CPC: Don’t Pass Up the History

Thursday, September 23, 2021, 12:15 p.m.

In this Department of Medicine Clinical Pathological Conference (CPC) session, Dr. Amy Engler presents the case of a 41-year-old woman with a history of gastric bypass and past injection drug use who presented for medical care with symptoms of fatigue, diffuse swelling and rash, and new gait imbalance. Dr. Orhue Odaro serves as Case Discussant; Dr. Joan Fernandez serves as Dermatology Discussant; Dr. Julie Youngs serves as Pathology Discussant; and Dr. Juliet Holder-Haynes serves as Expert Discussant.

This CPC session took place on Thursday, September 23, 2021 at 12:15 P.M.

CME Information

CME Credit Available

You may claim CME credit after watching this activity.

You will be redirected to an outside site when claiming credit and may be asked to register or log in.

Needs Statement

Faculty and trainees within the Department of Medicine who are involved in the care of patients need to be regularly updated with the recent advances and guidelines in the fields of internal medicine and quality improvement to increase clinical knowledge, and to implement the advances and guidelines in clinical practice to enhance the quality of patient care and outcomes.

Objectives

At the conclusion of this activity, the participant should be able to:

  • Demonstrate an approach to a patient with systemic illness.
  • Identify characteristics/features of a case that aid the diagnostic reasoning process.
  • Illustrate social determinants of health in the context of chronic illness.

Target Audience

  • Physicians
  • Medical Students
  • Fellows
  • Residents

Accreditation/Credit Designation

Baylor College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Baylor College of Medicine designates this enduring material activity for a maximum of 1.00 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Program Director

  1. Richard J. Hamill, M.D.

    Richard J. Hamill, M.D.

    Professor
    Baylor College of Medicine

Term of Approval

September 1, 2021 through September 30, 2023. Original release date: September 1, 2021.

Disclosure Policy

The Office of Continuing Medical Education (OCME) makes every effort to develop CME activities that are scientifically based, accurate, current, and objectively presented. In accordance with the Accreditation Council for Continuing Medical Education Standards for Commercial SupportSM, Baylor College of Medicine (BCM) has implemented a mechanism requiring everyone in a position to control the content of an educational activity (e.g., directors, planning committee members, contributors, peer reviewers) to disclose any relevant financial relationships with commercial interests (drug/device companies) and manage/resolve any conflicts of interest prior to the activity. Individuals must disclose to participants the existence or non-existence of financial relationships: 1) at the time of the activity or within 12 months prior; and 2) of their spouses/partners.

Baylor College of Medicine does not view the existence of interests or relationships with commercial entities as implying bias or decreasing the value of a presentation. It is up to the participants to determine whether the interests or relationships influence the presenter with regard to exposition or conclusions.

If at any time during this activity you feel that there has been commercial or promotional bias, please inform us by using the commercial bias comments box in the evaluation form. Please answer the questions about balance in the CME activity evaluation candidly.

Disclosures

The following individual(s) has/have reported financial or other relationship(s) with commercial entities whose products/services may relate to the educational content of this activity:

Presenters

  1. Amy Engler, M.D.

    Amy Engler, M.D.

    Internal Medicine Resident
    Baylor College of Medicine

    Disclosure:

    Nothing to disclose.

  2. Joan Fernandez, M.D.

    Joan Fernandez, M.D.

    Dermatology Resident
    Baylor College of Medicine

    Disclosure:

    Nothing to disclose.

  3. Juliet Holder-Haynes, M.D.

    Juliet Holder-Haynes, M.D.

    Assistant Professor of Surgery
    Baylor College of Medicine

    Disclosure:

    Nothing to disclose.

  4. Orhue Odaro, M.D.

    Orhue Odaro, M.D.

    Assistant Professor
    MD Anderson Cancer Center

    Disclosure:

    Nothing to disclose.

  5. Julie Youngs, M.D.

    Julie Youngs, M.D.

    Dermopathology Fellow
    Baylor College of Medicine

    Disclosure:

    Nothing to disclose.

Program Director

  1. Richard J. Hamill, M.D.

    Richard J. Hamill, M.D.

    Professor
    Baylor College of Medicine

    Disclosure:
    • Advisory Committee Membership: Moderna TX, Inc. (Chair, Adjudication Committee)

Planning Committee Members

  1. Richard J. Hamill, M.D.

    Richard J. Hamill, M.D.

    Professor
    Baylor College of Medicine

    Disclosure:
    • Advisory Committee Membership: Moderna TX, Inc. (Chair, Adjudication Committee)
  2. Erica Lescinskas, M.D.

    Erica Lescinskas, M.D.

    Assistant Professor
    Baylor College of Medicine

    Disclosure:

    Nothing to disclose.

  3. Ruchit Rana, M.D.

    Ruchit Rana, M.D.

    Internal Medicine Resident
    Baylor College of Medicine

    Disclosure:

    Nothing to disclose.

  4. Zaven Sargsayan, M.D.

    Zaven Sargsayan, M.D.

    Assistant Professor
    Baylor College of Medicine and Ben Taub Hospital

    Disclosure:

    Nothing to disclose.

  5. Chirayu Shah, M.D., M.Ed.

    Chirayu Shah, M.D., M.Ed.

    Associate Professor
    Baylor College of Medicine

    Disclosure:

    Nothing to disclose.

  6. Stephanie Sherman, M.D.

    Stephanie Sherman, M.D.

    Assistant Professor
    Baylor College of Medicine

    Disclosure:

    Nothing to disclose.

Contributors

  1. Amy Engler, M.D.

    Amy Engler, M.D.

    Internal Medicine Resident
    Baylor College of Medicine

    Disclosure:

    Nothing to disclose.

  2. Joan Fernandez, M.D.

    Joan Fernandez, M.D.

    Dermatology Resident
    Baylor College of Medicine

    Disclosure:

    Nothing to disclose.

  3. Juliet Holder-Haynes, M.D.

    Juliet Holder-Haynes, M.D.

    Assistant Professor of Surgery
    Baylor College of Medicine

    Disclosure:

    Nothing to disclose.

  4. Orhue Odaro, M.D.

    Orhue Odaro, M.D.

    Assistant Professor
    MD Anderson Cancer Center

    Disclosure:

    Nothing to disclose.

  5. Julie Youngs, M.D.

    Julie Youngs, M.D.

    Dermopathology Fellow
    Baylor College of Medicine

    Disclosure:

    Nothing to disclose.

CME Credit Available

You may claim CME credit after watching this activity.

View the CME Information Claim CME

You will be redirected to an outside site when claiming credit and may be asked to register or log in.

Presenters:

  1. Amy Engler, M.D.

    Amy Engler, M.D.

    Internal Medicine Resident Baylor College of Medicine
  2. Joan Fernandez, M.D.

    Joan Fernandez, M.D.

    Dermatology Resident Baylor College of Medicine
  3. Juliet Holder-Haynes, M.D.

    Juliet Holder-Haynes, M.D.

    Assistant Professor of Surgery Baylor College of Medicine
  4. Orhue Odaro, M.D.

    Orhue Odaro, M.D.

    Assistant Professor MD Anderson Cancer Center
  5. Julie Youngs, M.D.

    Julie Youngs, M.D.

    Dermopathology Fellow Baylor College of Medicine