this is with host... your we have a bleeder!
TRANSCRIPT
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This
is
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With
Host...
Your
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We have a Bleeder!
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Scores and Criteria
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Rheum with a View
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The Doctor is “in”
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100
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We have aBleeder!
Rheum with a View
The Doctor is “in”
Scores and Criteria
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300300
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Spiral-shaped, gram negative bacteria in
majority of duodenal ulcers
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What is Helicobacter pylori?
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Ulcer in the sac of a hiatal hernia
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What is Cameron lesion?
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Esophageal perforation—not laceration!—from repeated,
protracted vomiting
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What is Boerhaave’s syndrome?
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Bleeding submucosal artery in the absence of a
primary ulcer
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What is Dieulafoy’s lesion?
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Telangiectasia occurring throughout the GI tract, but also with AV malformations in the lungs and brain; or Sir
William _______
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What is the Osler-Weber-Rendu syndrome?
(Hereditary Hemorrhagic
Telangiectasia)
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Widely-used estimate of 10-year coronary heart
disease risk
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What is the Framingham risk
score?
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7-item model to assess probability of
pulmonary embolism
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What is the Well’s criteria?
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A risk stratification method predictive of outcomes in
unstable angina, NSTEMI and STEMI from the prominent
Harvard-based group with the same name
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What is TIMI (Thrombolysis in
Myocardial Infarction) risk score?
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5-item score for Atrial Fibrillation Stroke risk
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What is CHADS2?
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Predicts prognosis in chronic liver disease using 3 simple
blood tests: bilirubin, creatinine and INR
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What is the MELD (Model for End-stage Liver Disease)
score?
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E 100
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What are Heberden’s nodes?
(Osteoarthritis)
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What is a Bamboo spine?
(Ankylosing Spondylitis)
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What is a Heliotrope rash?
(Dermatomyositis)
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What are Gottron’s papules?
(Dermatomyositis)
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What is chondrocalcinosis?
(Pseudogout)
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Involuntary urine leakage with sneezing or
coughing
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What is stress incontinence ?
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A possible component of MEN type 1 causing
fasting hypoglycemia
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What is insulinoma ?
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Widely prescribed neurologic drug that can
make your gums and red cells look big!
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What is phenytoin (Dilantin) ?
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Pheochromocytoma, benign adenoma or
carcinoma: you’ve got a 1 in 3 “chance” of the
right diagnosis
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What is an adrenal incidentaloma ?
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Rare but fatal triad of autonomic, neuromuscular
and mental status instability, from SSRI-drug interaction,
usually confused with neuroleptic malignant
syndrome
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What is serotonin syndrome?
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Around the World
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Get Physical
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Know your Syndromes
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Antibodies
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200
400
600
800
1000
Around the World
Know your Syndromes
AntibodiesGet Physical
200
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1000
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200
400
600600
800800
10001000
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A “mega”-common cause of cardiomegaly, megacolon and
megaesophagus in Latin America
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What is Chagas disease?
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When in Africa, keep your eyes open for the tsetse fly—or you may never wake up again
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What is African Trypanosomiasis?
(Sleeping sickness)
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A zoonotic infection named after an outbreak in
Queensland, Australia, it is caused by the gram-negative
bacterium C. burnetti
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What is Q fever?
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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
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What is Creutzfeldt-Jakob disease?
(Mad cow disease)
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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
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What is Tako-tsubo cardiomyopathy?
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If you’re suspecting meningitis, flex the patient’s neck but watch the hip and knee. By the way, it is not
Kernig!
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What is Brudzinski's sign?
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Tapping the wrist sends pins and needles to the finger tips—
this sign can help diagnose carpal tunnel syndrome
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What is Tinel’s sign?
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This test is used to detect rupture of the anterior cruciate ligament
(ACL)
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What is Anterior Drawer test?
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Listen, here’s a test to distinguish between conductive and sensorineural hearing loss
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What is Weber test?
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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
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What is Shober Test?
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Associated with deafness, this is the 2nd most common inherited cause of kidney failure
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What is Alport syndrome?
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A rare complication of pregnancy, this syndrome is
caused by necrosis of the pituitary; you may also call it
“Cevik” syndrome
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What is Sheehan syndrome?
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Situs inversus, bronchiectasis,
chronic sinusitis, male infertility
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What is Kartagener syndrome?
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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
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What is Angelman syndrome?
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Paraneoplastic syndrome characterized by progressive
muscle weakness
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What is Eaton Lambert syndrome?
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Hashimoto’s thyroiditis
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What is anti-TPO (thyroid peroxidase)
antibody?
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Specific for rheumatoid arthritis
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What is anti-CCP (cyclic citrullinated peptide) antibody?
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Primary biliary cirrhosis
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What is anti-mitochondrial antibody?
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Specific for autoimmune hepatitis type 1
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What is anti-smooth muscle antibody?
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Pernicious anemia
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What is anti-IF (anti-intrinsic factor)
antibody?
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Fathers of Medicine
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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
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Michael E. DeBakey, MD
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Thank you for playing