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Title Specialty Votes Comments Rating

Brugada syndrome, depression, antidepressants - HELP!

19 yo Japanese exchange student with Brugada so bad he had a pacemaker implanted last year in Japan. Clinical depression diagnosed by me.		 Cardiology 9 15

Chronic rash

13 yr old who presented with itchy rash for 3 weeks rxed with topical steroids cream.		 Dermatology 4 17

Antibiotic induced mania

19 y/o WM on my unit with what appears to be a second episode of antibiotic induced mania.		 Psychiatry 15 30

Knee replacement...one or two?

68 year old female, BMI around 35 who has severe, significant valgus deforming OA of the knee, FINALLY agreed (should have done it at least 3-4 years ago) that she needs to have her knees done.		 Orthopaedics 6 21

Benzos in pregnancy

It seems like most people still err on the side of not giving any benzo to a pregnant patient. 		Anesthesiology 15 24

TIAs with occluded left carotid

73 year old male with no history of hypertension or smoking, excellent LDL (57) on minimal dose of Zocor, sutained 2 TIAs within 48 hours, with expressive aphasia and mild right-sided motor deficit.		 Neurology 8 22

Extensive vascular birthmarks in newborn

Saw term newborn at hospital today with extensive vascular birthmarks. They are all flat and red/burgundy.		 Pediatrics 8 22

63 yo 5'9" 220 lb male with mild cholecystitis and a AAA

63 yo 5'9" 220 lb male with a diagnosis of cholecystitis added on to the OR schedule for a lap. chole. In the hall, the surgeon states : by the way, he has an 8 cm AAA found on US.		 Anesthesiology 16 62

Rapid Onset of TD (?) in pt with delusional d/o and f/h PD

40y/o employed SF w/ 1 prior episode depression, no p/h SUD or known med px, who presented w/ delusional parasitosis and s/s MDD.		 Psychiatry 16 38

Misdiagnosed Triceps Rupture

40 year old male who was trying to lift a 200 lb tool with a co-worker 8 weeks ago when he felt a pop in his right elbow.		 Orthopaedics 5 17

23 y/o HIV+ ataxia and encephalopathy

23 y/o 6 months ago had a 1-2 day onset encephalopathy, fever, pneumonia discovered soon after admit. Ataxia developed soon after, and a worsening encephalopathy.		 Neurology 12 21

LUQ veress entry during laparoscopy

I have patient with an umbilical hernia so an LUQ entry is planned.		 OBGYN 6 22

Head Tremors

2 months history of Isolated head tremor without tremor in limbs or voice in a 45 -y old woman on Prozac for depression.		 Neurology 10 34

To ARB or not to ARB

56 yo female type 2 Diabetic. She is very well controlled with metformin, diet and exercise. Her A1c is 5.6, her BP is 120's/70s and has been that way consistently.		 Endocrinology 9 16

29 YO F with Nail Changes

29 yo woman, excellent health, no meds except vits & Mirena IUD, nail changes beginning relatively suddenly on both thumbs.		 Dermatology 16 22

68 Y/O Male with High CPK

I have a 68 y/o man who considers himself an athlete. Plays tennis and golf. He is overweight and drank and smoked heavily till 1 year ago.		 Internal Medicine 16 29

Solutions for bladder spasms following TURP

63 y/o male with BPH developed urinary retention x6 weeks. Since TURP 15 days ago he has experienced severe disabling bladder contractions and spasms.		 Urology 12 27

14 year old with CPK 65,000 need differential

A 14 y/o male presented to the ER with bilateral arm pain and weakness.		 Family Medicine 17 43

Patient Case: Elevated CEA - What should be done?

65 year old woman with FUO. She has a past medical history of chronic liver disease with cirrhosis.		 Gastroenterology 9 11

Breathing treatments in OR

What do other people do to give breathing treatments in the OR?		 Anesthesiology 13 27

Empirical Therapy for H1N1 with pneumonia

Our rural Hospital has turned into a MASH unit for Influenza this week. On Sunday we registered 100 patients in 2 hours; this is normally our 24 hour volume.		 Emergency Medicine 14 11

Do you diagnose it outright or suggest the diagnosis?

A 50 year old prisoner was seen by the jail doctor. The doctor stated that the patient had cervical lymphadenopathy, bilateral.		 Pathology 12 24

55 YO F with invasive mammary carcinoma

55 year old female with invasive mammary carcinoma (lobular type) with positive margins on lumpectomy, clear margins on mastectomy, lymphovascular invasion (focal) and negative sentinal node.		 Oncology 12 19

Weakness after full reversal of Rocuronium

50 yo male with moderate CHF (35%-40%) presented for vascular angiogram and endovascular repair of AV fistula.		 Anesthesiology 11 40

Best anti-psychotic during pregnancy?

I have a 30yr old patient who recently discovered she is pregnant. She is diagnosed with Shizophrenia and was receiving...		 Psychiatry 12 37

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