JLGH Winter 2025 Recap
Q&A for Extended Learning
Q: Techniques for percutaneous paravalvular leak (PVL) closure vary by cardiac location. Describe PVL closure approaches.
A: An antegrade transseptal approach may be used for mitral PVL, while a retrograde aortic approach can facilitate aortic PVL. Both procedures are performed under general anesthesia via femoral arterial or venous access.
Q: What diagnoses may present with findings of anorexia, weight loss, and a painless abdominal mass? In the case of an abdominal mass, what initial laboratory testing should be considered?
A: Malignancy diagnoses should be considered, including adrenal, renal, hepatic, and pancreatic processes. A comprehensive metabolic panel and complete blood count with differential, C-reactive protein, lipase, urinalysis, and pregnancy test could be checked to direct further workup.
Q: According to 2025 World Health Organization guidelines, how should clinicians test for suspected acute meningitis?
A: Cerebrospinal fluid (CSF) investigation should include Gram stain, white blood cell count, protein concentration, glucose concentration, and the CSF-to-blood glucose ratio.
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Q: What program is available at LG Health to help patients experiencing homelessness with medical needs across Lancaster County who are poorly connected to primary care?
A: The Lancaster General Health Street Medicine team welcomes referrals of these patients. Contact the team by phone at 717-544-6800.
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