Recently accepted to medical school.. how competitive is this specialty for DO?
Hi, looking for some advice. I am currently in the med school application cycle and have been accepted by a DO program. A large part of my interest in medicine is having several family members affected by cancer and my best friend's battle with sickle cell anemia. Through shadowing and research experience at a med school this is a specialty I could see myself in. I have a few more interviews, but if granted no more acceptances, will it be an uphill battle for a heme/onc fellowship? Thanks in...
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Source: Student Doctor Network - October 13, 2023 Category: Universities & Medical Training Authors: TennCare Tags: Hematology / Oncology Source Type: forums
Question from EM - how do you differentiate liver disease vs hemolysis labs?
Hello IM friends, I am in EM and have a question that I think better fits your expertise. I've had several chronic alcoholic patients come in with a lab pattern of anemia, low platelets, and elevated bilirubin. I know this can be expected for some cirrhotics, but it is also the pattern that might prompt consideration of hemolysis/MAHA. What do you do in these situations to differentiate between the two?
I'm sure that sending a full hemolysis panel and smear would help guide us, but we...
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Source: Student Doctor Network - October 24, 2022 Category: Universities & Medical Training Authors: EMgordo Tags: Internal Medicine and IM Subspecialties Source Type: forums
CASPer Scenario For Discussion #41
Blood donations have fallen in the past year. One day on campus, a blood donation volunteer approaches your friend and you asking if you would like to donate blood. Your friend declines, saying that he is anemic (even though you suspect he is lying).
Do you believe you should say anything?
What are the ethics of this situation?
Is lying ever justifiable?
Discuss Below !!
This scenario is from PrepMatch.com, the free peer-to-peer CASPer preparation platform...
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Source: Student Doctor Network - August 23, 2022 Category: Universities & Medical Training Authors: PrepMatch Tags: Casper/Situational Judgement Tests Source Type: forums
interesting iron profile: microcytic anemia, normal transferrin, elevated Ferritin ?
Have you ever seen a profile like this:
decreased H/H (9s/20s)
decreased MCV (60s)
normal Iron (serum)
normal TIBC
normal transferrin sat
elevated Ferritin (500s) [with no other inflammatory signs/symptoms/findings]
I can't quite put my finger on what pathology this is (if any). Hemochromatosis would have an elevated transferrin, and not likely to have a microcytic anemia, right? Are there mutations where Ferritin can hang on to iron too well, depriving hemoglobin synthesis...
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Source: Student Doctor Network - January 17, 2022 Category: Universities & Medical Training Authors: DrMetal Tags: Internal Medicine and IM Subspecialties Source Type: forums
Leave of Absence- Emergency Surgery, Sepsis, and Shock
Just three short months ago, I had a colorectal surgeon incorrectly perform a surgery that caused me to lose half my blood volume, sending me into hypovolemic shock and sepsis. I received 4 units of blood transfusions and had a minor heart attack due to my HR being 180 BPM. I was sick, anemic, and had to have caregivers take care of me for two months and my hemoglobin just stabilized. Now that this happened, my school education is extended a year and I have to repeat withdrawn coursework...
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Source: Student Doctor Network - June 4, 2021 Category: Universities & Medical Training Authors: halfordwarlick Tags: Medical Students - MD Source Type: forums
Is "Choosing Wisely" (ordering less tests) legit or purely a money saving attempt?
From an individual patient care and liability standpoint - it makes more sense to order more tests (in general principle). But we have this notion being put forward to avoid asymptomatic screening tests out of fear that something may be positive. That's true to a degree but only if the positive result is of no consequence. For example, an asymptomatic CBC or CMP may reveal anemia that could be colon cancer or transaminitis that could be liver disease. A positive result will send you down the...
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Source: Student Doctor Network - January 4, 2021 Category: Universities & Medical Training Authors: MedicineZ0Z Tags: Family Medicine Source Type: forums
Cardiac Induction Case
For the students and residents.
70 something y/o pt for CABG.
EF 30-35%, pretty bad CAD. ESRD, last HD last night. Inpatient. Pt is tiny, and anemic to boot. Hct high 20s. Looks frail. Edentulous. Has that aura of "I'm gonna give you trouble today."
To the room and baseline SBP 180s. Induce gently and the pressures hold in the 100s throughout line placement. Yay, we're out of the woods I thought.
I thought.
Then all of a sudden the pressure drops to the 60s, and the sats drop to the...
Cardiac Induction Case (Source: Student Doctor Network)
Source: Student Doctor Network - September 6, 2020 Category: Universities & Medical Training Authors: Hawaiian Bruin Tags: Anesthesiology Source Type: forums
Re: Pernicious anaemia
(Source: BMJ Comments)
Source: BMJ Comments - June 14, 2020 Category: General Medicine Source Type: forums
Re: Pernicious anaemia - Serum B12 test has poor sensitivity
(Source: BMJ Comments)
Source: BMJ Comments - May 25, 2020 Category: General Medicine Source Type: forums
Re: Pernicious anaemia
(Source: BMJ Comments)
Source: BMJ Comments - May 13, 2020 Category: General Medicine Source Type: forums
Bladder Palliation Case
77 yo man pretty widely metastatic bladder CA (high burden of disease in the bladder) completed 4th cycle of gem/carbo just 1 day ago was referred for palliative RT bc of obstructive symptoms and significant bladder spasm pain; he had an indwelling catheter placed yesterday with relief of spasms, he has mild hematuria he is anemic to Hgb 8s has needed 1 transfusion a few weeks ago since then counts stable between 8-8.5. Would you offer palliative RT, would you wait bc of the gem and how long? (Source: Student Doctor Network)
Source: Student Doctor Network - December 27, 2019 Category: Universities & Medical Training Authors: Haybrant Tags: Radiation Oncology Source Type: forums
Is this significant enough to send an update?
So I just got promoted to supervisor at my current job and also start working part time as a community health worker where I work primarily with patients with sickled cell anemia. I have also took on some new volunteer roles where I have organized several community outreach events and making presentations at schools and large corporations about our nonprofit organization. Not sure if this is significant enough for an update pre-II. Any idea? Please don’t quote. Thank you (Source: Student Doctor Network)
Source: Student Doctor Network - December 11, 2019 Category: Universities & Medical Training Authors: CardioEnthusio15 Tags: Pre-Medical - MD Source Type: forums
Re: Reducing anaemia in low income countries: control of infection is essential . A few points: irrelevant perhaps?
(Source: BMJ Comments)
Source: BMJ Comments - August 3, 2018 Category: General Medicine Source Type: forums
Re: Reducing anaemia in low income countries: control of infection is essential
(Source: BMJ Comments)
Source: BMJ Comments - August 3, 2018 Category: General Medicine Source Type: forums
