6/2/17 Intern Morning Report – Asthma, Dysphagia, Food Impaction, Eosinophilic Esophagitis

CC: trouble swallowing solids, food impaction ID:  35-year-old male with asthma and intermittent difficulty in swallowing solids for 2 years presents with food impaction after eating a chicken sandwich.  He had a negative review of systems. Exam showed no evidence of oropharyngeal dysfunction nor cranial nerve deficits.  Patient had an elevated absolute eosinophil count of … Continue reading 6/2/17 Intern Morning Report – Asthma, Dysphagia, Food Impaction, Eosinophilic Esophagitis

5/19/17 Intern Morning Report – Fevers, Fatigue, Hepatosplenomegaly, HLH

CC: fevers, malaise, mild shortness of breath ID: 40 yo female with no medical history presents for 1 week of fevers, malaise, and mild shortness of breath.  She also notes a 1 year history of intermittent fevers, fatigue, chills, night sweats, weight loss, and LUQ abdominal fullness.  On exam, she was noted to be febrile to 39.3 … Continue reading 5/19/17 Intern Morning Report – Fevers, Fatigue, Hepatosplenomegaly, HLH

4/21/17 Intern Morning Report – Diarrhea, Hyponatremia, Cryptosporidia

CC: RUQ pain and diarrhea x 6 weeks ID: 58 yo male with HIV/AIDS (CD4 25) off HAART who presents with 6-8 weeks of persistent cramping, non-radiating RUQ pain, and watery diarrhea.  He was found to have hypovolemic hyponatremia and ultimately work-up revealed cryptosporidium. Source: MKSAP 17 Pearls from morning report: Blastocystis species are commonly detected in … Continue reading 4/21/17 Intern Morning Report – Diarrhea, Hyponatremia, Cryptosporidia