How would you approach this case?
Love seeing the discussions you geniuses have about cases. So here is one I did a few weeks back. 55y 152kg M scheduled for Maxillectomy, Parotidectomy, neck dissection, and radial arm free flap. PMH: sub orbital SCC, IDDM (A1c 9.9), NAFLD s/p OLT about 7 years ago, moderate cervical stenosis on MRI, OSA (not on CPAP), HTN on beta blocker, HLD. No documented CAD, COPD, or CVA history. No known airway involvement by tumor, but physical exam shows Mallampati 4 PSH:OLT, Carpal tunnel, MOHS... How would you approach this case? (Source: Student Doctor Network)
Source: Student Doctor Network - July 31, 2020 Category: Universities & Medical Training Authors: thetoddJR Tags: Anesthesiology Source Type: forums
Head and Neck Adjuvant Case
I got a complicated head and neck SCC that had surgery at a (holier than thou) academic center for a T4N3M0 right base of tongue SCC. Primary tumor was extending from BOT to the posterior lateral oral tongue and involving floor of mouth. He had a CT neck and MRI prior to treatment, no PET. Extensive nodal involvement of Right IB,II, and III was noted with ECE and adherent to SCM. He underwent combined TORS and trans cervical resection of the primary as well as right radical neck dissection,... Head and Neck Adjuvant Case (Source: Student Doctor Network)
Source: Student Doctor Network - January 24, 2018 Category: Universities & Medical Training Authors: Haybrant Source Type: forums
Anyone @ DO school refuse getting cervical adjustment in OMM?
Just curious as to those at DO programs can you refuse to have cervical adjustment performed on you? I interviewed at both MD and DO programs this cycle, and liked everything about the DO programs except the OMM aspect. Granted, lumbar manipulation has some support in literature for treatment in lower back pain--but other than that not so much. I ask this because of the proven link between cervical manipulation and vertebral artery dissection with stroke. Assuming most medical students... Anyone @ DO school refuse getting cervical adjustment in OMM? (Source: Student Doctor Network)
Source: Student Doctor Network - April 13, 2017 Category: Universities & Medical Training Authors: McDreamy123 Source Type: forums