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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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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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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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Answer to Image Challenge | Difficulty Breathing
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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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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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Answer to Medical Challenge | Altered Mental Status Pt. 2
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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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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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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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The Importance of the USMLE Step 2 Clinical Skills Examination
This guest post was written by Dr. Mark Swartz, M.D. Please see the author bio below for more information. The Importance of the USMLE Step 2 Clinical Skills Examination “Do you smoke, drink coffee or...
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March Madness
If you know me personally, you know I don’t really care for sports – but whether or not you’re into college hoops, if you’re a 4th year medical student in the U.S., March means only one thing: Match...
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Answer to Medical Challenge | Sudden Pain
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Medical Challenge | Sudden Pain
Case: A 43 year old female presents to the emergency department complaining of sudden-onset, sharp, left-sided abdominal pain that radiates to the groin, followed by nausea, vomiting, and diarrhea....
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Medical Apps – Making Life Just That Little Bit Easier
This guest post was written by Niqui Stubbs. Niqui is a 4th year medical student from Leeds, who in her spare time enjoys writing about make-up and fashion at her blog “Confessions of an Addict” – you...
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Mediku | Café World
ICU beds are limited, and are much more expensive than “regular” floor beds (costing up to thousands of dollars each day). Therefore, patients in the ICU are frequently assessed & re-assessed for...
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Talking About Obesity
During my family medicine rotation, I noticed the physicians I worked with focused more time on weight management than in any other outpatient clinic I had worked in. Recently, while on a less...
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Mediku | Well, I’m Allergic to Bullsh*t
This mediku comes from my buddy Vince (@ER_DrTobe2013) and was inspired by an all-too-common occurrence in his field of his choice, Emergency Medicine. Patients who are so-called “frequent-fliers” are...
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Mediku | Pincushins
This month, I’m spending my days working with a rheumatology practice. It’s interesting to see the kinds of things the group is consulted on in the hospital – but in the office it’s mostly NSAIDs and...
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Time Out – Does Milk Ruin Tea Time?
For centuries, certain cultures have customarily added milk to fresh-brewed tea – but in recent years, scientists in laboratories around the world have been “hotly” debating whether this...
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