A 76-year-old male presents with a progressive headache, dizziness, and confusion after falling from his bed the night before. He currently takes warfarin following a mechanical valve replacement 11 years ago, and has been recently diagnosed with depression. A CT scan reveals a subdural hematoma and the patient’s INR measures 7.5. Which of the following is most likely to increase the anticoagulant effect of warfarin?
medical
Why Is This Patient Profoundly Hypotensive?
A 70-year-old male is brought to the emergency department with subacute shortness of breath and fatigue. Upon searching her father’s home, his daughter reports she found his medication — a nearly empty bottle of metoprolol, 100 mg bid. She believes her father has coronary artery disease. On examination, the patient is confused. His blood pressure is 69/49 mmHg and he has a heart rate of 48 bpm. An ECG reveals the findings seen here. After initiating oxygen and atropine, which of the following is the best treatment for this patient’s presentation?
What treatment should be administered for this patient’s rash? | Figure 1
A 28-year-old woman presents with a one-week history of a slightly raised erythematous lesion on her chest. She has been experiencing fatigue and joint pain since taking a walk through the woods in eastern Massachusetts earlier this month. She is 33-weeks pregnant and is otherwise well. An enzyme-linked immunosorbent assay (ELISA) test comes back negative for Lyme antibodies.
Developmental Delay and Hypocalcemia—What’s the Cause?
Case Details
A 9-year-old girl is brought to a new pediatrician by her mother over concerns regarding her weight. She has a history of developmental delay, and her mother mentions that she is noticeably shorter than her peers. She is noted to have a round face and bilaterally shortened fourth metacarpals on examination. She is in the 96th percentile for weight and below the 3rd percentile for height for her age. Laboratory testing reveals hypocalcemia. Which additional laboratory findings are associated with this patient’s most likely diagnosis?
Quiz: How would you treat this tumor?
A 21-year-old female presents with a six-month history of irregular menses, decreased libido, impaired vision, and galactorrhea. An MRI is completed.Based on this imaging and the patient’s clinical findings, which of the following should be recommended as a first-line treatment?
7 Tips For Finding A Job After Residency
Each year, thousands of residents in their final year of residency have the daunting task … Read more
How to Keep Your Medical White Coat Clean
Whoever decided that doctors should wear white coats must not have spent much time with … Read more
Q&A With Dr. Paige O’Mahoney, Physician-Author and Wellness Coach
Tell us a little bit about yourself.
I started medical school at age 27 after studying international relations in college and then working as a paralegal in an international law firm. I met my husband, who was also changing careers, the first day of a post-baccalaureate premed program called MedPath at the Ohio State University. I mention this because I did not choose to pursue medicine at an early age, but rather felt called to it during the course of my education and training in other areas.
5 Up-and-Coming Topics in Medicine That Students Should Know About
Breakthroughs in patient care are happening in leaps and bounds due to the convergence of … Read more
State Exchange Program Helps Healthcare Students With No In-State School Option
No available or affordable program for your healthcare profession in your home state? Take heart! Students in Western U.S. states do have access to affordable professional degree programs in nearly a dozen healthcare specialties, thanks to the Western Interstate Commission for Higher Education’s (WICHE) Professional Student Exchange Program (PSEP).
Q&A with Dr. Alison Stansfield, Learning Disability Psychiatrist
Alison Stansfield, MBChB, MRCPsych, MD is the clinical lead and consultant psychiatrist for the Leeds … Read more
Q&A with Dr. Jennifer Villwock, ENT
Dr. Jennifer A. Villwock is the current Rhinology and Skull Base Fellow at the University of Kansas Medical Center. After graduating in 2011 from the Michigan State College of Human Medicine, she completed her ENT residency at the State University of New York (SUNY) Upstate Medical University. Dr. Villwock is active in the American Academy of Otolaryngology and serves on the Ethics Committee of the American Rhinologic Society. You can reach her on Twitter @docwock
An Introduction to Clinical Practice Guidelines – Why You Should Care
Updated February 15, 2022. The article was updated to correct formatting and minor grammatical errors. … Read more
20 Questions with Dr. Cosima Gretton, Health Technologist
Dr. Cosima Gretton is a medical doctor and product manager at Karius, Inc., a biotech startup specializing in infectious disease genomics. She is also a Technology Entrepreneurship Teaching Fellow at UCL, where she is currently designing and delivering a new health care pathway which would guide entrepreneurs through the UK healthcare system, and a fellow at the Digital Health Forum, which brings together industry, academic and clinical experts in digital health. Furthermore, she is a mentor for Startupbootcamp’s healthcare accelerator.
