WIN OF THE WEEK: IMRC ACTIVITIES!

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Our IMRC has been hard at work this year working to represent resident interests and needs. In addition, they have taken on a huge role in the social and volunteer missions of our residency, planning activities such as the Tofurkey Bowl, and planning many volunteer events!

They have an upcoming event -- the SW Hope "Feed the Hungry" 5K on Saturday, April 6th. Register to run under the "OHSU Internal Medicine" team @  https://www.swhope5k.com/registration/ or sign up to volunteer at https://www.swhope5k.com/volunteer/.

Also be on the look out for emails about upcoming volunteer and Happy Hour events. We will be placing another order for OHSU IM shell jackets around June for the upcoming year!

Last call for boarding flight TB-009 to Portland!

Yesterday Dr Tyler Wells shared an exciting case of a 25 year old female from Hawaii who had flown to Portland for her rheumatology clinic appointment with a complaint of upper back pain who had a history of Behcet’s disease, previously briefly on immunosuppressant medications.

We began with a differential for upper back pain in the setting of Behcet’s with questionable immune status and clarified that in addition to common MSK etiologies once must, rather uniquely, consider both infectious causes and also vascular (arterial and venous).

As a result of the thoughtful Dr Wells’ information gathering, we were able to learn that the patient brought with her a CD-rom of a recent CT chest scan that revealed a LUL cavitary lesion! Dum dum dum…..

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The differential you ask? Try a C.A.V.I.T.Y!

  • C- CANCER: primary (ex. Squamous cell carcinoma), metastasis
  • A- AUTOIMMUNE (GPA, Rheum nodules)
  • V- VASCULAR (pulmonary infarct)
  • I- INFECTION (TB, bacterial abscess, septic emboli, cocci, actinomycosis, nocardiosis, crypto)
  • T-TRAUMA (pneumoatoceles)
  • Y-YOUTH/CONGENITAL (bronchogenic cyst)

Long story short, that mass got biopsied and she was also found to have a positive Quantifuron gold. TB!

Interestingly, we are still not quite sure what her risk factors were: ?3 months of Etanercept several years ago, travel to Indonesia in 2017?

Perhaps the most novel learning point from this case, however, was thinking about the question: “OH MY GOSH, SHOULD SHE HAVE BEEN ON THAT PLANE?!”

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The WHO Guidelines for Tuberculosis and Air Travel comment more on established cases of TB versus suspected, however, it does seem like for flights <8 data-preserve-html-node="true" hours the concern for risk of transmission is lower. That said, if you are involved in a cases of confirmed TB in an airline passenger, here are the guidelines for the health care provider.

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WIN OF THE WEEK: WE'RE GOING TO NATIONALS!!!

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CONGRATULATIONS to this year's OHSU Internal Medicine "Doctor's Dilemma" (it's like jeopardy but with medicine questions) who competed against fierce competition at the local Oregon Regionals last week and emerged on top!

Now our fearsome trio are headed to the City of Brotherly Love in April to test their mettle against the BEST TEAMS FROM AROUND THE COUNTRY in an epic battle for the ages!

Introducing.... the OHSU IM NATIONAL COMPETITORS:

Dr. Pranav Chandrashekar (R2)

Dr. Logan Jones (R2)

Dr. Jenna Petersen (R2)


You are our champions.


WIN OF THE WEEK: INTERN SKIP DAY!!!!!!!

Interns soaking up Portland life!

Interns soaking up Portland life!

On Monday February 4th, the OHSU IM Interns were surprised with an annual tradition: INTERN SKIP DAY! With upper-levels covering all clinical duties, they were treated to a chief-led scavenger hunt and sponsored lunch out and about in the city they call home. Though the day was colder than anticipated (first day of snow!), they managed to soak up the sights and found a lot of time for team bonding!

How did they get on the ice??? also, we are no longer allowed near the Benson Hotel.

How did they get on the ice??? also, we are no longer allowed near the Benson Hotel.

Dr. Zach Dale performs a masterful macarena!

Dr. Zach Dale performs a masterful macarena!

Thanks Interns, for all your hard work day in and day out! We are glad you got to have the day off!!

WIN OF THE WEEK (Pt. 2): ESCAPE TO BOISE

Our OHSU IM Community treks to Boise to represent us among all PNW IM Programs!

Our OHSU IM Community treks to Boise to represent us among all PNW IM Programs!

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Residents and Faculty (from both OHSU and the Portland VA) proudly represent us at the annual regional Society of General Medicine meeting in Boise, Idaho! This meeting is being held in Idaho for the first time (it is usually in either Portland or Seattle).

Good luck to all our residents who presenting posters or oral sessions!

Stay tuned for more updates throughout the day!

LIVE UPDATE: Dr. Hunter Spencer presenting his clinical case “Bile Cast Nephropathy” as an oral presentation this afternoon!

LIVE UPDATE: Dr. Hunter Spencer presenting his clinical case “Bile Cast Nephropathy” as an oral presentation this afternoon!

LIVE UPDATE: Dr. Hunter Spencer presenting his clinical case “Bile Cast Nephropathy” as an oral presentation this afternoon!

More pictures just in from Boise!

More pictures just in from Boise!