ESP block
Seeing more and more in the literature. Several nice benefits. Used it again today: surgeon unexpectedly opened up a lap choley and pt had huge incision just under rib cage and I wasn’t sure if TAPS would do it. 0/10 pain in pacu. Even witnessed him cough without flinching a bit and ask for more ice chips. Other cases I’ve used it in: thoracotomy (lung, lvad, mini mitral), mastectomy, combined open liver + bowel resection Are you guys incorporating this more? Has it gained any... ESP block (Source: Student Doctor Network)
Source: Student Doctor Network - April 16, 2019 Category: Universities & Medical Training Authors: anes121508 Tags: Anesthesiology Source Type: forums

Re: Tests for diagnosing and monitoring non-alcoholic fatty liver disease in adults
(Source: BMJ Comments)
Source: BMJ Comments - August 31, 2018 Category: General Medicine Source Type: forums

Re: Mortality due to cirrhosis and liver cancer in the United States, 1999-2016: observational study
(Source: BMJ Comments)
Source: BMJ Comments - August 30, 2018 Category: General Medicine Source Type: forums

Which three organs are most likely to be by ADRs
Thread Starter Which three organs are most likely to be by ADRs Follow 3 hours ago 3h ago Stomach,brain liver,lungs or heart (Source: The Student Room)
Source: The Student Room - August 10, 2018 Category: Universities & Medical Training Authors: Dijana Tags: Medicine Source Type: forums

Etiological diagnosis of non-alcoholic fatty liver disease to avoid disease mongering.
(Source: BMJ Comments)
Source: BMJ Comments - August 8, 2018 Category: General Medicine Source Type: forums

Re: Mortality due to cirrhosis and liver cancer in the United States, 1999-2016: observational study
(Source: BMJ Comments)
Source: BMJ Comments - August 3, 2018 Category: General Medicine Source Type: forums

Consider dietary carbohydrate intake as a potential cause of non-alcoholic fatty liver disease in adults
(Source: BMJ Comments)
Source: BMJ Comments - July 30, 2018 Category: General Medicine Source Type: forums

Re: Tests for diagnosing and monitoring non-alcoholic fatty liver disease in adults
(Source: BMJ Comments)
Source: BMJ Comments - July 18, 2018 Category: General Medicine Source Type: forums

Help with Odds ratio and confidence interval
Thread Starter Help with Odds ratio and confidence interval Follow 3 hours ago 3h ago I am writing my exam on liver biopsies and the chance for bleeding. One article has researched this and has presented their results in form of odds ratio and confidence interval. I have no idea what they mean. They m...
Source: The Student Room - June 4, 2018 Category: Universities & Medical Training Authors: Kragern Tags: Medicine Source Type: forums

Help with odds ratio and confidence interval
This article made a risk score to try to predict bleeding. They write: "The INR value was devided into bands on 2.0. The INR bands had a significant prediction of bleeding (p
Source: The Student Room - June 3, 2018 Category: Universities & Medical Training Authors: Kragern Tags: Medicine Source Type: forums

Help on diagnostic sensitivity and specificity
Thread Starter Help on diagnostic sensitivity and specificity Follow 2 hours ago 2h ago I am currently writing my exam on liver biopsy. One article has presented their results with sensitivity and specificity. The article's objective is to find risk factors that can predict bleeding after biopsy. One exa...
Source: The Student Room - June 2, 2018 Category: Universities & Medical Training Authors: Kragern Tags: Medicine Source Type: forums

Help on sensitivity and specificity
Thread Starter Help on sensitivity and specificity Follow 2 hours ago 2h ago I am currently writing my exam on liver biopsy. One article has presented their results with sensitivity and specificity. The article's objective is to find riskfactors that can predict bleeding after biopsy. One example from th...
Source: The Student Room - June 2, 2018 Category: Universities & Medical Training Authors: Kragern Tags: Medicine Source Type: forums

whats internal med like?
I'm a pre med with 2 years of college to go and I just want to be sure this is what I want to do before I commit my whole degree to it.... I'm interested in helping people with liver and kidney problems so internal medicine really interests me. I'm also interested in cancer. basically I'm curious what is a work day like for an internal med doctor? I know they can work 7 on and 7 off and I'm interested in how many hours you work a week.. but I mostly want to know what do you do? how does... whats internal med like? (Source: Student Doctor Network)
Source: Student Doctor Network - May 12, 2018 Category: Universities & Medical Training Authors: Fisherman900 Source Type: forums

plasma in electrophoresis
Thread Starter plasma in electrophoresis Follow 10 hours ago 10h ago we performed an experiment using an electrophoresis and Staining of LDH Isoenzymes from Tissue Homogenates and Plasma. but the plasma did not show up on the gel, only the heart, liver, and kidney did. my main question is why didnt plasm...
Source: The Student Room - May 8, 2018 Category: Universities & Medical Training Authors: B.mary123 Tags: Medicine Source Type: forums