In 2011, she co-founded the AXNS Collective, a science communication company which is looking to advance public engagement in neurology and psychology with the help of scientists and artists.
Dr. Gretton obtained a degree in Experimental Psychology from Oriel College, Oxford University (2009), followed by her medical degree from King’s College London (2015). While at medical school, she studied at the University College London (UCL) Mobile Academy, which supports individuals with new business ideas. She also studied at the Silicon Valley think tank Singularity University, where her team founded an at-home salivary diagnostic start-up called Mitera.
She most recently worked as Product Manager at Outcomes Based Healthcare, designing and building a research app to gather smartphone sensor data for diabetic patients; as a technical lead for RADAR-CNS at the NIHR Biomedical Research Center, a project seeking to find predictors of relapses in a number of neurological conditions; and as a digital health innovation consultant.
Dr. Gretton has written a number of featured articles for The King’s Fund, WIRED Magazine, and KQED Science, and has been published in the International Journal of Geriatric Psychiatry.
Things I Didn't Realize About Medicine Until I Became a Physician
Recently SDN member medinquirer noted that it’s common for premed students to learn about medicine through shadowing, volunteering, working in related fields, etc. But surely, said medinquirer in his post, there are things you don’t realize about medicine until after you become a full-fledged, practicing physician. What are those things? Here are some of them of them, as shared by members of the SDN community:
SurfingDoc:
No one teaches you about billing, prior authorizations, etc. until to have to do them. There is no real “education” in those endeavors, but they are part of the system and a requirement of the job.
What You Should Know: Exploring Techniques for Nonpharmacological Pain Control
What You Should Know is an ongoing series covering a range of informational topics relevant to current and future healthcare professionals.
Pain assessment and control is something which every doctor going into practice will have to face, regardless of his or her specialty. Pain is the number one reason why Americans seek out medical treatment in the first place and is estimated that some 50 million Americans suffer from some form of chronic pain – at a cost to the US health system of $100 billion a year. It is the leading cause of disability for Americans over the age of 45 and carries with it tremendous health and social costs to patients, their families and society as a whole.
Advice from 20+ interviews: Part 2
Don’t miss Part I of this article, which covered how to prepare before the interview and general interview advice.
COMMON INTERVIEW QUESTIONS
1. Tell me about yourself
You should have prepared for this! Like I said, have your key bullets/road map ready. Try to keep it around 5 minutes too. This question usually comes up on closed file interviews (where they don’t look at your file beforehand). You may want to cover a bit of question 2 (below) if you have time, since it may not get asked separately. I think it’s always best to include things beyond the typical premed experiences. Talk about your cultural background, travels, cool hobbies, non-medically related endeavors, odd jobs… They’ve always loved those things most. Mention the relevant premed stuff too, but don’t forget about what I mentioned in the previous sentence. Stand out as a person, not a premed machine!
It’s Real: The Sophomore Slump
I strolled into second year, fresh off the plane from my South American adventures and ready to hit the ground running, expecting another experience like first year. It would be smooth sailing as long as I stuck to my schedule and my friends. I was good to go. Little did I know, the “second year slump” was about to hit me like a ton of bricks. I had never before experienced such a feeling in my life—I was accustomed to challenges, pushing through whatever stood in my way, always making it through to the other side. But to be honest, few things in my prior academic experiences have challenged me as much as medical school. Before medical school, most of the challenges I faced seemed far less daunting to me than what came in the second year of medical school, even the first year of medical school. So imagine my surprise when I found myself having my first meltdown of medical school just a few weeks into my second year: Wasn’t I supposed to be good at this by now?
Advice for Interns on Night Float
Earlier this year SDN member bob123451 was the lucky intern starting residency on night float covering multiple surgery services—vascular, general, bariatrics, colorectal, and a number of subspecialties—at a community hospital. Understandably nervous about jumping in with both feet, he reached out to the SDN community for advice. The following tips may be helpful, should you find yourself in the same boat.
Five Tips for Staying Healthy and Productive in School
While your dream of getting accepted to medical school probably involves countless nights studying, hundreds of volunteer hours, and a very long application process, taking time for yourself may not always be at the top of your priority list. What many aspiring doctors tend to forget is that taking some time to relax can actually boost your productivity once you get back to work.