Category Archives: Teaching pearls

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 Hunt Conference: What is the prognosis for adenocarcinoma of the lung?

The Bottom Line: There is an overall survival rate of less than 5 years. Stage I: 68-92% Stage II: 53-60% Stage III: 13-36% Stage IV: 0-10% Reference: DynaMed Plus [Internet]. Ipswich (MA): EBSCO Information Services. 1995 – . Record No. 114774, Non-small … Continue reading

Posted in EUH, Prognosis, Teaching pearls

EUH Hunt Conference: A review of Horner syndrome

The Bottom Line: Horner syndrome results from an interruption of sympathetic innervation to the eye. The classic triad is unilateral ptosis (slight narrowing of the ocular fissure), miosis (smaller pupil on the affected side), and anhidrosis (lack of perspiration on the … Continue reading

Posted in Background question, Diagnosis, EUH, Teaching pearls

Krakow Conference: What are therapy options for DRESS syndrome?

Drug reaction with eosinophilia and systemic symptoms (DRESS), also known as drug-induced hypersensitivity syndrome (DIHS), is a rare, severe cutaneous adverse reaction characterised by fever, rash, lymphadenopathy, eosinophilia and/or other leukocyte abnormalities, and internal organ involvement and often has a … Continue reading

Posted in EUH, Teaching pearls

EUH Dressler Conference: What are HIV elite controllers and HIV long-term nonprogressors?

The Bottom Line: Long-term nonprogressors (LTNP) account for 1-5% of HIV-infected individuals characterized by documented infection for more than 7-10 years, a stable CD4+ T cell count over 500/mm3 and low viremia in the absence of antiretroviral treatment. They are able … Continue reading

Posted in Background question, Diagnosis, EUH, Intern toolbox, Teaching pearls

EUH Hunt Conference: What is plastic bronchitis?

The Bottom Line: Plastic bronchitis (PB) is an uncommon pulmonary disease characterized by production of cohesive and branching casts filling the airways. The diagnosis of PB is confirmed by a history of expectoration of branching airways casts, or by removing … Continue reading

Posted in Background question, Diagnosis, EUH, Teaching pearls

EUH Dressler Conference: For how long does the Hepatitis B vaccine provide protection?

The Bottom Line: The duration of protection in children and adults resulting from hepatitis B vaccination is unknown. In a 30-year study done on 1528 Alaska Natives it was found, based on anti-HBs level ≥10 mIU/mL at 30 years and … Continue reading

Posted in EUH, Teaching pearls