Exciting day in clinic. At least for me since Dr. S has joined the clinic! Some topics covered included:Approach to medically unexplained symptoms. A few good articles on approach here and on a multifaceted intervention here.
Constrictive pericarditis: we discussed physical findings of elevated JVP with prominent Y descent, presence of ascites (even before peripheral edema) all in the absence of L heart failure, and possible early diastolic sound (pericardial knock). Here's a great review of pericardial disease.
We also talked about angioedema and its relationship to hematological malignancies. As a learning goal let's read up more on acquired and inherited angioedema for next week.
