CPC: More Than Meets the Eye

In this Clinical Pathological Conference, Dr. Laura McDermott, Resident, Department of Medicine, presents the featured case of a 55-year old male with right lower lobe lung adenocarcinoma presenting with a chief complaint of double vision. Her review of the case includes the patient's history, physical exam, review of symptoms, and initial laboratory and imaging data.

Dr. Katie Scally, Assistant Professor, Department of Medicine, serves as the faculty discussant. She emphasizes the importance of the "one-liner" in care team communication. She explores the issues typically found in cancer patients, such as hypercoagularity and neurotoxicity from chemotherapy. She discusses the possible causes of binocular diplopia and relates them to the patient's presentation.

Dr. Sanket Borgaonkar, Fellow, Department of Medicine, Section of Cardiology and Dr. Harsha Garg, Resident, Department of Radiology, weigh in on further imaging findings used to diagnose the disease central to this case. The final diagnosis is discussed by Dr. Scally.

CME Information

CME Credit Available

You may claim CME credit after watching this activity.

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 medicine and quality improvement to increase clinical knowledge. This Grand Rounds series also aims to provide learners with the appropriate skills to implement the advances and guidelines in clinical practice to enhance the quality of patient care and outcomes.

Objectives

At the conclusion of the session, the participants should be able to:

  • Discuss the approach to patient care for monocular versus binocular diplopia.
  • Evaluate the importance of cardiac imaging, specifically echocardiography, in the workup of suspected transient ischemic events.
  • Discuss the importance of bilateral imaging findings in various brain MRI sequences.

Target Audience

  • Physicians
  • Medical Students
  • Fellows
  • Residents
  • Nurses

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 1.0 AMA PRA Category 1 Credit(s)™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Program Director

Richard J. Hamill, M.D.
Professor
Department of Medicine
Baylor College of Medicine
Houston, Texas
Disclosure: Nothing to disclose.

Term of Approval

August 1, 2019 through August 31, 2021. Original release date: August 1, 2019

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. Sanket Borgaonkar, M.D.

    Sanket Borgaonkar, M.D.

    Cardiology Fellow
    Baylor College of Medicine

    Disclosure:

    Nothing to disclose.

  2. Harsha Garg, M.D.

    Harsha Garg, M.D.

    Radiology Resident
    Baylor College of Medicine

    Disclosure:

    Nothing to disclose.

  3. Laura McDermott, M.D.

    Laura McDermott, M.D.

    Internal Medicine Resident
    Baylor College of Medicine

    Disclosure:

    Nothing to disclose.

  4. Katie Scally, M.D. Placeholder Image

    Katie Scally, M.D.

    Assistant Professor
    Baylor College of Medicine

    Disclosure:

    Nothing to disclose.

CME Credit Available

You may claim CME credit after watching this activity.

View the CME Information Take the Post-Test Now

Presenters:

  1. Sanket Borgaonkar, M.D.

    Sanket Borgaonkar, M.D.

    Cardiology Fellow Baylor College of Medicine
  2. Harsha Garg, M.D.

    Harsha Garg, M.D.

    Radiology Resident Baylor College of Medicine
  3. Laura McDermott, M.D.

    Laura McDermott, M.D.

    Internal Medicine Resident Baylor College of Medicine
  4. Katie Scally, M.D. Placeholder Image

    Katie Scally, M.D.

    Assistant Professor Baylor College of Medicine