Steroid allergy
Hi team, I have a patient who has anaphylactic reaction to an IM steroid 10 years ago- details unknown but good history including ICU stay for 3 days.
Do you guys have allergist that test for Depomedrol/ decadron/ Kenalog?
What other options for epidural
Thanks (Source: Student Doctor Network)
Source: Student Doctor Network - February 11, 2020 Category: Universities & Medical Training Authors: med7343 Tags: Pain Medicine Source Type: forums
A patient ’s drug allergies: a doctor’s responsibility from Day One
(Source: BMJ Comments)
Source: BMJ Comments - February 6, 2020 Category: General Medicine Source Type: forums
Dyspnea And Skin Discoloration In A Transplant Patient — What’s The Cause?
What medication is associated with this patient’s presentation?
A 41-year-old male patient presents to the emergency department with dyspnea, headache, vomiting, and weakness. He had a kidney transplant nine years ago, and has been on a stable anti-rejection regimen. He has allergies to ciprofloxacin and trimethoprim-sulfamethoxazole. Physical examination reveals gray-blue discoloration of the nose, fingers, and toes. A chest X-ray and ECG are both unremarkable. Arterial blood gas...
Dyspnea And Skin Discoloration In A Transplant Patient — What’s The Cause? (Source: Student Doctor Network)
Source: Student Doctor Network - January 23, 2020 Category: Universities & Medical Training Authors: CaffeinatedSquirrel Tags: Educational Quizzes and Case Studies Forum Source Type: forums
Peri-operative Antibiotics question
Hello all, I have a question I'm not sure about the answer or where to post on the forum.
Patient is going to have knee replacement and has penicillin allergy, although he is stable on cephalexin. What would be the best antibiotic to use peri-operatively? Choice of antibiotics: cefazolin, vancomycin, clindamycin. I was thinking cefazolin because it's a 1st gen like cephalexin, but a friend argued for vancomycin. What do you guys think? (Source: Student Doctor Network)
Source: Student Doctor Network - January 19, 2020 Category: Universities & Medical Training Authors: pharmdguy18 Tags: Pharmacy Source Type: forums
Sulfa allergy -Meloxicam
Hey guys, had a patient with sulfa/sulfonamides allergy who I dispensed Meloxicam.
Pt states that sulfa is in meloxicam structure so she is having anaphylactic reaction due to taking Meloxicam 8 hours earlier
I checked Lexicom/Clinical pharmacology, and I just cant find it being as contraindication...
Of course, pt is threatening to go to a hospital/sue/etc...
Am I overlooking it as a contraindication? Can you guys double check me? (Source: Student Doctor Network)
Source: Student Doctor Network - January 19, 2020 Category: Universities & Medical Training Authors: jmail Tags: Pharmacy Source Type: forums
Tape / adhesive allergy
I have a patient interested in an SCS trial but has a severe allergy to tape/adhesives including paper tape. When she had back surgery about three years ago, the adhesive from the dressing caused her significant dermatitis that still persists along her low back. Any thoughts on how to protect the leads during the trial and potential dressing ideas for the potential implant? Thanks! (Source: Student Doctor Network)
Source: Student Doctor Network - January 2, 2020 Category: Universities & Medical Training Authors: gaseous_clay Tags: Pain Medicine Source Type: forums
Pt. Has twitching eye after NSRCT #12
Hi everyone,
D3 here.
I completed RCT on #12 a couple weeks ago, and my pt. has a CC two weeks later of “his eye is twitching” on the ipsilateral side of injection and his eye has not stopped since the day of the procedure
Pt. Reports no allergies, med hx is remarkable, denies social use of alcohol, drugs and tobacco. BP is in elevated range and has no hx of surgeries.
Dental hx: pulpitis and symptomatic apical periodontitis on #12 and several various lesions upon clinical exam. No...
Pt. Has twitching eye after NSRCT #12 (Source: Student Doctor Network)
Source: Student Doctor Network - December 20, 2019 Category: Universities & Medical Training Authors: Needmyphone Tags: Dental Source Type: forums
( not sure if I post this here?) I'm a premed on the interview trail. What does time off as an attending look like?
Hi everyone,
I'm a pre-med on the interview trail. I'm looking to practice an Outpatient based specialty, like primary care or an IM based specialty like allergy and immunology.
What could time off as a doctor look like? I want to be able to take a couple of weeks in blocks so that I can visit my relatives overseas. As well as take time off during Ramadan, or even just take a lighter load of patients for that time.
