Contrast Allergy and SI joint injection
I have a patient with a true allergy to contrast. I'm planning to perform an SI joint injection for her. What would you guys do:
a) Do injection without contrast and utilize AP / lateral views with fluoro for needle confirmation?
b) Have her undergo pre-treatment for a contrast allergy prior to injection and then perform injection
c) Other
My gut say to just do it without contrast but I am interested in others thoughts/ experiences. (Source: Student Doctor Network)
Source: Student Doctor Network - August 10, 2017 Category: Universities & Medical Training Authors: EruditeDoc Source Type: forums
Official 2017-2018 Allergy/Immunology Thread
Anyone else applying? Good luck everyone! (Source: Student Doctor Network)
Source: Student Doctor Network - July 31, 2017 Category: Universities & Medical Training Authors: rolen05 Source Type: forums
Failed Step 2 CS? Please help!!
Hey all, just wanted to see what you guys thought of the mistakes I made during the exam.
In one encounter, pt told said he had an allergy to something but in my haste on the note, wrote that he had none...
In another patient I wrote that lungs were clear bilaterally in haste and bc of carelessness but when I was listening to lungs, the exam was hindered by a particular sign/symptom. Otherwise I documented the exam accurately. How much would they ding me for this?
So...
Failed Step 2 CS? Please help!! (Source: Student Doctor Network)
Source: Student Doctor Network - July 18, 2017 Category: Universities & Medical Training Authors: Jayhawkdoc91 Source Type: forums
Please gauge my situation!! :) And thoughts on Uniformed Service Med School
Here's my story. I have BS in Biology and entered with the intention of becoming a doctor. A few unfortunate personal issues resulted in a checkered undergrad transcript with 2.8 GPA, 3.2 in the sciences. I got discouraged and put off med school, but know that this is what I want now. I have a year of clinical experience working as a clinical allergy technician and loads of lab and research experience (although both were quite awhile ago, but still post UG). Returned Peace Corps...
Please gauge my situation!! And thoughts on Uniformed Service Med School (Source: Student Doctor Network)
Source: Student Doctor Network - July 10, 2017 Category: Universities & Medical Training Authors: aprilk85 Source Type: forums
The importance of “masked” food allergy to wheat
(Source: BMJ Comments)
Source: BMJ Comments - July 3, 2017 Category: General Medicine Source Type: forums
Referrals
Do you get a lot of patients needing to see allergists? If you do, do you let this go on for years (receiving allergy shots etc)? (Source: Student Doctor Network)
Source: Student Doctor Network - June 29, 2017 Category: Universities & Medical Training Authors: IzumioH20 Source Type: forums
Sir, do you think it could be allergies?
"I've got the sinus (yes, singular) again doc!"
Why is the suggestion that this "sinus infection" is really just allergies almost fightin' words? My area is notoriously bad for seasonal allergies but to ask most of my patients to try allergy medicine feels like I'm selling ice cubes to an Eskimo.
Mr X, I've seen you every May for the last 5 years for this same thing. You got a Zpack from the immediate care 3 weeks ago and are still no better. Have you tried Zyrtec, Claritin, Flonase, etc?...
Sir, do you think it could be allergies? (Source: Student Doctor Network)
Source: Student Doctor Network - May 27, 2017 Category: Universities & Medical Training Authors: mark v Source Type: forums
What do you do?
Patient presents to your office with a productive cough and occasional chest pain. Sats 90%, cxr shows LLL pneum. Confer with associate, admit to hosp. U note allergy to augmentin as it causes sob and facial swelling. Admitting orders keep sats >92%, Azithromycin 500 iv today and 250 dly, cbc cmp hscrp day, IV d51/2 ns @ 125/hr, rocephin 1 gram q 12h-aware pcn allergy, toradol iv 15mg q6h prn pain, ekg, trop. Shortly after initiation 2nd dose rocephin given patient becomes hypotensive and...
What do you do? (Source: Student Doctor Network)
Source: Student Doctor Network - May 12, 2017 Category: Universities & Medical Training Authors: DrCurious2 Source Type: forums
Self-prescribing
I'm starting my pgy1 year in July, and out of curiosity, I was wondering what the legalities / ethics is behind prescribing non-controlled substances to oneself. Ie. Flonase, or Claritin. Obviously not any super serious meds, and definitely not Benzos or opioids. Sorry for my ignorance; I know it's probably frowned upon, but prescribing allergy meds for myself seems very benign. I've read some posts here about self-prescribing, but they're circa 2009. I was wondering if laws / consensus has...
Self-prescribing (Source: Student Doctor Network)
Source: Student Doctor Network - May 5, 2017 Category: Universities & Medical Training Authors: sc1988 Source Type: forums
Interesting facts - related to veterinary med
I learned from a veterinarian that Collies have a high allergy rate for a majority of medicines especially if they have a specific gene mdr1. This occurs in 75% of both rough and smooth collies. If your dog has this they cannot pump specific drugs out of their brain and cause neurological defects and can result in death.
What interesting facts have you learned? (Source: Student Doctor Network)
Source: Student Doctor Network - March 27, 2017 Category: Universities & Medical Training Authors: Kota1000 Source Type: forums
CVS DURant
Heads up, there's a major DUR computer system update to take place soon.
Filled with mandatory DUR comment entry for completely irrelevant issues (day supply rounding, insurance limits, no allergy info, out-of date meds filled more than a year ago, etc.). There will be even more alert fatigue to sift through but on the plus side, there will be mandatory documentation for relevant drug issues.
Feel free to express any opinions, pent up rage, & frustration.
On the bright side, I don't...
CVS DURant (Source: Student Doctor Network)
Source: Student Doctor Network - March 21, 2017 Category: Universities & Medical Training Authors: RxVampire Source Type: forums
Allergies in halls
Forum: University of Birmingham
Posted By: heycupcake
Post Time: 07-03-2017 at 21:13 (Source: The Student Room)
Source: The Student Room - March 7, 2017 Category: Universities & Medical Training Source Type: forums
A Normal Boring Everyday Vet Clinic WW Sign-Up Thread
24 players max, 48 hour day/night cycles (I'll give deadlines once I figure'em out), real rules to come later. Don't expect the game to start for a day or two as I, well... make it. Ha.
Where the Wild Things Are
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3.
4.
Crunchy Stuff
5.
6.
7.
8.
Controlled Death
9.
10.
11.
12.
Allergies 101
13.
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15.
16.
UGH.
17.
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Slice 'n' Dice
21.
22....
A Normal Boring Everyday Vet Clinic WW Sign-Up Thread (Source: Student Doctor Network)
Source: Student Doctor Network - February 28, 2017 Category: Universities & Medical Training Authors: Trilt Source Type: forums
Guide to Nurse Job Interview
by Amy Turner (Posted Thu Feb 23, 2017 7:47 am) This guide will help future nursing school graduates. There will be more to add but it's a start.-Contents-I. What to wearII. What to BringIII. Questions to Expect From Your InterviewerIV. Questions You Should Ask Your InterviewerV. What Employers/Interviewers Look ForVI. Final WordsI. WHAT TO WEARLooking professional is important and that is one part of the battle. Your interviewer will be looking at how you dress, how you present yourself, eye contact, attitude, and a firm handshake all within less than a minute. Wearing jeans to an interview is already a red flag to your e...
Source: Med Student Guide - February 23, 2017 Category: Universities & Medical Training Source Type: forums
