CASE:  38 y/o female marathon runner with 2 weeks of gradual onset of diffuse, progressively worsening, sharp, midthoracic, right paraspinal back pain. She reported occasional subjective fevers, but no pleuritic chest pain, bowel/bladder incontinence, nausea, vomiting, or leg weakness. On exam, vitals were 98.6 deg, 58 bpm, 12 breaths/min, 99% RA. EKG demonstrated sinus […]

The number of lung transplant recipients is increasing.  With improved immunosuppressant medications, pts are living longer.  The 5-yr survival rate is now approximately 60%. When evaluating a lung transplant pt who is < 1 yr following transplant, who is presenting with cough, SOB, malaise, and/or hypoxia, what could be possible explanations?

PEARL Oct 2nd What are the features of innocent vs pathologic heart murmurs in children?  What are the following murmurs, and what are their causes: Still’s murmur, physiologic systolic ejection murmur, supraclavicular arterial bruit, neonatal peripheral stenosis, cervical venous hum, and mammary soufflé?  

You are discussing the risk of intracranial hemorrhage with tPA administration with a patient and her family: 79 y/o Asian female NIH stroke scale of 7 Systolic BP of 140 Blood glucose < 100 What is her risk of symptomatic intracranial hemorrhage with tPA administration according to the NIH GRASPS method (one proposed tool for calculating risk)?  HINT: Use […]

38 yo M pmh brain ca currently under treatment p/w sob, tachpnea, and diaphoresis. You get an initial lactate 6.0 with a FS of 680. What is your diagnosis?