Why do we still use the PPD? And give liver toxic drugs because of it?
To step foot in a hospital, you need a PPD. But why? We have a vastly superior test (the Quantiferon) for one. But also, the PPD is a pretty crappy test given its complications. We have the BCG cohort who all seem to magically have gotten TB and should be handed a liver toxic drug because their PPD vaguely read 1mm over debatable cutoffs. Anyone who isn't an ID doc seems to strongly defend whereas the ID docs will point out the high risk of false positives. My point being, why can't we... Why do we still use the PPD? And give liver toxic drugs because of it? (Source: Student Doctor Network)
Source: Student Doctor Network - April 17, 2018 Category: Universities & Medical Training Authors: MedicineZ0Z Source Type: forums

Why are MRI images reversed?
Hello everyone. For the life of me I can’t figure out why left on an MRI is the patients right and vice versa. If we look at he images below, this is how I see it. I have flipped the image so the liver is on the right. So how exactly does an MRI produce an image which is in that orientation? Thank you! (Source: Student Doctor Network)
Source: Student Doctor Network - April 10, 2018 Category: Universities & Medical Training Authors: yhboi69 Source Type: forums

NBME 17 Question - Acetaminophen Toxicity
A 20-year-old man is brought to the physician because of a 4-hour history of abdominal pain, nausea, and vomiting. He says that he had been drinking ethanol heavily all weekend, and he took three doses of acetaminophen within two hours after the onset of a severe headache Monday afternoon. This patient is at increased risk for liver injury because of which of the following actions of ethanol? A) Activation of IgE-mediated mast cell degranulation B) Decreased acetaminophen clearance via... NBME 17 Question - Acetaminophen Toxicity (Source: Student Doctor Network)
Source: Student Doctor Network - April 6, 2018 Category: Universities & Medical Training Authors: bananafish94 Source Type: forums

Is Hospice/Palliative Care a back door to Opioids?
I'm seeing PCP's really stretch the criteria for palliative care referrals for patients--usually elderly patients with ESRD, CHF, or Liver failure and other "altered comfort" diagnoses. I think its a back door to opioids. (Source: Student Doctor Network)
Source: Student Doctor Network - March 13, 2018 Category: Universities & Medical Training Authors: drusso Source Type: forums

Gastric cancer local spread
Hey, FA states; "Early aggressive local spread with node/liver metastases" for gastric cancer. What does that mean exactly? Does this mean that for every type of gastric cancer, if metastasis to the liver or local nodes (e.g. sister Mary Joseph nodule but NOT Virschow node as that is distant) then the gastric cancer is early in progression but is aggressive. Did I interpret that correctly? (Source: Student Doctor Network)
Source: Student Doctor Network - January 27, 2018 Category: Universities & Medical Training Authors: Lothric Source Type: forums

Usc dpt
Hello my fellow comrades, I recently got accepted into USC DPT program and others as well. I express a strong interest in staying California, and USC is apparently the only choice that I have. However, the school's tuition is gargantuous! I was wondering if anyone would give me some insight whether the quality of education that you receive is worth my 2 kidneys & liver? (Source: Student Doctor Network)
Source: Student Doctor Network - January 14, 2018 Category: Universities & Medical Training Authors: Bleach Tastes OK Source Type: forums

Prescription Pad Writing Software: Safety Measures
Prescription Pad Writing Software developed by CompuRx Infotech Pvt. Ltd. is having the ability to check for drug or brand safety in common conditions like pregnancy, lactation, children, elderly as well as in condition of liver insufficiency, renal insufficiency & pulmonary insufficiency. Safety check at individual disease level like in case of G6PD(40 drugs contraindicated), PORPHYRIA ( 223 drugs contraindicated ), HYPERTENSION, COPD etc. is also possible with this software.... Prescription Pad Writing Software: Safety Measures (Source: Student Doctor Network)
Source: Student Doctor Network - January 12, 2018 Category: Universities & Medical Training Authors: Compurx Source Type: forums

Redosing meds
What do you guys generally do in terms of redosing medications after major blood loss and transfusion? For example when you lose 1 blood volume and tranfuse it. Do you redose your antibiotics? Paralytics? Sedatives? What if you give a lot of albumin? (such as in liver patients). Do you then give more of medication that are highly protein bound? (Source: Student Doctor Network)
Source: Student Doctor Network - December 14, 2017 Category: Universities & Medical Training Authors: waterbottle10 Source Type: forums

Is this difference between nurse and doctor correct?
Thread Starter Is this difference between nurse and doctor correct? Follow 5 hours ago 5h ago Quote: Originally Posted by Ray. I read in ISC medical book that one differwnce between a nurse and a doctor is that doctors had a wider knowledge of clinical issues whilst...
Source: The Student Room - December 11, 2017 Category: Universities & Medical Training Authors: nexttime Tags: Medicine Source Type: forums

