The Global Health case series highlights interesting cases residents experienced while abroad and takes a dive into how to identify the pathology that is crucial know to care for patients both abroad and returning. Dr. Sabedra kicks off this year's case series with a case of pediatric abdominal pain she saw while in Tanzania.Read More
This week Drs. Jarrell and Nagel kicked off Grand Rounds with their evidence based review of the hypertension management in the ED. Drs. Gorder, Lagasse, O'Brien, and Polsinelli discussed the difficult management of the patient in both cardiogenic and septic shock, reviewed heart murmurs, and endocarditis. Dr. Bryant made us squirm with her Global Health quick hit case review of parasitology, Dr. Lane led a great group discussion about the utility of procalcitonin in adults, and Drs. Habib and Roche ended Grand Rounds with a great CPC case!Read More
Imagine: you are the single provider manning a rural clinic in Northern Tanzania along the shore of Lake Victoria. You are one of only a handful of physicians in the entire region and you have minimal access to diagnostics or therapeutics. Your clinic does not have any power. Your diagnostics include: urinalysis, urine pregnancy, CBC and rapid tests for HIV, syphilis, and malaria. You have 2 nurses, one of whom acts as a translator (from Swahili to English). You are armed primarily with your intellect, knowledge of local disease processes, and your keen sense of intuition.
32 yo M PMH HIV p/w LLE >RLE swelling & pain x 1 year. Recent HIV+ and recently started ARVs. CD4=40. Pt denies trauma. No history of DM or CHF. No fevers, chills, N/V, abd pain, diarrhea.
PE: 37CHR-86BP-124/82RR-12Read More