Noon conference

Question 1

CSF labs for West Nile encephalitis

Answer 1

West Nile Ab (and PCR). Need IgM due to short lived viremia.

Question 2

Encephalitis and psych symptoms

Answer 2

NMDA encephalitis

Question 3

TB treatment regimen

Answer 3

R - rifampin
I - isoniazid
P - pyridoxine
E - ethambutol

Question 4

TB gramuloma formation

Answer 4

IFN-gamma and macrophage response

Question 5

Calcification on CXR when granuloma is walled off in tuberculous

Answer 5

Gohn complex

Question 6

Positive brochodilator response on PFT

Answer 6

FVC or FEV1 increases by 12% and 200cc

Question 7

Chylous effusion

Answer 7

Cancer or trauma

Question 8

Lymphocytic pleural effusion

Answer 8

Malignancy or TB

Question 9

Pulmonary hemorrhage

Answer 9

Goodpastures
Lupus
Wegners (GPA)

Question 10

Treatment for high altitude pulmonary edema

Answer 10

Return to normal altitude
Hyperbaric oxygen
…

Question 11

Anion gap and albumin

Answer 11

Normal AG = 3x albumin

Question 12

Pappenheimer bodies

Answer 12

Iron deposits seen in sickle cell, sideroblastic anemia, or —

Question 13

Soluble transferrin receptor

Answer 13

When elevated, suggests iron deficiency anemia. Suggests that there is increased erythropoesis.

Question 14

Young patient with new IDA

Answer 14

Consider celiac disease

Question 15

Aortic stenosis and GI AVM

Answer 15

heyde ‘s syndrome