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Title Specialty Votes Comments Rating

Would you perform a tubal ligation in this patient?

I have a 51 yr old G4P4 . Patient has menorrhagia X 2yrs no metrorrhagia . PAP , EMB,TSH,PELVIC US were normal.		 OBGYN 6 38

Bipolar disorder II vs. agitated major depression

Hi this is a basic question and case but I'd like to better hone my diagnostic skills, so I'd appreciate all of your experiences.		 Psychiatry 10 28

Thoracic epidural, liver case

For starters, this was to be laparoscopic......50 something male, approx 80kg with bleeding hepatic mass. Received 8 units PRBC		 Anesthesiology 7 27

r ovarian vein thrombosis

healthy, monogamous, nl weight 29 yo g6p3sab3, 2 years post partum with a history of CIS vs CIN3 and conization		 OBGYN 6 13

Radial artery causing lump?

Have a 30y/o M presents with "bump" on volar aspect of L wrist. It is pulsatile, presents because of pain, but only with palpation, does not seem		 Plastic Surgery 6 7

Repigmented Skin Lesion

Received skin biopsy from 20 year-old male. Lesion was from the arm and labelled "Repigmented Skin Lesion." History was that of a pigmented		 Pathology 5 11

Should the tonsil fossa be closed following tonsillectomy?

Extracapsular tonsillectomy has not changed for years. Methods include scalpel, bovie, laser, harmonic scalpel and radio frequency devices, but		 Otolaryngology 6 16

Epidural v. Delivery Neuropathy

Placed a labor epidrual in a 25 yo G2P1 5'6" 159# female with uncomplicated pregnancy. Epidural placed without difficulty, but		 Anesthesiology 14 31

Where is the lesion?

63 year old male (longtime patient of one of my partners) made it onto my schedule today. He has a long history of type II diabetes		 Neurology 9 16

Preventing C diff colitis: Which antibiotics lower risk?

When a patient with a recent history of recurrent C diff really needs antibiotics, how much does the choice of antibiotics matter?		 Infectious Diseases 11 13

102. 6 F in a NewBorn

Full term baby boy, born via C/Section (failed VBAC) Rupture of membranes for 10 hours 20 year old G2P0 mom with good antenatal care		 Pediatrics 9 17

37yo male UTI and h/o urethral strictures

37yo male h/o urethral strictures s/p 5 dilatations. First procedure in mid-20s last procedure last year. 104 fever		 Urology 6 2

17 yo adolescent male developed dyskinesia on Abilify

Tapered off, movements worse. This has happened in past and added Seroquel based on anecdotal report of improving dyskinesias and it worked.		 Psychiatry 10 9

High PTH, normal Calcium, severe osteoporosis

My patient is a 67 yo female, admitted with pain from multiple, non-traumatic bone fractures- pelvic rami, sacrum. A DEXA from 1 month ago showed severe osteoporosis (T scores around -2.9)		 Endocrinology 4 3

Flumist vs Inactivated flu vaccine

NEJM reports that Flumist is only 50% as effective in adults (based on a four month 2007/2008 study predominantly on Influenza A. We just ordered a bunch of Flumist... 		Infectious Diseases 9 21

84 year old woman with follicular lymphoma, base of tongue

I'm seeing an otherwise healthy 84 year old woman who has had a slowly growing mass of the base of her tongue for at least a year, now causing dysphagia. The biopsy shows grade 1-2 follicular lymphoma...		 Oncology 16 23

Interstitial cystitis

Let me start off by saying I hate IC! But I have a 24 y.o. female G1P1 s/p hysterectomy for endometriosis presents to me with classic IC symptoms...		 Urology 12 29

Advice on Starting a Practice

I am in the early planning stages of starting a specialty practice. I have 2 non-physician, non-professional coworkers who are hard working and enjoyable, honest people...		 Practice/Business Mgmt 19 24

Anti nausea drugs in pregnancy

What anti nausea drugs are safe in the 1st trimestor and beyond?		 OBGYN 14 29

Is this Psoriasis?

44 year old female has had patchy, scaly lesions on her elbows that started 8 years ago. They have thickened over time and now are presenting as two distinct lesion on each elbow.		 Dermatology 10 25

2 mo old w/ unconj. hyperbilirubinemia

I'm getting an abdominal ultrasound but wondered what other workup folks would recommend		 Pediatrics 9 40

Sermo Case Conference in Oncology: 56 YO M c metastatic SCLC

CC:Partial response to chemotherapy. Sent for consideration of prophylactic cranial irradiation		 Case Conference 11 22

Down's syndrome and Hyperlipidemia

Does Down's syndrome in and of itself predispose to Hyperlipidemia? My (albeit brief) lit. search revealed nothing to suggest that it did.		 Pediatrics 19 14

Hepatitis C Diagnosis

I've had a few patients screened due to sexual contact or workplace exposures to Hepatitis C that have come back anti-HCV antibody positive		 Infectious Diseases 8 6

78 YO female with dark urine, itching, nausea

78 YO pleasant female with past medical history prominent for but is not limited to H/O left side breast cancer for which she had left side mastectomy		 Case Conference 10 13

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