Case of the week 305
Multiple small worm-like objects were identified on endoscopic retrograde cholangiopancreatography (measuring approximately 5 mm - 8 mm in length) in a patient from Korea with recurrent right upper quadrant abdominal pain and a liver mass. One worm was removed and sent to the laboratory for identification, where it was stained (carmine stain) and mounted on a slide.20x total magnification 100x total magnification 400x total magnification 1000x total magnification (Source: Creepy Dreadful Wonderful Parasites)
Source: Creepy Dreadful Wonderful Parasites - May 26, 2014 Category: Pathologists Source Type: blogs
Hospitalist H&P: The Funny Abbreviated Version!
Here is an example of a hospitalist H&P in abbreviated template form. If you understand this history and physical format, you have definitely been in nursing or medicine for a very long time. Or you've got Savant syndrome. Probably both though. If any important details have been left out, leave your abbreviations in the comments below and they'll get added to the story. The goal here is to make this the most abbreviated hospitalist H&P in history.HPI: RUQ 12/10 ABD x 2 HRS. 4/10 W/ 2 MG MSO4ALL: NKDARX: ASA, FeSO4, HCTZ, MOM, NTG, TMP/SMX, MTX, MVI, ...
Source: The Happy Hospitalist - April 22, 2014 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs
MRCP: Stop Already.
Conclusions
MRCP has a high rate of false normal results compared with IOC and is not as accurate as more invasive techniques. There is no need for preoperative MRCP in patients with suspected choledocholithiasis caused by stones.
MRCP (magnetic retrograde cholangiopancreatography) is a costly imaging modality (although one would have no idea how much it costs due to pricing opacity and lack of published data---I spent 30 minutes googling "how much does an MRCP cost" without finding a reliable estimate, try it yourself). I have found it to be one of the most overused studies in modern American medicine. T...
Source: Buckeye Surgeon - March 23, 2013 Category: Surgeons Authors: Jeffrey Parks MD Source Type: blogs
MRCP: Stop Already.
ConclusionsMRCP has a high rate of false normal results compared with IOC and is not as accurate as more invasive techniques. There is no need for preoperative MRCP in patients with suspected choledocholithiasis caused by stones.MRCP (magnetic retrograde cholangiopancreatography) is a costly imaging modality (although one would have no idea how much it costs due to pricing opacity and lack of published data---I spent 30 minutes googling "how much does an MRCP cost" without finding a reliable estimate, try it yourself). I have found it to be one of the most overused studies in modern American medicine. Typica...
Source: Buckeye Surgeon - March 22, 2013 Category: Surgery Authors: Jeffrey Parks MD FACS Source Type: blogs
