Cox’s Conference: A case of pancytopenia

In today’s Cox’s Conference, Dr. Dheepa Sekar presented a case of pancytopenia to expert discussant, Dr. Srikanth Nagalla, with additional commentary from our general internal medicine guru, Dr. Eric Steen. We will review the evaluation, pathology, and differential diagnosis in pancytopenia. Comments from our expert discussants are paraphrased in boldContinue reading Cox’s Conference: A case of pancytopenia

Jenny and Chad present at GI Cancers Symposium

Jenny Li and Chad Guenther, two of our superstar PGY2s, recently presented posters at the 2018 Gastrointestinal Cancers Symposium in San Francisco.

 

 

Jenny’s poster was titled, ”Effective use of electronic medical record (EMR) data in analysis of association between KRAS mutations and depression in colorectal cancer patients.”

Chad’s poster was titled, ‘‘Prescribing patterns for FOLFIRINOX in the real world”.

Thanks to primary mentor Dr. Shaalan Beg.

 

— Chiefs

Cox’s Conference: A case of hand swelling

In today’s Cox’s Conference, Dr. Brad Peden presented a case of subacute left wrist and hand pain and swelling in the setting of known hidradenitis suppurativa to our fearless leader, Dr. Kazi. We will review the evaluation and differential diagnosis of hand and wrist pain and discuss a classification of autoinflammatory/autoimmune diseases along a theoretical continuum. Comments by Dr. Kazi are paraphrased in bold. Continue reading Cox’s Conference: A case of hand swelling

UTSW IM Journal Watch Jan 2018 Edition Published

The UTSW IM Journal Watch Jan 2018 Edition was published yesterday.

It is available on the UTSWIM website, and prior editions can be viewed here as well. Shout out to Beni Stewart for tirelessly compiling these over the years.

Please follow the UTSWIMJW twitter account (@UTSWIMJW) and blog  accompanying the bimonthly publication.

Starting with a tribute to Dr. Foster, this edition features among other things, effects of opioids on hypoglycemia, emergency-only vs standard hemodialysis, the role of Fusobacterium in colorectal cancer, romosozumab vs alendronate for fracture prevention, cost effectiveness of PCSK9 inhibitors and zoledronic acid vs denosumab, impact of prognostic discussions on the patient-physician relationship, and results of the How Long and CULPRIT-SHOCK studies, among others. Additionally, we would like to introduce our new section entitled “Arts and Humanities in Medicine”, in which resident viewpoints will be showcased in the form of prose, poetry, and art.

 

A big thanks to all the contributors, mentors, and our stellar Editors, Dr. Emily Bowen, Dr. Tim Brown, Dr. Stephanie Chiao, and Dr. Christina Yek.

Happy reading.
— Chiefs

 

Anurag Publishes in Atherosclerosis

PGY3 Anurag Mehta published an original manuscript in the Journal ‘Atherosclerosis’, titled, ”Inflammation and coronary artery calcification in South Asians: The Mediators of Atherosclerosis in South Asians Living in America (MASALA) study”.

In a study evaluating the correlation between inflammation and coronary artery calcification (CAC) among South Asians living in the United States, the authors observed that Inflammatory biomarkers and adipocytokines (hsCRP, TNF-α, leptin, and adiponectin) did not predict or improve the discrimination of CAC in the MASALA study. Their results lend credence to the hypothesis that CAC and inflammation may have a distinct pathophysiology for predisposing South Asians to increased cardiovascular risk.

Congrats Anurag, and thanks to primary mentor Dr. Parag Joshi.

— Chiefs

Neil and Corbin publish in BMJ Case Reports

PGY2 Neil Keshvani and PGY1 Corbin Eule published a fascinating case in BMJ case reports this week. Their clinical image, titled, ‘‘Sacral bone cyst treatment resulting in paraplegia”  presents a patient with plasmacytoma who underwent bone grafting of a right hip lesion, which was complicated by paraplegia from intraspinal extension of graft cement!

 

Congrats to Neil and Corbin, and thanks to Dr. Sadeghi for mentoring.

— Chiefs

Image Challenge of the Week!

Shown below are multiple atypical nevi in a patient. Several of these nevi have asymmetric, have irregular borders, and red-brown color, meeting several of the “ABCDE” criteria commonly used by clinicians to identify nevi suggestive of melanocytic tumors. The black arrow in the image below points to the a lesion that does not meet the “ABCDE” criteria but was nonetheless biopsied and demonstrated melanoma in situ on histologic examination. What clinical rule/heuristic was used to select this nevus for biopsy?

s7j02671.tif
Arch Dermatol. 1998;134(1):103-104.

Scroll down for the answer.

Continue reading Image Challenge of the Week!