Category Archives: Didactic Review

Causes of asymptomatic microscopic hematuria

Excellent board-review lecture today by Dr. Sambandam! He is a little clinical pearl, the causes of asymptomatic microscopic hematuria:

  • Benign essential Hematuria (37%)
  • Benign Prostatic Hyperplasia (24%)
  • Urethral Infection (21%)
  • Urinary Tract Infection (7%)
  • Nephrolithiasis (4%)
  • Urethral calculus (2%)
  • Bladder tumor (2%)
  • Renal Cyst (1.5%)
  • Renal tumor (0.5%)

#ClinicalPearls: Dermatology for the Internist

Today Dr. Heather Wickless from the Department of Dermatology at UT Southwestern gave a great, interactive lecture on skin conditions that internists should know about and how to evaluate and treat them. Below are takeaway points from her lecture:

  • Tinea versicolor is characterized by well-demarcated, tan, salmon, or hypopigmented patches, occurring most commonly on the trunk. KOH confirms the diagnosis.
  • Tinea pedis can be interdigital, moccasin, and vesiculobullous.
  • Candida intertrigo classically has satellite macules and papules or pustules around patches of erythema
  • If it scales, scrape it! KOH examination is the easiest and most cost effective method used to evaluate for fungal and yeast infections of the skin; culture can also aid in diagnosis.
  • Topical treatment is usually appropriate as a first-line agent for tinea pedis, tinea corporis, tinea versicolor, seborrheic dermatitis and candidal intertrigo, however oral medications are called for when involvement is extensive
  • Perioral dermatitis is an analogue of rosacea, and topical steroids may perpetuate the eruption.
  • When first line treatments fail, consider alternate diagnoses

Lessons in Primary Care: Managing Pre-diabetes

We frequently advise our patients to pursue lifestyle modification, but what does that mean?

 

Importantly, does lifestyle modification even work?!

So how can I make it easier for my patient to achieve these “lifestyle modification” goals? 

 

Today Dr. Michael Bowen, faculty at UTSW General Internal Medicine Division, gave a fantastic presentation today on Pre-Diabetes and referred to the DPP study and YMCA Initiative. Check out the slides below!

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Pneumonia – The Basics!

What antibiotic should I give if I’m concerned my patient has pneumonia? Do I need to send them to the floor, ICU, or outpatient? Should I even check a procalcitonin?

Today Dr. Eric Mortensen from the division of general internal medicine at UT Southwestern addressed these questions in a fantastic lecture on pneumonia. Check out his slides below as well as an earlier blog post in which Dr. Mortensen did a Q&A regarding his recent article from JAMA looking at azithromycin use for pneumonia.