
#NEJM Clinicopathologic Conferences (“Case Records of the Mass General Hospital”). Unofficial digest by its editorial board @criticalecho.
Boston, MA
Joined June 2015
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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
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
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
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
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
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
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
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
NEJM CPC retweeted
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
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
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
NEJM CPC retweeted
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
NEJM CPC retweeted
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
NEJM CPC retweeted
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!
NEJM CPC retweeted
Special Visiting Professor Dr. Combes from @APHP @Sorbonne_Univ_ visiting @MassGeneralNews
Please join for Grand Rounds presentations at
@MGHHeartHealth
@MGHMedicine
@MGHanesthesia
and a @NEJMCPC



































