an elderly man
Cord compression from metastatic disease of unknown primary
Back pain from metastatic prostate cancer vs. aortic dissection

Approach to the comatose patient, complications of sickle cell disease, digoxin toxicity
Hodgkin’s disease with post-chemo myelofibrosis
Non-Hodgkin’s lymphoma presenting with anemia, loss of weight and night sweats
Ischemic colitis in a patient with atrial fibrillation
Uterine CA in an 89 year old woman - ? Wegener’s, ANCA negative
Diaphragmatic rupture – delayed presentation S/P trauma
Guillain Barre syndrome
Subarachnoid hemorrhage in a man with aphasia and mental status change
Tumor lysis syndrome in a woman with a new diagnosis of non-Hodgkin’s lymphoma
Biventricular heart failure, renal failure in a patient with dyspnea, ? PE vs. infiltrative right heart dx AML – new diagnosis
Unilateral let edema in a woman with a pyomyositis and bacteremia, GI bleed
Astrocytoma in an alcoholic man with confabulation, personality changes

Portal hypertension in a woman from liver fibrosis of unknown etiology
Giant urinary bladder stone in a man with re-constructed bladder S/P bladder CA
Breast abscess in a woman with breast CA S/P XRT
Lower GI bleeding from colon polyp vs. ischemic colitis
Cerebellar infarction in a 45 year old woman from vertebral artery dissection
Axillary lymphadenopathy with necrotizing granuloma (TB/cat-scratch/arteritis)
Primary sclerosing cholangitis in a man with UC
Candida meningitis in an HIV positive patient complicated by arteritis/mycotic aneurysm
FUO in a diabetic with Hep C and positive PPD
Hemolytic anemia in a woman with CLL
Choreoathetoid movements in a 50 year old woman with probable Huntington’s Chorea
Possible thyroid storm precipitated by iodine load of angiogram
Nephrotic syndrome from FSGS in a 50 year old man
58 y. old Vietnamese man with Acute Renal failure that progressed to end stage renal failure
58 y. old Vietnamese man with a neck mass - Thyroid cancer
45 y. old man with hand pain - native valve endocarditis
79 y.old white female with chest pain - aortic dissection
79 y.old male w/ history of Multiple Myeloma with severe LBP - renal failure due to myeloma kidney
78 y. old male with confusion - CNS lymphoma
18 y. old male who is confused - suicidal ideation and illiteracy
49 y. old male with difficulty swallowing - lymphoma
80 y. old male with acute stabbing left “rib” pain and SOB -small cell lung CA
39 y. old Hispanic man comes in with acute abdominal pain - necrotic pancreatitis
55 y. old unresponsive Spanish speaking man found "down" and brought to ed - bacterial meningitis
67 y.old male dx recent UTI on Bactrim c/o generalized weakness and SOB - renal failure with allergic interstitial nephritis
61 y. old male with a 100 pack-year smoking history and h/o occupational exposure to asbestos c/o SOB -asbestosis and squamous cell lung ca
80 y. old female with PMH of NHL was complaining on intermittent low grade fever, night sweats, chills and productive cough with some bloody sputum - native valve endocarditis with staph aureus
80 y. old gentleman with steroid dependent COPD, requiring multiple admissions and intubations, is directly transferred from local hospital to WMC-PCU for acute COPD exacerbation - perirectal abcess leading to Fornier's gangreen
24 y. old Afro-American male who presented with H/O nausea, vomiting, fever with chills, night sweats, weakness, and muscle aches for five days cpk >1,000,000 - acute myositis of unknown eitiology
67 y.old Jamaican female with increased abdominal fullness - Staph Aureus retroperitoneal Abcess
82 y. old female with history of asthma/COPD with worsening SOB and productive cough of whitish sputum for 2-3 days - tracheomalacia
90 y. old man with R sided weakness (CVA/ thrombolysis in elderly)
88 y. old female s/p MVR with acute MS changes post pacemaker placement (thalamic bleed)
69 y. old man with weight loss, fever, chills and positive PPD (squamous cell ca)
90 y. old female s/p diverting colostomy 2 to obstructing pelvic mass with weakness, chills and diarrhea (liver metastases)
70 y. old female with coma (multiple embolism 2 to patent foramen ovale)
57 y. old female with SOB, leg swelling and difficulty urinating( massive retroperitoneal lymphoma causing hydronephrosis and lymphatic drainage obstruction)
81 y. old female with weakness (cord compression)
31 y. old female with chronic diarrhea (factitious diarrhea)
18 y. old man with acute diarrhea (infectious diarrhea)
52 y. old female with eye swelling (orbital cellulitis)
81 y. old female with fatigue (multiple myeloma)
28 y. old HIV positive female with fever and abdominal pain (disseminated TB infection)
52 y. old male with knee pain and a rash (vasculitis)
20 y. old female with abdominal pain (? laxative abuse)
54 y. old male with CP and abdominal pain (anthrax-from case report)
28 y. old female with headache (AVM bleeding)
34 y. old male with abdominal pain (celiac sprue)
81 y. old female with abdominal pain and distension (ascites and PSBO 2 to internal hernia)
56 y. old female with acute diarrhea (C. jejuni diarrhea)
88 y. old male with fatigue and shortness of breath (myelodysplastic syndrome)
62 y. old female with 3 weeks of flank pain, nausea, and decreased urine output (retroperitoneal fibrosis)
40 y. old male with headache and confusion (viral meningoencephalitis of unknown cause)
37 y. old female with multiple cranial neuropathies (botulism-from case report)
54 y. old female with near syncope and palor (B12 deficiency)
46 y. old male with slurred speech (TTP)
77 y. old female with hip fracture (multiple myeloma)
56 y. old female with fatigue and PMH of lymphoma (ALL)
62 y. old female with LUQ pain (lingular pneumonia)
57 y. old male with weakness (dermatomyositis)
55 y. old female with L eye ptosis (3rd nerve palsy)
17 y. old male with sore throat (infectious mononucleosis)
82 y. old female s/p MI with intractable CHF (ventricular aneurysm)
84 y. old female admitted for r/o MI (cholecystitis)
29 y. old HIV positive man with SOB and ARF (Castelman's disease)
45 y. old female with progressive abdominal distension
(uterine carcinosarcoma)
35 y. old male with PMH of Crohn disease presenting with
abdominal pain (SBO)
54 y. old male with UGI bleed (variceal bleeeding)

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Case of the Month

Publications and Research

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