this is with host... your we have a bleeder!

101

Upload: allan-cook

Post on 24-Dec-2015

218 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: This is With Host... Your We have a Bleeder!
Page 2: This is With Host... Your We have a Bleeder!

This

is

Page 3: This is With Host... Your We have a Bleeder!

With

Host...

Your

Page 4: This is With Host... Your We have a Bleeder!

We have a Bleeder!

Page 5: This is With Host... Your We have a Bleeder!

Scores and Criteria

Page 6: This is With Host... Your We have a Bleeder!

Rheum with a View

Page 7: This is With Host... Your We have a Bleeder!

The Doctor is “in”

Page 8: This is With Host... Your We have a Bleeder!

100

200

300

400

500

We have aBleeder!

Rheum with a View

The Doctor is “in”

Scores and Criteria

100

200

300

400

500

100

200

100

200

300300

400400

500500

Page 9: This is With Host... Your We have a Bleeder!

Spiral-shaped, gram negative bacteria in

majority of duodenal ulcers

Page 10: This is With Host... Your We have a Bleeder!

What is Helicobacter pylori?

Page 11: This is With Host... Your We have a Bleeder!

Ulcer in the sac of a hiatal hernia

Page 12: This is With Host... Your We have a Bleeder!

What is Cameron lesion?

Page 13: This is With Host... Your We have a Bleeder!

Esophageal perforation—not laceration!—from repeated,

protracted vomiting

Page 14: This is With Host... Your We have a Bleeder!

What is Boerhaave’s syndrome?

Page 15: This is With Host... Your We have a Bleeder!
Page 16: This is With Host... Your We have a Bleeder!

Bleeding submucosal artery in the absence of a

primary ulcer

Page 17: This is With Host... Your We have a Bleeder!

What is Dieulafoy’s lesion?

Page 18: This is With Host... Your We have a Bleeder!

Telangiectasia occurring throughout the GI tract, but also with AV malformations in the lungs and brain; or Sir

William _______

Page 19: This is With Host... Your We have a Bleeder!

What is the Osler-Weber-Rendu syndrome?

(Hereditary Hemorrhagic

Telangiectasia)

Page 20: This is With Host... Your We have a Bleeder!

Widely-used estimate of 10-year coronary heart

disease risk

Page 21: This is With Host... Your We have a Bleeder!

What is the Framingham risk

score?

Page 22: This is With Host... Your We have a Bleeder!

7-item model to assess probability of

pulmonary embolism

Page 23: This is With Host... Your We have a Bleeder!

What is the Well’s criteria?

Page 24: This is With Host... Your We have a Bleeder!

A risk stratification method predictive of outcomes in

unstable angina, NSTEMI and STEMI from the prominent

Harvard-based group with the same name

Page 25: This is With Host... Your We have a Bleeder!

What is TIMI (Thrombolysis in

Myocardial Infarction) risk score?

Page 26: This is With Host... Your We have a Bleeder!

5-item score for Atrial Fibrillation Stroke risk

Page 27: This is With Host... Your We have a Bleeder!

What is CHADS2?

Page 28: This is With Host... Your We have a Bleeder!

Predicts prognosis in chronic liver disease using 3 simple

blood tests: bilirubin, creatinine and INR

Page 29: This is With Host... Your We have a Bleeder!

What is the MELD (Model for End-stage Liver Disease)

score?

Page 30: This is With Host... Your We have a Bleeder!

E 100

Page 31: This is With Host... Your We have a Bleeder!

What are Heberden’s nodes?

(Osteoarthritis)

Page 32: This is With Host... Your We have a Bleeder!
Page 33: This is With Host... Your We have a Bleeder!

What is a Bamboo spine?

(Ankylosing Spondylitis)

Page 34: This is With Host... Your We have a Bleeder!
Page 35: This is With Host... Your We have a Bleeder!

What is a Heliotrope rash?

