#NEJM Clinicopathologic Conferences (“Case Records of the Mass General Hospital”). Unofficial digest by its editorial board @criticalecho.

Boston, MA
Joined June 2015
Today was the first @nejmcpc of the 25-26 academic year, featuring Dr Alyssa Castillo from @CUDivofID Tough case involving protean findings 🔸leukocytosis 🔸recent MVA 🔸pericardial effusion Dr Castillo gave a masterclass in clinical reasoning & problem list refinement
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Last @NEJMCPC of 2024 features all-star lineup & clinical reasoning spanning #emergency medicine, #cardiology, #cardiaccriticalcare, #addictionmedicine Dr. O’Gara - international luminary, past @ACCinTouch president - is lead discussant Stay tuned to @NEJM 2025 for the case
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Pleased to host @nejmcpc at @MGHSurgery Wilkins Visiting Professorship, with thoracic surgeon @TomVargheseJr Interesting concurrence of 🤔 protean systemic symptoms 🩻 imaging abnormalities 💗 ? heart failure syndrome Stay tuned for future Case Record w surgical perspectives
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Now posted on correct X account
Today’s @NEJMCPC was a discussion of the #hemogram #CBC 🩸in a #hearttransplant #OHT patient at @MGHMedicine #GrandRounds Masterful main analysis by @WilliamAird4 of @bethisraellahey and @TheBloodProjec1 🎖️ MGH transplant team = @tonkhueMdPhd @KottonNelson @TheSickleDoc
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Cases from @nejmcpc on #imaging #echofirst #yescct #whycmr #cvnuc 💚abdominal infection ❤️‍🩹Endocarditis ❤️‍🔥Myocarditis 💗Pericarditis 💓Aortitis
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First @nejmcpc of this year Let’s go @DrDanRestrepo We are getting a mini-class in 🧠 problem representation 🧠 heuristics 🧠 dual process theory 🧠 substrate, tempo & syndrome We won’t spoil the medical details of the presentation but it’s a great medical reasoning case
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Case 16-2024 discussion of multifocal pustular #rash @dr_demetre Differential diagnosis ▶️non-infectious (autoimm, derm, cancer, drug) ▶️ viral HSV, VZV, MPXV > parvo, entero, HIV ▶️ 🦠Staph, PsA, syphilis ▶️ 🍄 nejm.org/doi/full/10.1056/NE… @ericashenoy @HowardHeller #KathyHsu
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NEJM CPC retweeted
In the latest Case Record of the MGH, a 58-year-old woman was transferred to the hospital after 16 months of waxing and waning confusion and aphasia and evolving changes on MRI of the head. A diagnosis was made. Read the full case: nej.md/49DGwrP
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NEJM CPC retweeted
Case Records of the Massachusetts General Hospital: A 58-Year-Old Woman with Confusion, Aphasia, and Abnormal Head Imaging nej.md/49DGwrP
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A 27 yo man with leg weakness? How does he present with this image, my #EndoPath friends? #EndoSurg friends, don't forget! #EmergencyMedicine #MedEd nejm.org/doi/full/10.1056/NE… @NEJM @NEJMCPC @MGHPathology
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Be a part of the live @NEJMCPC at #IDinAdults2024! Register now at id.hmscme.com!
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Final #ACC24 #LBCT, with @nejmcpc #SimPub: we herein present 6 yr follow-up of the “DD cohort” My sincerest admiration and highest congratulations 🎉 to @DougDrachmanMD on leading #ACC scientific sessions last 4 years! Bravo! (I’ll now have concede to my son I have grey hair)
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NEJM CPC retweeted
In the latest Case Record of the MGH, an 84-year-old man was evaluated at the hospital for a fall and admitted for treatment of a presumed urinary tract infection. On hospital day 4, severe chest pain developed. A diagnosis was made. Read the full case: nej.md/3TtfI7F
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The famous "Toothpick CPC"
100 Years of Case Records of the MGH: In this case published January 31, 2019, an 18-year-old male professional athlete was admitted to this hospital because of fevers, abdominal pain, and hematochezia. Read the full case: nej.md/2Uy8H5r
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Starting day 2 of Dr. Combes’ 🇫🇷 visit with @MGHanesthesia Grand Rounds 🔹#ARDS 🔹#VVECMO 🔹mathematics and a deep dive into alveoli physiology Later today join us for ▫️@MGHMedicine Grand Rounds on 💔 #myocarditis ▫️@NEJMCPC
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Critical-care cardiology @NEJMCPC at @MGHHeartHealth #5C #CME course ❤️‍🩹55M, #OHCA ❤️‍🩹inferior #STEMI, but Q ❤️‍🩹#shock, #VT ➡️ #pLVAD 🫁 #hypoxemia, +#COVID➡️?#ARDS ❓CvO2 57% < MvO2 77% 🩺➡️ murmur; #TTE #criticalcarecardiology ➡️ manage #shock, #respfailure, #MCS
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Looking forward to this week's @NEJMCPC with @KottonNelson and @CesarGBerto! 👏👏👏
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Why register for #IDinAdults2024? Let's look at the numbers... 39.75 AMA, AAFP, or ACPE credits 33 expert-led sessions 12 multidisciplinary workshops 17 live Q&A with faculty 1 live @NEJMCPC 90 days access to recordings Join us at id.hmscme.com!
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Special Visiting Professor Dr. Combes from @APHP @Sorbonne_Univ_ visiting @MassGeneralNews Please join for Grand Rounds presentations at @MGHHeartHealth @MGHMedicine @MGHanesthesia and a @NEJMCPC
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