Select one of the dissussions below to view a physician posting on Sermo.
| Title | Specialty | Votes | Comments | Rating |
|---|
35 yom with parathyroid cancer-recurrent35 yom presented with neck mass, Calcium of 14 and PTHi level of 500 had large 8-10 cm parathyoid tumor removed |
Endocrinology |
3 | 20 |
Next best thing to doI have a new patient diagnosed with RR MS 5 years PTC, male, 44 y/o, Kurtzke 4, and has never been on interferon |
Neurology | 10 | 13 |
Bochdalek herniaHow would you manage a Bochdalek hernia in an 83yr old male? |
Surgery | 9 | 16 |
Monocular blindness in a 32 year oldI have a new pt in the hospital that has me stumped. 32 yo female, idopathic ESRD on HD since 08 |
Rheumatology | 16 | 41 |
Abnormal thyroid evaluation19 year helthy female presents with anxiety and rapid heart rate. Her thyroid is mildly enlarged but non-tender to palpation |
Endocrinology | 15 | 32 |
Familial hemiplegic migraineI had a patient recently discharged from the hospital with a diagnosis of familial hemiplegic migraine (FHM) |
Neurology | 10 | 18 |
Protein S Deficency: to anticoagulate or not60yo wf with otherwise robust health presented with need for refill on Coumadin |
Hematology | 13 | 46 |
tPa Administration in the ERColleagues, we are having ANOTHER controversy regarding stroke treatment. The issue concerns times when we cannot make it to the ER |
Neurology | 14 | 28 |
Swollen optic nerveA 34 year old male presented to our ER. He had a one day history of greyish spots in his right eye visual field |
Internal Medicine | 12 | 38 |
Elevated ferritin in patient with beta-thalassemia traitSo here's the scoop - a middle-aged man from Trinidad is noted to have microcytic indices on his CBC without anemia |
Hematology | 11 | 18 |
Acute Inflammation, cataract, glaucoma, and blindnessRM is a 63 y/o WM with 26 year history of DM which has been insulin-dependant, hypertension, hyperlipidemia, GERD |
Ophthalmology | 7 | 36 |
Pain after vasectomyHoping 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 ADHDIntuniv 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 workI 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 anesthesiaI 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 pregnancyI 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 carcinomaI 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 OCPsWhat 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 riskWe 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 bypassI saw a patient with refractory ulcers at anastomosis (at least 2 years). Had her surgery in 2002 |
Gastroenterology | 8 | 15 |
Unusual Rash60 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 syndrome50 y/o with pain/numbness on the metatarsals (bilateral), both lateral and medial, radiating to all toes |
Neurology | 7 | 6 |
Treatment for CataplexyI 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 ligament67yowf 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 amputation56 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 |
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