All posts by The Chiefs

Image Challenge of the Week!

A 63-year old woman with no significant past medical history presents with 3-months of short-term memory difficulty, trouble concentrating, and emotional lability. She also has been noted by family to have intermittent bilateral jerking of her arms upon being startled. CMP, CBC, TSH, CRP, ESR, and B12 were all negative. RPR, ANA HIV, paraneoplastic antibody panel, urine drug screen, and serum HSV PCR were negative. Lumbar puncture was performed and lab results are pending. Brain MRI is shown below:

Cortical Ribboning.PNG
Intern Emerg Med. 2016 Mar;11(2):281-3.

What is the name of the above MRI finding and likely diagnosis? Scroll down for the answer.

Continue reading Image Challenge of the Week!

Image Challenge of the Week!

A 36-year old HIV-positive man with AIDS presents with multiple red nodules distributed throughout his trunk and back.

Bacillary Angiomatosis
Medicine (Baltimore). 2016 Jul; 95(28): e4155.

Biopsy demonstrated vascular proliferation withint the dermis and numerous bacilli with Warthin-Starry staining. HHV-8 staining was negative. What is the likely diagnosis? Scroll down for answer.

Continue reading Image Challenge of the Week!

Christina, Carolina and John publish in BMC Med

Christina Yek, Carolina de la Flor and John Marshall published an article titled, ”Effectiveness of direct-acting antiviral therapy for hepatitis C in difficult-to-treat patients in a safety-net health system: a retrospective cohort study’‘ in BMC Medicine this week.

Continue reading Christina, Carolina and John publish in BMC Med

11.13.17 – ID Journal Club (ABX for smaller skin abscesses) – Tim Brown

Screen Shot 2017-11-14 at 1.40.10 PMWe had a wonderful ID-themed Journal Club with Dr. Tim Brown presenting the 2017 NEJM paper entitled “A Placebo-Controlled Trial of Antibiotics for Smaller Skin Abscesses,” a multicenter, prospective trial comparing the I&D alone vs. I&D with either clindamycin or TMP-SMX.

Thank you to our faculty discussants at each site: Dr. Cutrell at the VA, Dr. Frankie Lee at CUH, and Dr. Ank Nijhawan at Parkland!

Below are some of the highlights from the discussion sessions: Continue reading 11.13.17 – ID Journal Club (ABX for smaller skin abscesses) – Tim Brown