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UNIVERSITY HOSPITALS CASE MEDICAL CENTER
APRIL 17, 2015
Finally Friday
Resident Newsletter
UH Department of Internal Medicine Residency Program
SMAK Corner
Friendly Reminders
1. For any call-offs, please
page the ambulatory chief at
31529. We are not always
available immediately by
phone or email, but we
ALWAYS have the pager.
Who doesn’t love a good pickle?? Cleveland is known for many things –
including, but not limited to, not being Detroit – but I bet you didn’t know
that there are some good looking pickles around! Artisanal pickles are the
new “it” thing. Craft beers are sooo last year. There’s a new artisanal
pickle company in town called Randy’s Pickles, and they’re making small
batch, hand-made pickles. You can get flavors such as:
2. Remember to complete the
Medication Reconciliations
at the time of admission.
3. Discharge Summaries on the
day of discharge as always.
Interns, residents, and

Mustache on Fire variety, which is a hotter version of the peppery
Spicy Dill

Black Pepper Chip Pickles

Grandma Knows Best Peppers, which are sweet-hot peppers
attendings are welcome to
complete!
4. Please remember to fill out
It’s sold at farmers markets, various grocery stores around town (Heinen's
Fine Foods, Giant Eagle Market Districts), or the easiest way to get your
our Elective Tracking form.
hands on these pickles is probably checking out their website,
randyspickles.com. So look forward to a weekend noshing on a gourmet
Google Doc.
pickle. Or just drink a craft beer. Or drink a craft beer AND eat a fancy
pickle. Weekend plans, done.
- Priyam Tripathi
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Click here for the link to the
UNIVERSITY HOSPITALS CASE MEDICAL CENTER
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program updates and pictures of recent events
APRIL 17, 2015
Important Dates
5/5: Agre Society
Dr. Stan Gerson will be our featured
speaker
Resident of the Week Award
5:30 to 7 PM
Resident of the week is: Philicia Duncan and Ogechi Agwu
5/8: Peri-operative Conference
For all the PGY2s out there
Two of their co-residents wrote: “The two of them have been very
knowledgeable about our patients and incredibly helpful to all the interns.
12 to 4 PM
Ogechi really helped one of the interns who had clinic in the afternoon
with her patients and notes (without being asked), leaving very little to do
5/14: Bronson’s Day
Best day of the year for the interns!
after clinic. Philicia also helped an intern with a complicated peritoneal
dialysis patient figure out PD orders, after leaving the hospital (she even
called back to make sure it was figured out). The two of them have been
AWESOME seniors, we're glad to have them!”
Thank you for your hard work!
Current Chiefs
VA CHIEF
Scott Denstaedt
Please remember to submit your nominations for resident of the week to
casechiefs@gmail.com.
Pager: 31533
Office: VA ext. 5034
Scott.Denstaedt@uhhospitals.org
6th Annual Department of Medicine Research Day
QUALITY CHIEF
Marty Tam
Our annual research day will be Friday, May 15th from 12-3:30 PM. All
Pager: 36644
PGY3s are required to present a poster on their quality projects. Also for
those that have done research electives this year you will also need to
Office: UH ext. 45806
Marty.Tam@uhhospitals.org
present your work. See you all then!
UH CHIEF
Click here for more information and to register:
Angel Qin
http://www.cwrumedicine.org/research-day
Pager: 31250
Office: UH ext. 43621
Click here to submit your abstract electronically (deadline is 5/4!):
Angel.Qin@uhhospitals.org
http://survey.constantcontact.com/survey/a07ealvjnr7i6id1lv7/a00yi7qi59
bo/questions
AMBULATORY CHIEF
Khanjan Shah
Pager: 31529
Office: VA ext. 5046
Khanjan.Shah@uhhospitals.org
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UNIVERSITY HOSPITALS CASE MEDICAL CENTER
MKSAP 16 QUESTION
A 49-year-old woman is evaluated for vertigo of 1 week's duration. She was seen 1 week
ago in the emergency department. During that visit, she described severe vertigo that
predictably occurred while abruptly turning her head to the right and lasted less than 1
minute. She had no antecedent viral illness, headache, hearing loss, tinnitus, diplopia,
dysarthria, dysphagia, or weakness. She was diagnosed with benign paroxysmal
positional vertigo and given instructions for head tilting exercises (Epley maneuver). Her
symptoms improved but have not abated. She is afraid to drive because of the
symptoms. She has no history of hypertension, diabetes mellitus, hyperlipidemia, or
tobacco use.
On physical examination, vital signs are normal. With the Dix-Hallpike maneuver, she
develops horizontal nystagmus and nausea after 15 seconds. The nystagmus lasts
approximately 1 minute. The Epley maneuver is unsuccessful in relieving symptoms. The
remainder of the examination is normal, including the neurologic examination.
Which of the following is the most appropriate management?
A. Brain MRI
B. Hydrochlorothiazide
C. Meclizine
D. Vestibular rehabilitation
NEJM IMAGE CHALLENGE
What is the most likely cause of this