Is it doable? I think I would go into private practice, but I would like...
( not sure if I post this here?) I'm a premed on the interview trail. What does time off as an attending look like? (Source: Student Doctor Network)
Source: Student Doctor Network - December 10, 2019 Category: Universities & Medical Training Authors: mwsapphire Tags: Pre-Medical - MD Source Type: forums
IM subspecialty competitiveness
Thought it would be interesting to see how the competitiveness of each field has changed.
Percent of applicants who matched to the specialty, listed in order of descending competitiveness:
1. Gastroenterology - 62.8%
2. Pulmonology/Critical Care - 69.5%
3. Rheumatology - 71.3%
4. Cardiovascular Disease - 72.8%
5. Hematology and Oncology - 77.4%
6. Allergy and Immunology - 83.9%
7. Endocrinology - 87.1%
8. Hospice and Palliative Medicine - 87.2%
9. Geriatrics (Internal Medicine) - 90.7%
10...
IM subspecialty competitiveness (Source: Student Doctor Network)
Source: Student Doctor Network - December 8, 2019 Category: Universities & Medical Training Authors: chromaticscale Tags: Internal Medicine and IM Subspecialties Source Type: forums
COMLEX Scores for Allergy/Immuno and Rheum
Hi. Currently 2nd year in Osteopathic med school. Interested in Allergy/Immuno and Rheum. I am aware that this is fellowship after IM.
Wanted to know how competitive it will be for a DO student. I do not plan to take USMLE, just COMLEX since I will have to do IM to reach specialization. I am just curious if anyone has info on board scores cause I can't find anything online for those fields for COMLEX scores. (Source: Student Doctor Network)
Source: Student Doctor Network - October 9, 2019 Category: Universities & Medical Training Authors: PushupsForAll Tags: Medical Students - DO Source Type: forums
Gadolinium fatality
I have been using in patients with iodine allergies for ESI/TFESI
See the attached case report.
They inadvertently injected intrathecal during MILD, and the patient died.
Amazingly, it was only 5cc of contrast.
What are your thoughts? (Source: Student Doctor Network)
Source: Student Doctor Network - August 28, 2019 Category: Universities & Medical Training Authors: Timeoutofmind Tags: Pain Medicine Source Type: forums
Does anyone else find it crazy how most specialties are stratified?
So hear me out. While doing an analysis of all the specialties, I’ve come to a conclusion. It seems like all the “cool” specialties have really long training times and long hours in addition to being super competitive (surgical specialties, IR, and other procedure-heavy fields), the ones that allow you to make ridiculous money but be bored at work are really competitive (derm, rads/radonc, allergy, optho), and then once people find out about how much you can make in a “less competitive”...
Does anyone else find it crazy how most specialties are stratified? (Source: Student Doctor Network)
Source: Student Doctor Network - August 10, 2019 Category: Universities & Medical Training Authors: CidHighwind Tags: Medical Students - MD Source Type: forums
pcn allergy and keflex
If your surgeon is insistent wanting to give keflex, how much of a fight do you put about about giving it to a pcn allergic (hives etc) pt? (Source: Student Doctor Network)
Source: Student Doctor Network - July 30, 2019 Category: Universities & Medical Training Authors: caligas Tags: Anesthesiology Source Type: forums
Official 2019-2020 Allergy/Immunology Fellowship Match Cycle
Hello all! Med-Peds candidate here who will be applying for A/I fellowships next week. Let's post our updates on invites and questions here. (Source: Student Doctor Network)
Source: Student Doctor Network - July 25, 2019 Category: Universities & Medical Training Authors: mrmatt Tags: Other Subspecialties Source Type: forums
MBA during fellowship?
Hello all, I'm a med peds resident who will begin an Allergy/Immunology fellowship next year (location TBD). I have grown more and more interested in health systems and the role of technology in patient care. I'd ultimately like to end up in a leadership role in my division or within a large health center. Given these interests and goals I've been considering pursuing an MBA. I wanted to see if anyone has done an MBA as part of fellowship? I am applying to some of the M7 fellowship programs...
MBA during fellowship? (Source: Student Doctor Network)
Source: Student Doctor Network - July 19, 2019 Category: Universities & Medical Training Authors: mrmatt Tags: Med Business [ MD/MBA, DO/MBA, DDS/MBA ] Source Type: forums
