So tomorrow is the end for me. I’ve been on my pediatric rotation now for 2 weeks, seen a lot of interesting cases, worked in both an outpatient clinic and an peds emergency room (thank you site for offering that!) but tomorrow I start in the neonatal intensive care unit (NICU) under a (supposedly) intense attending who’s out for medical student blood! So far my medical … Continue reading Dropping NICU Knowledge, PIMP City
I didn’t realize how poor I was at using the otoscope until this first week of Pediatrics. While I visualized hundreds of tympanic membranes (TMs) in 60 year old men while on occupational medicine, unfortunately 2 year olds with ear infections don’t sit still very long, or at all. What’s worse, even if the child restrains themselves just long enough to visual the TM, I struggle describing & diagnosing what I … Continue reading Free Otitis Media Lectures!
The shoulder is the #1 dislocated joint in the body. I would wage that nearly everyone either knows someone who’s experienced one or will at some point in their medical career assist in their reduction. Ahhh that ‘clunk’ is so satisfying! So might as well learn a few things before helping, right? The goal is to facilitate key points about these dislocations from which are most common, sensitive tests for diagnosing and a few radiographic … Continue reading Shoulder Dislocations 101
So I know a guy. That’s because he’s the 4th year medical student I’ve worked with all month. By happenstance we chatted about fun rotations/services we’ve been on and he mentioned Dermatology. Now I think Derm is “unique” to say the least: It requires the highest board scores & medical school GPA’s to match. The residences/attending’s are some of the nicest people you’ll ever meet (second to pediatricians) and importantly … Continue reading Free Dermatology Lectures
Provided are 2 radiographs: One PA chest & one AP pelvis. Attempt to interpret them to the best of your abilities (hopefully using my tutorial for the CXR) and let me know what dysfunctions/anomalies you find in the comment section below. Secrete nugget, they’re mine. 😉 Happy huntings! P.S. I found 4… Image Credit:  Continue reading Sunday Funday: Interpret These X-rays!
It’s crazy how fast medicine changes! It first hits you when your preceptor references some archaic medical skill you’ve never heard of or when you get word some legendary older attending retired because they weren’t efficient using a computer (seriously, it’s quite common). But then it starts getting weird. Some fresh out of residency attending attempts to give you studying advice only to give them a strange stare since … Continue reading Updated Burn Scale
If you haven’t read my earlier post about simple foreign body removal from the eye please do so since a lot of the material covered will be similar. However, treating a chemical or fine particle injury to the eye is very different. Hence this writeup. Here, there’s nothing physical in the eye to remove but the patient is still in significant pain. I can remember specifically one patient who got a face-full … Continue reading Simple Chemical Burns to the Eye
There’s always areas of medicine you never knew existed until someone removes the blindfolds from before your eyes. While I’m assuming the majority of people can at least stumble through some botched definition of Acupuncture I’d be willing to wager you’ll be greeted with blank faces if you asked about Chapman Reflex Points. Defined by Wikipedia as “small, discrete tissue texture changes located just deep to the skin. The Chapman … Continue reading Chapman Reflex Points (Voodoo?)
So this is critical. When your clinic gets crazy busy and your preceptor leans over and says “write out a prescription for… ” you better not have a deer in the headlights look (like I’m sure I did the first couple times). Granted, while there is a universal system in place for writing out prescriptions via old school pen & script pad, most major hospitals have upgraded … Continue reading Prescription Writing 101
Work smarter, not harder. That’s the motto I attempt to live my life by and recently I broke that rule. I spent well over an hour over the past 2 weeks trying to locate an article my preceptor showed me about what the life of an emergency physician is like. What not to do: search every combination of phrases you vaguely remember, in every order, on any credible website you … Continue reading Careerealism: What They Don’t Tell You about Being an EP (Repost)