med school professors love to say “as you already know” and then proceed to mention a fifteen syllable word that you have never heard before in your entire life
Med students are motivated adult learners. “This fact has important clinical implications, so I think it’s important you’re familiar with it” is much more motivating than “you’re an idiot for not already knowing this fact, or for getting flustered in the moment”
My first time in the OR I was asked the layers of the abdominal wall and i got it wrong. I had read it before, but i was nervous and forgot in the moment🤷. My attending told me it’s important to know because you have to know it to put a trochar in safely. So i looked it up. (1/3
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What is the mechanism of night sweats?
We ask about "fevers, chills, and NIGHT sweats", not "fevers, chills, and DAY sweats." Why?
To understand the answer, we'll need to cover temperature regulation, circadian rhythms, and more...
🏆 Case of the Month for April 2023.
🎯 Clinical history: 24 hour history of right lower quadrant pain and a very firm tender lump in the right inguinal region.
Did you ever wonder why our marrow is located inside of our *bones*, #MedTwitter? There’s no a priori anatomical reason it should be sited there. Blood cells could form in our spleens & livers, as they do during our fetal lives; or elsewhere, as in some animals. Let’s discuss! /1
While I respect the call for a week of silence,
One week for Indigenous Australians represents:
3.4 deaths from suicide
1.4 deaths from RHD
12.2 deaths from chronic kidney disease
11 kids diagnosed with RHD
2.25 deaths of children aged 0-4
So I can’t be silent, even for a week
Today I urge all Australians to Vote Yes.
So then when we look ourselves in the mirror tomorrow, we see a proud and compassionate nation reflected back.
@murf1990 Given the scan undertaken (not a CTPA) and the clinical indication (not a suspected PE), if I hadn’t called it may have been an hour or longer before overnight reporting got to it, or someone in the ED looked at the images themselves
@murf1990 We’ve all made that urgent finding phone call, particularly after hours when there may not be a radiologist on-site. I recall once calling ED for an incidental (!) saddle PE!