Category Archives: EUH

EUH Morning Report: What is the criteria for liver transplantion in patients with hepatocellular carcinoma?

The Bottom Line: Liver transplant is recommended for patients with potentially resectable or transplantable disease according to performance status or lack of severe comorbidity, or in patients with unresectable disease who meet Milan or United Network for Organ Sharing (UNOS) criteria. Controversy … Continue reading

Posted in Applying evidence, EUH, Morning Report, Therapy | Tagged ,

EUH Morning Report: Review of type 1 vs type 2 hepatorenal syndrome

The Bottom Line: Hepatorenal syndrome (HRS) is functional renal impairment in patients with advanced liver disease and without evidence of renal parenchymal disease, severe volume loss, or nephrotoxicity from medication. type 1 hepatorenal syndrome rapid decline in renal function doubling of serum … Continue reading

Posted in Background question, EUH, Morning Report

EUH Morning Report: What is Sister Mary Joseph’s nodule?

The Bottom Line: Sister Mary Joseph’s nodule is a metastatic cancer of the umbilicus that is typically associated with adult cancers of the gastrointestinal tract and ovary (Albano and Kanter, 2005). It is a rare but important physical finding and … Continue reading

Posted in Background question, EUH, Teaching pearls | Tagged

EUH Morning Report: What is the rational clinical exam for ascites?

The Bottom Line: The examiner should ask about recent ankle edema, weight gain, or change in abdominal girth. Other potentially important items are a history of liver disease or congestive heart failure. The focused physical exam includes: (1) inspection for bulging … Continue reading

Posted in Diagnosis, EUH | Tagged

New Intern Orientation: Adjusted ASCVD Risk

The Bottom Line: Major guidelines recommend that decisions about aspirin, blood pressure, and statin treatments be informed by 10-year CVD risk estimates from the PCEs, which were derived in 2013 using data from 5 cohort studies. These PCEs are controversial because … Continue reading

Posted in Diagnosis, EUH | Tagged

EUH Krakow Conference: What are risk factors for cryptococcus gattii?

The Bottom Line:  The risk factors for acquiring cryptococcus gattii are: Age > 50 years History of smoking Corticosteroid use HIV infection History of cancer History of chronic lung disease   References: MacDougall L, Murray F, Romney M, Starr M, … Continue reading

Posted in Diagnosis, EUH | Tagged

EUH Hunt Conference: What is the history of hand, foot, mouth disease in adults?

The Bottom Line: Most commonly diagnosed in children, hand, foot, mouth disease (HFMD) infects approximately 11% of exposed adults, and less than 1% of those infected experience clinical manifestations of the disease (Ramirez-Fort et al, 2014). Most cases resolve on … Continue reading

Posted in Background question, EUH