Category Archives: 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

EUH Krakow Conference: How prevalent are autoimmune diseases in HIV patients?

The Bottom Line: The spectrum of autoimmune diseases associated with HIV infection seems to be unexpectedly wide, involving several organs, such as lungs (sarcoidosis), thyroid gland (Graves’ disease), liver (autoimmune hepatitis), connective tissue (systemic lupus erythematosus, rheumatoid arthritis, polyarteritis nodosa … Continue reading

Posted in Background question, EUH, Teaching pearls

EUH Resident Report: Review of Cryptococcal IRIS

The Bottom Line: HIV-associated cryptococcal immune reconstitution inflammatory syndrome (CM-IRIS) occurs in two forms: classical or ‘paradoxical’ IRIS in patients diagnosed with cryptococcal disease before starting antiretroviral therapy (ART), who initially improve on antifungal therapy, but then deteriorate or develop … Continue reading

Posted in Background question, EUH, Teaching pearls

EUH Resident Report: Review of idiopathic CD4 lymphopenia

The Bottom Line: Idiopathic CD4 lymphocytopenia (ICL) is a rare non–HIV-related syndrome with unclear natural history and prognosis. In spite of the serious complications ICL has on the patients’ quality of life, data on clinical, etiopathological and therapeutic behavior for … Continue reading

Posted in Background question, EUH, Teaching pearls

What is the mechanism of hyperventilation in activating seizures in those with epilepsy?

The general mechanisms of the activation effect of hyperventilation are still poorly understood. The hypoxia theory that suggests that the EEG slowing is due to vasoconstriction and diminution of oxygen and dextrose supply to the cerebral cortex, has many arguments … Continue reading

Posted in Background question, Teaching pearls, VA

Which drugs cause hemolysis in G6PD deficient patients

Goldman: Cecil Medicine, 23rd ed. TABLE 165-4 — DRUGS THAT COMMONLY CAUSE HEMOLYSIS IN GLUCOSE-6-PHOSPHATE DEHYDROGENASE DEFICIENCY

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