Medicine Grand Rounds: "Hospital Medicine CPC" November 15, 2022

Speakers and CME Information:
Speakers:
Patricia Hwang, MD- HMS Presenter
Assistant Professor of Medicine
Division of Hospital Medicine
Emory University School of Medicine
Yelena Burklin, MD- MHS Discussant
Associate Professor of Medicine
Division of Hospital Medicine
Emory University School of Medicine
Shahzeena Hafeez, MD- Endo Consultant
Assistant Professor of Medicine
Division of Endocrinology, Metabolism, and Lipids
Emory University School of Medicine
Eli Wilber, MD- ID Consultant
Infectious Disease Fellow
Emory University School of Medicine
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[@vadimnobel7199]

Great catch/case. I wonder what led the the cortisol level testing in the first place? Not very clear from the case presentation, or maybe I missed? Was it just the lowish blood pressure? The hypokalemia can be a confounding factor. Up until the BM bx, I was leaning towards some myeloproliferative disorder.

[@justinesportsmedicine9379]

Beautiful case presentation, workup, and discussion. Unfortunately, patients with substance abuse in this stage usually present with a multitude of symptoms all calling for thorough workup as completed here and the urgent need for rapid workup before these patients leave AMA. I didn't see if with negative HIV & cancer w/u whether her prealbumin/albumin levels were low enough to explain the observed malnutrition (poor dentition, esophageal candidiasis, & low weight).