Medical Question: Flank Pain

A 60-year-old female presents to the emergency department complaining of intense left sided-flank pain radiating to the groin. Urinalysis is positive for gross hematuria, while the non-contrast CT of the abdomen and pelvis is negative for stones. The patient is sent for a contrast study, from which the following image is taken:   The patient was re-examined and her… Read More »

How to Remember the Causes of Arrhythmias (the H’s and T’s)

Causes of arrhythmias, including asystole, include: H‘s: think about what blood does: Volume (hypovolemia) Oxygen (hypoxemia) Glucose (hypoglycemia) Potassium (hypo- or hyperkalemia) Acid-base balance (H+ or acidosis) Temperature regulation (hypothermia) T‘s : imagine a (toxic) lead bullet piercing a chest. What can it cause? Trauma Toxins Tamponade Tension pneumothorax Thrombosis (PE or MI) Reference Dr. Christopher Gallagher’s YouTube video

How to Protect Yourself in the Event of an Ebola Outbreak

Here is a leading expert’s advice on how to protect yourself in the event of an Ebola outbreak: Do not travel to endemic areas. Avoid crowds: To the extent possible, stay at home. Do not go to cinemas or shows. Do not attend community meetings. Avoid healthcare facilities: emergencies excepted, avoid all hospitals, medical clinics, and doctors offices. Avoid medical… Read More »

How to Create Effective Board Review Questions

Board review questions should have five elements (these are color coded to match the content of the sample question further below):   The question: 1. The stem. The stem, usually a clinical scenario, is the content which the learner needs to be able absorb and synthesize in order to answer the question correctly. 2. “The Ask.” The ask, or the lead in,… Read More »

Atopic Dermatitis (“Eczema”): How to Control it

Step 1: First of all, make sure it’s really atopic dermatitis! Atopic dermatitis is a pruritic, immune-mediated skin condition that is common in all age groups, but is particularly common among infants, toddlers and small children. It is commonly called eczema by clinicians and laypersons alike. There are three different highly pruritic skin conditions that you absolutely need… Read More »

Book Review: Toxicology in a Box

Toxicology in a box is a pretty cool toxicology learning tool. The box contains 154 flashcards with classic and memorable drawings of important poisonings and toxidromes. On the reverse of each card, there is additional important information about sources, classic scenarios, signs/symptoms, mechanisms of action, treatment and clinical pearls.The cards are hilarious (sometimes!) and memorable. It’s really hard to forget… Read More »

Book Review: The Bedside Dysmorphologist

The Bedside Dysmorphologist by Dr. William Reardon is a great book about diagnosing malformation syndromes at the bedside.  It is only about 300 pages long, but it is packed with essential clinical pearls. Unlike other books in the field which break things down by syndromes, this book delves into the differential diagnosis based on clinical presentations. For example, suppose one comes… Read More »