Once again, we pulled out salient features, created a PR, brainstormed a schema, and reviewed illness scripts. Final Dx was Babesia! Here are the takeaways:
2/ Had a small white board, so needed one PPT slide with the case presentation, then used the white board to process the data. This time had residents work on a hemolytic anemia schema solo before brainstorming as group. Here's what it looked like:
3/
What went well: 1. Giving residents time to work solo on framework, thanks @tony_breu! 2. Discussing importance of Bayesian reasoning
Ideas for improvement: 1. Include treatment pearls 2. Taylor content for medical students
1/INCREDIBLE MR with @mounicav07 @BrighamChiefs and faculty discussant Dr. Seifter about a young woman with ileal Crohn’s p/w severe progressive normocytic anemia, found to have low EPO and severe renal insufficiency with nephritic range proteinuria and hematuria...
2/we reviewed a schema for anemia, starting with the RI as our first branch point. Here’s my version (the hemolysis part is copied directly from @CPSolvers amazing schema):
3/when patient’s labs returned with a Cr 15.2, BUN 131, 3+ hematuria, 2+ proteinuria, and 2+ glucosuria, we narrowed our focus on a glomerular process. Here’s the @CPSolvers schema for intrarenal AKI: