Moline➡️UMKC 6-Year BA/MD➡️Yale Trad IM Res/Chief Res| Oncology Hospitalist|She/Her|
Aug 4, 2022 • 6 tweets • 2 min read
Today at Grand Rounds I presented the Case of the Week! The patient had dementia and a rash that looked like a necklace (Image from NEJM).
What lab would you send?
Answer: Niacin!
The team sent a niacin level that came back undetectable and the patient was diagnosed with pellagra!
Although rare in the US, Pellagra can still develop in patients who drink alcohol, have had bariatric surgery, or from a malabsorption disorder.
Jan 1, 2022 • 9 tweets • 3 min read
Truthfully, I’m feeling more bitter than sweet entering this new year, especially when I compare it to how much hope I had entering 2021. I rounded out my last two weeks of the year on the general medicine wards, taking care of both COVID and non-COVID patients. My experiences:
-Escalating care for COVID patients but ALSO:
-Taking care of an unstable post arrest patient for 1.5 hours on the floor because there were no immediate ICU beds
-Self doing Q1H checks on patients not stable enough for the floor because there were no immediate ICU/SDU beds
