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Internship – Day 1

It’s been a long time since I’ve been able to post anything – thanks for bearing with me. Believe me, it’s been a busy few months.  I finished up my clinical rotations, worked in a Chinese hospital,...

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On Floss Picks and Empathy

Humanism and empathy are all the rage in today’s medical literature and are increasingly emphasized in the education process.  We select applicants who display these virtues or in whom we think we can...

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Medical Challenge | Altered Mental Status Pt. 2

This medical challenge is adapted from a real clinical scenario, and though complex, is an excellent example of the broad differential required for an elderly person with a change in mental status –...

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Answer to Medical Challenge | Altered Mental Status Pt. 2

**If you would like another chance to read the challenge before seeing the answer, click here.  Scroll down for the answer.  ** ———————————————————————————————————————————————————————————– The correct...

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A Rare Presentation: Pott’s Disease

I’d like to share with you a very interesting case of spinal tuberculosis, or Pott’s Disease.  It’s a condition we all learn about in medical school, and which many US physicians will never see due to...

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Image Challenge | Difficulty Breathing

An 80 year old male with multiple medical problems (including CAD, COPD and atrial fibrillation) is undergoing evaluation for progressive early satiety and vomiting after meals for the past year.  A...

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Answer to Image Challenge | Difficulty Breathing

**If you would like another chance to read the challenge before seeing the answer, click here.  Scroll down for the answer.  ** ———————————————————————————————————————————————————————————–   The...

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Mind Your Manners

George Morrow / Punch Magazine 1914 As the only year in which I have been both a medical student and a doctor drew to a close, I reflected on my new career.  In little more than 6 months, my level of...

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Medical Challenge | Bloody Nose

A 25 year-old otherwise healthy male presents to his primary care doctor after a difficult to control nosebleed, lasting approximately two hours.  There is no history of trauma, drug use, or previous...

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Answer to Medical Challenge | Bloody Nose

**If you would like another chance to read the challenge before seeing the answer, click here.  Scroll down for the answer.  **         ———————————————————————————————————————————————————————————–  The...

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