Chronic cough question from Pulmonologist to GI doctors
Hello GI doctors I have an honest question about community GI setups regarding getting esophageal manometry and 24 hour pH probe Bravo studies. As a pulmonologist I see a lot of chronic cough. After I have gone through the checklist of asthma/COPD/bronchiectasis/structural lung disease and done all of my PFTs, FENOs, bronchoprovocation testing, and CT chests, I am often still confronted with GERD I barium esophagrams and at times I get lucky with GERD but this is not always the case... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - December 22, 2023 Category: Universities & Medical Training Authors: NewYorkDoctors Tags: Gastroenterology Source Type: forums

Croup fatality malpratice case aka the scourge of bad EM expert witnesses
Barking Cough [Fatality] Case #141 expertwitness.substack.com Tragic case. 7 yo with barky cough, benign presentation in the ED, diagnosed and treated for clinical croup, positve for flu B, later had a GAS necrotizing lung infection and fatality. Reading through the case, can happen to anyone, but was boiled my blood was reading through the plaintaiff's expert opinion. IM physician, EM boarded, ACEP and SAEM member, apparently teaches at an EM residency program - reports croup and influenza... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - January 25, 2023 Category: Universities & Medical Training Authors: pkwraith Tags: Emergency Medicine Source Type: forums

Urinalyses
UA is part of too many nursing-driven protocols at my shop. Cough and fatigue? ****in’ urinalysis. Epigastric abdominal pain? ****in’ urinalysis. Even some UA’s on chest pain’ers. Sometimes find myself unsure what to do with some of theses results—e.g. a positive nitrate or large leukocyte esterase + WBCs in patients with zero symptoms whatsoever. I know the sensitivity and specificity numbers (curious if those were derived from a symptomatic patient pop, or purely subsequent positive urine... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - December 2, 2022 Category: Universities & Medical Training Authors: watermanMD Tags: Emergency Medicine Source Type: forums

Re: A man in his 30s with recurrent cough, fever, dyspnoea, and chest pain
(Source: BMJ Comments)
Source: BMJ Comments - June 7, 2022 Category: General Medicine Source Type: forums

How to have smooth wake-ups?
CA-1 here. I’m trying to make my wake-ups smoother. I can time a wake up decently without issues, but I keep having about half the patients buck/cough during wake up? Any tips? I’ve thought it was because the tube was too deep, but then I started putting the tube shallower, then they wake up hoarse presumably because the tube was on the cords. I’ve considered pushing lidocaine to prevent bucking/coughing. Would that help? (Source: Student Doctor Network)
Source: Student Doctor Network - May 21, 2022 Category: Universities & Medical Training Authors: Dantrolene FC Tags: Anesthesiology Source Type: forums

How to do better on clinical reasoning for osce?
I did not perform too well on my school’s osce so the faculty wants me to do it again. It looks like I did well on interviewing and physical exams but I came up with wrong diagnoses/differentials based on what I have learned from my standardized patients during the interview. Are there any good resources out there that teach you how diseases typically present in patients? (ex : tuberculosis : hemoptysis, weight loss, night sweats, cough heart failure : exertional dyspnea, peripheral... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - May 2, 2022 Category: Universities & Medical Training Authors: taeyeonlover Tags: Medical Students (MD) Source Type: forums

Bronchiolitis Treatment? (When supportive is not the answer)
A 14-month-old male presents to the emergency department with fever, cough, and increasing difficulty breathing over the past 2 days. On physical examination, the child is in moderate respiratory distress with grunting and retractions. Auscultation of the lungs reveals diffuse expiratory wheezing. The most beneficial treatment for this child's respiratory difficulty is - amoxicillin - dexamethasone - diphenhydramine - prednisolone - albuterol This sounds like bronchiolitis to me (< 2y/o... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - February 20, 2022 Category: Universities & Medical Training Authors: hsk013 Tags: USMLE and COMLEX Step II Source Type: forums

Tons of weird symptoms
You guys seeing any of this? We are having many fold more young people coming in with just really weird symptoms. It's always "Chest pain, left toe pain, headache, and arm itchiness" "nausea, palpitations, left neck pain, and sore throat" "diarrhea, headache, and transient dizziness" " head pain, cough-asthma, bilateral knee, foot, arm pain" "shocks all over the body, left arm swelling" It's non stop. All in people between 20-40. They all have nothing. Our usual census is 120/day, we... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - September 5, 2021 Category: Universities & Medical Training Authors: thegenius Tags: Emergency Medicine Source Type: forums

Low UCAT Score?
Thread Starter Low UCAT Score? Follow 1 hour ago 1 hour ago Quote: ...
Source: The Student Room - August 26, 2021 Category: Universities & Medical Training Authors: n.m.m Tags: Medicine Source Type: forums

Re: Sixty seconds on . . . cough in a box
(Source: BMJ Comments)
Source: BMJ Comments - June 14, 2021 Category: General Medicine Source Type: forums

Should I retake the mcat?
What are your previous MCAT Score(s) (with section wise breakdown): first time: 510, 126/128/127/129, second time: 512, 129/128/126/129 What is your GPA (w/ Science GPA) (If relevant: trend, uGPA/grad GPA/postbacc GPA) cGPA 3.50, sGPA 3.35. Post bacc 3.9. I had whooping cough my first two years of college and got 4 Cs. I had a 3.5 my junior year and a 4.0 my senior year. I went to a top 5 Ivy. State/Country of residence (optional): DC lol Ethnicity (ORM/URM?): Caucasian... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - February 12, 2021 Category: Universities & Medical Training Authors: ems3069 Tags: MCAT: Medical College Admissions Test Source Type: forums

Re: A guttural cough
(Source: BMJ Comments)
Source: BMJ Comments - January 25, 2021 Category: General Medicine Source Type: forums