(Dermatomyositis)

Page 36: This is With Host... Your We have a Bleeder!
Page 37: This is With Host... Your We have a Bleeder!

What are Gottron’s papules?

(Dermatomyositis)

Page 38: This is With Host... Your We have a Bleeder!
Page 39: This is With Host... Your We have a Bleeder!

What is chondrocalcinosis?

(Pseudogout)

Page 40: This is With Host... Your We have a Bleeder!

Involuntary urine leakage with sneezing or

coughing

Page 41: This is With Host... Your We have a Bleeder!

What is stress incontinence ?

Page 42: This is With Host... Your We have a Bleeder!

A possible component of MEN type 1 causing

fasting hypoglycemia

Page 43: This is With Host... Your We have a Bleeder!

What is insulinoma ?

Page 44: This is With Host... Your We have a Bleeder!

Widely prescribed neurologic drug that can

make your gums and red cells look big!

Page 45: This is With Host... Your We have a Bleeder!

What is phenytoin (Dilantin) ?

Page 46: This is With Host... Your We have a Bleeder!

Pheochromocytoma, benign adenoma or

carcinoma: you’ve got a 1 in 3 “chance” of the

right diagnosis

Page 47: This is With Host... Your We have a Bleeder!

What is an adrenal incidentaloma ?

Page 48: This is With Host... Your We have a Bleeder!

Rare but fatal triad of autonomic, neuromuscular

and mental status instability, from SSRI-drug interaction,

usually confused with neuroleptic malignant

syndrome

Page 49: This is With Host... Your We have a Bleeder!

What is serotonin syndrome?

Page 50: This is With Host... Your We have a Bleeder!
Page 51: This is With Host... Your We have a Bleeder!

Around the World

Page 52: This is With Host... Your We have a Bleeder!

Get Physical

Page 53: This is With Host... Your We have a Bleeder!

Know your Syndromes

Page 54: This is With Host... Your We have a Bleeder!

Antibodies

Page 55: This is With Host... Your We have a Bleeder!

200

400

600

800

1000

Around the World

Know your Syndromes

AntibodiesGet Physical

200

400

600

800

1000

200

400

200

400

600600

800800

10001000

Page 56: This is With Host... Your We have a Bleeder!

A “mega”-common cause of cardiomegaly, megacolon and

megaesophagus in Latin America

Page 57: This is With Host... Your We have a Bleeder!

What is Chagas disease?

Page 58: This is With Host... Your We have a Bleeder!

When in Africa, keep your eyes open for the tsetse fly—or you may never wake up again

Page 59: This is With Host... Your We have a Bleeder!

What is African Trypanosomiasis?

(Sleeping sickness)

Page 60: This is With Host... Your We have a Bleeder!

A zoonotic infection named after an outbreak in

Queensland, Australia, it is caused by the gram-negative

bacterium C. burnetti

Page 61: This is With Host... Your We have a Bleeder!

What is Q fever?

Page 62: This is With Host... Your We have a Bleeder!

Don’t be mad if you can’t pronounce the name of this

lethal prion-related CNS disease initially recognized in

cattle in the UK

Page 63: This is With Host... Your We have a Bleeder!

What is Creutzfeldt-Jakob disease?

(Mad cow disease)

Page 64: This is With Host... Your We have a Bleeder!

Commonly seen in women with stress-induced chest pain, it is

named after the Japanese octopus trap that resembles the shape of the left ventricle in this

transient cardiomyopathy

Page 65: This is With Host... Your We have a Bleeder!

What is Tako-tsubo cardiomyopathy?

Page 66: This is With Host... Your We have a Bleeder!

If you’re suspecting meningitis, flex the patient’s neck but watch the hip and knee. By the way, it is not

Kernig!

Page 67: This is With Host... Your We have a Bleeder!

What is Brudzinski's sign?

Page 68: This is With Host... Your We have a Bleeder!