physical exam finding in a 65-year-old
woman undergoing treatment for breast
cancer?
A. Vitamin E deficiency
B. Chemotherapy
C. Scleroderma
D. Chronic inflammatory demyelinating
polyneuropathy
E. Mercury toxicity
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APRIL 17, 2015
UNIVERSITY HOSPITALS CASE MEDICAL CENTER
UH Conference Schedule
MONDAY, 4/20:
Resident Morning Report: 10:30 - 11:30 AM
APRIL 17, 2015
VA Conference Schedule
MONDAY, 4/20:
Noon Conference: 12:00 - 1:00 PM
Attending Rounds – Dr. Ramy Masroujeh
Noon Conference: 12:00 - 1:00 PM
Senior Talk – Dr. Georgia Davis
TUESDAY, 4/21:
Resident Morning Report: 10:00 - 11:00 AM
TUESDAY, 4/21:
Intern Morning Report 11:00 - 11:30 AM
Grand Rounds: 12:00 - 1:00 PM
"Bariatric and Metabolic Surgery in 2015" by
Mujjahid Abbas
Grand Rounds: 12:00 - 1:00 PM
"Bariatric and Metabolic Surgery in 2015" by
Mujjahid Abbas
WEDNESDAY, 4/22:
Resident Morning Report 10:00-11:00 AM
WEDNESDAY, 4/22:
Resident Morning Report: 10:30 - 11:30 AM
Noon Conference: 12:00 - 1:00 PM
Senior Talk – Dr. Stephanie Michal
THURSDAY, 4/23:
Intern Morning Report: 11:00 AM - 12:00 PM
Noon Conference: 12:00 - 1:00 PM
Geriatrics Topic
FRIDAY, 4/24:
Resident Journal Club: 10:30 - 11:30 AM
UH Morbidity and Mortality: 12:00 - 1:00 PM
Lessons Learned M&M
- 59-year-old man with history of transitional
cell carcinoma of the bladder who presented
with hematuria and was lost to follow-up
- 46-year-old man with follicular lymphoma who
had neutropenic fever during EMR downtime
without prompt initiation of antibiotics
- 76-year-old man who presented with malaise
found to have B cell lymphoma with likely
missed tumor lysis syndrome
PAGE 4
VA Morbidity and Mortality: 12:00 - 1:00 PM
50-year-old woman who presents with
rheumatism and an enlarged cardiac silhouette
on plain chest radiography
Mathilde Pioro, MD
Jose Ortiz, MD
THURSDAY, 4/23:
Intern Morning Report: 10:00 - 11:00 AM
Noon Conference: 12:00 - 1:00 PM
Attending Rounds – Dr. Sarah Augustine
FRIDAY, 4/24:
Resident Journal Club: 10:00 - 11:00 AM
Noon Conference: 12:00 - 1:00 PM
Senior Talk – Dr. Shiv Madan
UNIVERSITY HOSPITALS CASE MEDICAL CENTER
APRIL 17, 2015
UH WEEKEND COVERAGE
Carpenter
Sejal Danawala has a golden weekend and will be
covered by Lesley Kellie
Dworken
Faisal Matto is off Saturday and will be covered by
Anodika Fatehchand
Eckel
Neetu Srivastava and Dave Thomas will arrange
coverage amongst themselves
Hellerstein
Maya Serhal and Stephanie Michal will arrange
coverage amongst themselves
Naff
Christine James has a black weekend
Ratnoff
Bryan Hambley is off Sunday and will be covered by
Wissam Alajaji
Wearn
Namrata Patel is off Sunday and will be covered by
Anodika Fatehchand
Friday, April 17
NACR: Cassie Kovach
NF Residents: Dafina Pruthi, Jacob Sadik
NF Interns: Spencer Couturier, Andrew Zhang, Saurav Uppal
MICU Moonlighter: Shiv Madan
Saturday, April 18
NACR: Cassie Kovach
NF Residents: Dafina Pruthi or Jacob Sadik
UH Saturday PM: Rohit Raj
NF Interns: Spencer Couturier, Andrew Zhang, Saurav Uppal
MICU Moonlighter: Gabe Thornton
Sunday, April 19
NACR: Cassie Kovach
NF Residents: Dafina Pruthi or Jacob Sadik
NF Interns: Spencer Couturier, Andrew Zhang, Saurav Uppal
Senior Weekend Jeopardy
Aditya Khetan (Fri 5 PM – Mon 8 AM)
Wissam Alajaji (Back-up Jep; Saturday only)
Intern Weekend Jeopardy
Scott Yasinow
Weisman
Courtney Batt has a black weekend
VA WEEKEND COVERAGE
Saturday, April 18
Nate Summers on Blue has a black weekend
Bouchra Jandali on White has a golden weekend and will be covered by Rose Lee
Ahmed Alsalem on Green is off and will be covered by Khadieja Khalid
Roopa Dhatt on Orange is on medium call
VACR consults will be seen by Nate Summers and attending Dr. Mathilde Pioro
VA MICU 24 hour resident is Priyam Tripathi
VA Sat PM Resident is Shiv Madan
VA Sat PM Intern is Katia Khoury
Sunday, April 19
Nate Summers on Blue has a black weekend
Bouchra Jandali on White has a golden weekend and will be covered by Rose Lee
Ahmed Alsalem on Green is on call
Roopa Dhatt on Orange is off and will be covered by Khadieja Khalid
VACR consults will be seen by Ahmed Alsalem and attending Dr. Charlie Lopresti
PAGE 5
UNIVERSITY HOSPITALS CASE MEDICAL CENTER
APRIL 17, 2015
MKSAP 16 Answer
Research Corner
Answer: D. Vestibular rehabilitation
Need an idea for a project or a research
mentor?
Vestibular rehabilitation is effective in treating peripheral
vertigo.
Did you know our program website has a search
function where you can find ALL abstracts
NEJM Image Challenge
presented at the Department of Medicine annual
Research Day since 2010?
Answer: B. Chemotherapy
You can search through specialty, topic, author
or any other keyword.
This person’s fingerprints were erased when she
Check it out here!
developed hand–foot syndrome (or palmar–plantar
erythrodysesthesia), a side effect of certain
http://medicine.case.edu/research/research-
chemotherapeutic agents that is characterized by
redness, swelling, and pain on the palms of the hands or
soles of the feet. (Adapted from NEJM)
abstract-directory
Welcome to Cleveland!
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