Select one of the dissussions below to view a physician posting on Sermo.
| Title | Specialty | Votes | Comments | Rating |
|---|
To PCI or not to PCI; please, review your guidelines59y/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 iritis50 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 lesion42 year old african lady presenting with a recurrent mass lesion on left breast. |
Oncology | 8 | 15 |
Severe bilateral optic disc edemaA 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 thoughts59 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 elderlyI 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 rashAfebrile, 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 GuidelinesAfter 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 Carcinoma48 yo african american male, uncircumcised ,otherwise healthy. Presented with glans penis lesion and abdominal wall condyloma. |
Urology | 15 | 18 |
Vaginal estrogen in breast cancer - to give or not to give?I was asked by a 76 yo patient with G1-2 DCIS, ER strongly positive, if she can use Vagifem. |
Oncology | 13 | 25 |
Are Atypicals better ???Do you prefer atypical antipsychotics? |
Psychiatry | 25 | 54 |
New breast cancer screening recommendationsNow that the recommendations have been changed, will you adopt the changes? |
Surgery | 33 | 118 |
Visual loss after MI/stroke54 year old woman had a large MI four years ago, causing her to blow-out her mitral valve. She had to have a CABG and a mitral-valve repair. |
Ophthalmology | 7 | 17 |
Need endocrine help!60 y/o WF with long history of profound fatigue, myalgias, depression, obesity, elevated sed rate and CRP (with negative workup by rheumatology). |
Endocrinology | 8 | 22 |
Need Help! Urgent! Epistaxis on anticoagulation82 year old male admitted because of epistaxis. He is on coumadin because of AORTIC and MITRAL mechanical valve, was well as atrial fibrillation. |
Internal Medicine | 10 | 13 |
Antibiotics post-tonsillectomy? Do you or don't you....Do you routinely prescribe antibiotics to post-tonsillectomy patients? What do you use, and for how long? |
Otolaryngology | 11 | 38 |
Alternative for depakoteI have a patient who is true blue bipolar I and has been on depakote for many years. Unfortunately, she also has fatty liver, and recently her LFTs have begun to climb. |
Psychiatry | 14 | 33 |
Macrodantin in pregnancyAntibacterial Medication Use During Pregnancy and Risk of Birth Defects: National Birth Defects Prevention Study Export |
OBGYN | 13 | 37 |
Spongiotic Psoriasiform DermatitisPt is >50yo with >10year history of anal pruritis. Pt states it worsens with sweating and increased activity. |
Dermatology | 6 | 15 |
Hypogonadism78 yo who has IDDM and had a radical prostatectomy for prostate Ca. He complains of fatigue and lack of libido. |
Urology | 9 | 11 |
Resting and kinetic tremors on a 14 y/o male14 y/o white male, with no family history for movement disorders, noted to have tremors of bilateral hands when he was 2 y/o. |
Neurology | 8 | 8 |
Diaphragm spasms following Nissen?Recently repaired a moderately large HH with a lap Nissen and used Gore Bio-A to reinforce the diaphragm after suturing the crura closed. |
Surgery | 5 | 9 |
Total Knee Replacement, multiple medical issuesFifty-seven y/o male, 5' 8", 252 lb for left total knee. History of MI followed by 5 vessel CABG and internal defibrillator. |
Anesthesiology | 11 | 41 |
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