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Title Specialty Votes Comments Rating

Pain after vasectomy

Hoping someone can offer some advice in regard to my situation. I have had chronic pain after my vasectomy and about 3 years after		 Urology 7 5

Intuniv vs generic guanfacine for ADHD

Intuniv is a long acting version of guanfacine being promoted for ADHD in children. Guanfacine, or Tenex		 Psychiatry 7 6

Humira and antibiotic prophylaxis for dental work

I have a patient that was placed on Humira for psoriasis by another physician. He is doing well and		 Family Medicine 10 9

EEG and MRI on a 2yo under anesthesia

I apologize for posting this in 2 places...but I posted this earlier in the neurology category, but decided I should probably put in under anesthesia		 Anesthesiology 6 13

Abnormal TFTs in pregnancy

I have a 37 yo woman who was referred to me at 20 wks gestation for a TSH of 0.01 and free T4 1.8		 Endocrinology 6 22

Pediatric sebaceous gland carcinoma

I have a staffer with a 14 yo daughter recently diagnosed with a microcystic adenexal carcinoma of the ventral left arm ( elbow). Apparently malignant sebaceous gland ca		 Dermatology 6 5

Menstrual migraines and OCPs

What is the best way to treat menstrual migraines in a patient who is on OCPs for birth control if migraines are on the "off" week?		 OBGYN 12 22

A patient with acute mono and anesthetic/surgical risk

We have a young, other wise healthy 17 year old diagnosed with acute mononucleosis and the ENT doctor wants to know if we can proceed with elective surgery.		 Anesthesiology 13 33

Anastomosis ulcers after bariatric bypass

I saw a patient with refractory ulcers at anastomosis (at least 2 years). Had her surgery in 2002		 Gastroenterology 8 15

Unusual Rash

60 y/o man presents with 5 days of this. He denies new soaps, detergents, colognes, or clothes. No outdoor activities except		 Dermatology 9 12

tarsal tunnel syndrome

50 y/o with pain/numbness on the metatarsals (bilateral), both lateral and medial, radiating to all toes		 Neurology 7 6

Treatment for Cataplexy

I have a 61 y/o male patient who has been on celexa for about 6 years for major depressive d/o. Recently he told me he had been diagnosed with narcolepsy about 20 years ago by a sleep specialist.		 Psychiatry 10 19

Torn hip labrum and torn iliofemoral ligament

67yowf fell in May,2009 and suffered injury to low-back and right hip. On a walker since then....cannot bear weight on the right and has plrom of r hip . 		Orthopaedics 3 8

Emergency limb amputation

56 y.o. male with hx HTN, DM presented over weekend with infected foot and crepitus in the calf. AAOx3, BP 98/57; HR 91; Fs 347, WBC 21. 		Anesthesiology 17 37

To PCI or not to PCI; please, review your guidelines

59y/o male who arrived to the ED by EMS as a cardiac alert (STEMI). Pt started having substernal chest pain, sudden in onset while watching TV at home.		 Emergency Medicine 9 12

Ermatologic-Laser induced iritis

50 y.o. female with hx of LASIK & p/c IOL OS, complains of sudden onset of foggy vision OS.		 Ophthalmology 6 7

Sublingual frenulum - what is the Ddx?

33 year old male with no past medical history. Presents with a lesion on his sublingual frenulum for one week.		 Otolaryngology 8 7

Recurrent breast lesion

42 year old african lady presenting with a recurrent mass lesion on left breast.		 Oncology 8 15

Severe bilateral optic disc edema

A 37yo obese, white, Hispanic female presented to the hospital with a several month hx of headache- most recently accompanied by "blurry vision", intermittent horizontal diplopia, dizziness and nausea/vomiting.		 Ophthalmology 9 22

Isolated Q in III, what are your thoughts

59 yo male w/ HTN who had a EKG today that was normal excpet for a Q wave in III		 Family Medicine 8 35

Hyperthyroidism in the elderly

I commonly have senior citizens with a TSH that are in the .05-.15 range.		 Endocrinology 6 17

What is the best test for aneurysm screening?

55 year old lady with history of aneurysm as a child.		 Radiology 7 17

Generalized intensely pruritic vesicular rash

Afebrile, negative throat culture, negative Mono Spot x 2, WBC 15,000 with normal differential, rash is primarily trunk, back, hands and feet, all in similar phase of development.		 Infectious Diseases 4 7

New Cervical Cancer Screening Guidelines

After the new mammogram screening guidelines that were released yesterday, I just read about the new cervical cancer screening guidelines that ACOG released today.		 OBGYN 16 62

Penile Carcinoma

48 yo african american male, uncircumcised ,otherwise healthy. Presented with glans penis lesion and abdominal wall condyloma.		 Urology 15 18

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