Hybrid Medical Grand Rounds – Residents Case Presentation

I.  Mechanical Problems Require Mechanical Solutions: Collaboration across Sites – Fixing the Left Heart to Save the Right

Jack Rudski, MD, C.M., PGY-2,  Internal Medicine, McGill University

Educational Objectives

1. To review some causes and consequences of right heart failure
2. To discuss options and efficacy of percutaneous valve-in-valve therapy and discuss a case where this was employed successfully
3. To foster collaboration and expertise-sharing between sites

II.  Cauda Equina Syndrome in a Patient with Human Immunodeficiency Virus & Secondary Central Nervous System Lymphoma

Mohammed Redha, MD, C.M., PGY-2,  Internal Medicine, McGill University

Educational Objectives:  

1. Secondary central nervous system lymphoma (SCNSL) is an uncommon presentation in diffuse large B‐Cell lymphoma (DLBCL).
2. Patients with a CD4 count below 200 and neurological symptoms warrant a gadolinium‐enhanced MRI scan.
3. R‐CHOP chemotherapy and high dose methotrexate have been shown to have mortality benefit with SCNSL.