Tapping the wrist sends pins and needles to the finger tips—

this sign can help diagnose carpal tunnel syndrome

Page 69: This is With Host... Your We have a Bleeder!

What is Tinel’s sign?

Page 70: This is With Host... Your We have a Bleeder!

This test is used to detect rupture of the anterior cruciate ligament

(ACL)

Page 71: This is With Host... Your We have a Bleeder!

What is Anterior Drawer test?

Page 72: This is With Host... Your We have a Bleeder!

Listen, here’s a test to distinguish between conductive and sensorineural hearing loss

Page 73: This is With Host... Your We have a Bleeder!

What is Weber test?

Page 74: This is With Host... Your We have a Bleeder!

This test measures the degree of lumbar forward flexion as the patient bends over as though touching their toes—a useful test to diagnose ankylosing

spondilitis

Page 75: This is With Host... Your We have a Bleeder!

What is Shober Test?

Page 76: This is With Host... Your We have a Bleeder!

Associated with deafness, this is the 2nd most common inherited cause of kidney failure

Page 77: This is With Host... Your We have a Bleeder!

What is Alport syndrome?

Page 78: This is With Host... Your We have a Bleeder!

A rare complication of pregnancy, this syndrome is

caused by necrosis of the pituitary; you may also call it

“Cevik” syndrome

Page 79: This is With Host... Your We have a Bleeder!

What is Sheehan syndrome?

Page 80: This is With Host... Your We have a Bleeder!
Page 81: This is With Host... Your We have a Bleeder!

Situs inversus, bronchiectasis,

chronic sinusitis, male infertility

Page 82: This is With Host... Your We have a Bleeder!

What is Kartagener syndrome?

Page 83: This is With Host... Your We have a Bleeder!

A disorder marked by developmental delay, hand-flapping,

frequent laughter or smiling, it is caused by deletion of maternal

genes on chromosome 15; Prader-Willi syndrome is caused by a similar loss of paternal genes

Page 84: This is With Host... Your We have a Bleeder!

What is Angelman syndrome?

Page 85: This is With Host... Your We have a Bleeder!

Paraneoplastic syndrome characterized by progressive

muscle weakness

Page 86: This is With Host... Your We have a Bleeder!

What is Eaton Lambert syndrome?

Page 87: This is With Host... Your We have a Bleeder!

Hashimoto’s thyroiditis

Page 88: This is With Host... Your We have a Bleeder!

What is anti-TPO (thyroid peroxidase)

antibody?

Page 89: This is With Host... Your We have a Bleeder!
Page 90: This is With Host... Your We have a Bleeder!

Specific for rheumatoid arthritis

Page 91: This is With Host... Your We have a Bleeder!

What is anti-CCP (cyclic citrullinated peptide) antibody?

Page 92: This is With Host... Your We have a Bleeder!

Primary biliary cirrhosis

Page 93: This is With Host... Your We have a Bleeder!

What is anti-mitochondrial antibody?

Page 94: This is With Host... Your We have a Bleeder!

Specific for autoimmune hepatitis type 1

Page 95: This is With Host... Your We have a Bleeder!

What is anti-smooth muscle antibody?

Page 96: This is With Host... Your We have a Bleeder!

Pernicious anemia

Page 97: This is With Host... Your We have a Bleeder!

What is anti-IF (anti-intrinsic factor)

antibody?

Page 98: This is With Host... Your We have a Bleeder!

Fathers of Medicine

Page 99: This is With Host... Your We have a Bleeder!

World-renowned innovator, educator and Father of modern open heart

surgery, he performed the first CABG, successful carotid endarterectomy and developed a procedure to treat aortic

dissection—a surgery he himself underwent; he died a week ago at the

age of 99

Page 100: This is With Host... Your We have a Bleeder!

Michael E. DeBakey, MD

Page 101: This is With Host... Your We have a Bleeder!

Thank you for playing