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Erie College of Medicine - Weekly SGA Newsletter

Week of October 7th, 2019
SGA Monthly Business Meeting
Monday October 14th, 2019
Dinner: 5:30 pm
Meeting: 5:45 pm
LOCATION: Vora Student Lounge

All students are invited. The following are REQUIRED to attend:
1. Class of 2022 Class Officers
2. Class of 2023 Class Officers
3. All Club Presidents
If the Student Club President is unable to attend, someone from the club's executive board must attend. If you are required to attend the SGA Meeting and cannot attend, please contact Myriah Magaris (med.secretary@sga.lecom.edu). Please include the reason for your absence.

If anyone would like to be added to the agenda, please e-mail the SGA Secretary (med.secretary@sga.lecom.edu).

Announcements

Upcoming Events

Volunteer Opportunities

SLC Bingo

SOMA members will play assist seniors play bingo at this very popular event!
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SLC Bingo

SOMA members will help assist seniors play bingo at this very popular event!
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Wellness

Mind | Body | Spirit

A Message from Dr. Dunbar

A positive mindset is one of the most powerful tools we can possess. The problem is… we need to put it in our hands first for it to be helpful. We also need to ensure we do not lose our grip on it. When we talk about positive thinking, we are not talking in the unrealistic, “rose-colored glasses” kind of …
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Question of the Week

A healthy 37-year-old man undergoes a physical examination as part of an employee health screening program. He is an active individual and reports minor joint pains that he believes are secondary to cross-country running. He also notes some increasing shortness of breath during running recently, but otherwise has had no dyspnea at rest, cough, palpitations, or chest pain.

He reports no past medical problems. On examination, the physician notices an abnormality in cardiac auscultation. The S1 is a little louder than usual, and the S2 is split into two sounds. The physician asks the patient to inhale and exhale, and notes no change in the volume or duration of the split S2. A 2/6 systolic murmur is also noted, best heard in the second subcostal space just left of the sternum.

Which of the following structural defects is most likely the cause of this patient’s findings on auscultation?

A. Absent communication between right atrium and right ventricle
B. Defect in interatrial septum due to deficient tissue
C. Endocardial cushion defect
D. Failed closure of a vessel communicating between the aorta and pulmonary trunk
E. Failed closure of the interventricular septum

Answer:
B. Defect in interatrial septum due to deficient tissue

This patient presents with progressive dyspnea with exertion, and is noted to have fixed, split S2 and a pulmonic valve flow murmur on physical exam. These findings are consistent with an atrial septal defect (ASD), the second most common congenital cardiac anomaly found in adults. Given that pulmonary blood flow may be two to four times normal, a systolic flow murmur across the pulmonic valve is often heard. Moreover, the increased pulmonary blood flow delays closure of the pulmonic valve during both inspiration and expiration; thus, a fixed split S2 is often found.

An ASD occurs due to a defect in the interatrial septum, the tissue that divides the right and left atria. Most commonly, it affects the fossa ovalis region; however, it is distinct from patent foramen ovale(PFO), which is due to failure of fusion of atrial septal tissue. PFO occurs more commonly than ASD, but most patients with PFO are asymptomatic. Most PFOs detected incidentally in asymptomatic patients do not require treatment. In contrast, treatment is indicated for ASD when right ventricular enlargement develops.

Endocardial cushion defects are malformations of the atrioventricular canals or the atria. Failed closure of the interventricular septum leads to ventricular septal defect (VSD), which often presents early in life. Failed closure between the aorta and pulmonary trunk describes a patent ductus arteriosus (PDA), which classically presents with constant machine-like murmur in infancy. Absent communication between the right atrium and ventricle occurs with tricuspid valve atresia, a severe defect that causes early cyanosis in neonates.

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Resources

Dr. Melanie Dunbar, LECOM Director of Behavioral Health
mdunbar@lecom.edu
(814) 866-8160

Crisis Services
1330 West 26th St.
(814) 456-2014

Crime Victim Center of Erie County
(Rape Crisis)
125 West 18th St.
(814) 455-9414

SafeNET
(Domestic Abuse)
1702 French St.
(814) 454-8161
Drug and Alcohol Services

Millcreek
Community Hospital
5515 Peach St.
(814) 864-4031

Stairways Behavioral Health Gage House
2919 State St.
(814) 464-8438
Mental Health Services

Catholic Charities
329 West 10th St.
(814) 456-2091

Millcreek
Community Hospital
5515 Peach St.
(814) 864-4031

Safe Harbor
Behavioral Health
1330 West 26th St.
(814) 459-9300

Stairways
Behavioral Health
2910 State St.
(814) 453-5806
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