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DESCRIPTION:RESIDENTS CASE PRESENTATION\n\nI. Severe Hypophosphatemia and H
 ypocalcemia Following Intravenous Ferric Derisomaltose and Denosumab Admin
 istration\n\nJustin Kritzinger\, MD\n\nInternal Medicine Resident (PGY2)\n
 \n91社区\n\nEducational Objectives:\n\n\n	Calcium and phosphorus
  homeostasis is tightly regulated via several hormones including PTH\, FGF
 23\, and 1\,25D\n	iFGF23 levels increase following FCM (and possibly repeti
 tive FDM) administration\, resulting in increased renal phosphate excretio
 n and decreased 1\,25D production\n	Severe hypophosphatemia and hypocalcemi
 a with the use of FDM and denosumab\, respectively are rare\n	Synergistic e
 ffects likely exist with concomitant administration that can result in sev
 ere electrolyte imbalances\n	Routine monitoring and occasional temporary re
 placement can mitigate the clinical consequences of hypocalcemia and hypop
 hosphatemia\n\n\nII. Massively Destructive S. Anginosus Endocarditis of a 
 Bicuspid Aortic Valve\n\nAdriano Petrangelo\, MD\n\nInternal Medicine Resi
 dent (PGY3)\n\n91社区\n\nEducational Objectives:\n\n\n	Recognize
  the varied presentations of infective endocarditis\n	Identify the possible
  complications of infective endocarditis\n	Understand predisposing conditio
 ns to developing infective endocarditis\n\n\nIII. Crisis in the Cortex\n\n
 Hajare Iraqi\, MD\n\nInternal Medicine Resident (PGY2)\n\n91社区 Universit
 y\n\nEducational Objectives:\n\n\n	Recognize the clinical presentation of b
 ilateral adrenal hemorrhage.\n	Identify atypical sites of bleeding complica
 tions with direct-acting oral anticoagulants.\n\n\nA light lunch will be a
 vailable\n\n\n	\n\nJoin the Medical Grand Rounds on Microsoft Teams meeting
 .\n	Or call in (audio only) NEW: +1 438-799-0762\, 502095193# Canada\, Mont
 real\, Phone Conference ID: 502 095 193#\n\nThe Medical Grand Rounds are a
 n accredited group learning activity as defined by the Maintenance of Cert
 ification Program of the Royal College of Physicians and Surgeons of Canad
 a.\n\nSome Rounds were video recorded.\n\nFull JGH Medical Grand Rounds Sc
 hedule\n
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SUMMARY:RESIDENTS CASE PRESENTATION
URL:/deptmedicine/channels/event/residents-case-presen
 tation-364434
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