Fatty liver and deficiency of essential fatty acids
Hello, My biochemistry book says that deficiency in essential fatty acids produces fatty liver. I don't understand how, could someone explain it for me? Thanks in advance! (Source: Student Doctor Network)
Source: Student Doctor Network - November 10, 2017 Category: Universities & Medical Training Authors: Akam ahz Source Type: forums

Do I have enough points to apply for medicine at Liverpool?
Thread Starter Do I have enough points to apply for medicine at Liverpool? Follow 1 Hour Ago 1 hour ago Quote: Originally Posted by Shane_laverty779 At GCSE I got: 1A* , 7A's and 1B. For medicine at Liverpool you need 15 points to apply, I have got 17. The maximum a...
Source: The Student Room - November 5, 2017 Category: Universities & Medical Training Authors: Aisosa Tags: Medicine Source Type: forums

Acrocyanosis vs ischemia
Why doesn't we see cyanosis in the visceral organs during stenosis (ischemia) (liver, heart,spleen...) like in the skin during some time after vasospasm (Raynaud synfrome) or due to some other cause of permanent stenosis/ischemia (peripheral arterial occlusive desease)? Sorry for stupid question( After all, pathogenesis is the same. (Source: Student Doctor Network)
Source: Student Doctor Network - September 9, 2017 Category: Universities & Medical Training Authors: NewYorkCity11 Source Type: forums

Allowing transferred patients to drive self
I had a case tonight i wanted to ask yall about. On my shift tonight, i had a patient who happened to be a floor nurse at my hospital. He was sp gsw to chest with hemo/pneumo and liver injury. He was exlap'ed at a local trauma center with chest tubes and went home 2 weeks ago. Came to hospital to work tonight and was sent home for low volume on floors. Decided to come to ED due to drainage at chest tube site. Also had pleuritic cp and mildly tachy. Got a Ct angio which shows loculated... Allowing transferred patients to drive self (Source: Student Doctor Network)
Source: Student Doctor Network - August 19, 2017 Category: Universities & Medical Training Authors: pratik7 Source Type: forums

Anyone ever had a 'spotty liver' on a scan
Forum: Health Posted By: Swagio Post Time: 04-07-2017 at 01:12 (Source: The Student Room)
Source: The Student Room - July 4, 2017 Category: Universities & Medical Training Source Type: forums

Book recommendations for A-Level students.
Thread Starter Book recommendations for A-Level students. Follow 1 week ago 1w ago Quote: Originally Posted by dp00 Hey! Umm, stuff on being a junior doctor, cancer, and the thought processes behind diagnosis Confessions of a GP by Benjamin Daniels is a...
Source: The Student Room - June 25, 2017 Category: Universities & Medical Training Authors: Angury Tags: Medicine Source Type: forums

WAMC?- 3.44cGPA 3.19 sGPA 519 MCAT
3.44 cGPA and 3.19 sGPA 519 (130 chem/phys 130 CARS 131 bio 128 psyc/soc) NC White UNC Chapel Hill CNA I certified, 70 hours; 1 week medical mission trip to Ecuador freshman year First author publication in vascular pharmacology (research I did was in Rome); author in abstract (also Rome); (potential for name in publication for work I’m doing this summer, in NY) shadowing liver transplant dr for 2 months (he told me I might be able to medscribe- would be... WAMC?- 3.44cGPA 3.19 sGPA 519 MCAT (Source: Student Doctor Network)
Source: Student Doctor Network - June 12, 2017 Category: Universities & Medical Training Authors: russon12 Source Type: forums

Undergraduate Liver Function Tests With Respect To Wilson's Disease
Forum: Biology, biochemistry and other life sciences Posted By: Scienceisgood Post Time: 11-05-2017 at 16:37 (Source: The Student Room)
Source: The Student Room - May 11, 2017 Category: Universities & Medical Training Source Type: forums

Undergraduate Liver lobules and portal triads
Forum: Biology, biochemistry and other life sciences Posted By: white_o Post Time: 07-05-2017 at 23:53 (Source: The Student Room)
Source: The Student Room - May 8, 2017 Category: Universities & Medical Training Source Type: forums

Non competitive pediatric fellowship for non us residency applicatant
Hello I am asking for a friend who has ecfmg and wants to know the Non competitive pediatric fellowship for non us residency applicant He got pediatric residency from Egypt and looks for fellowship especially gi or hepatology or liver transplant fellowship that can accept his condition Thanks (Source: Student Doctor Network)
Source: Student Doctor Network - April 5, 2017 Category: Universities & Medical Training Authors: dr alanine Source Type: forums

Shock Journal Club
You're an intern in the ED and the place is bumping, filled with your typical drunks, worried well and sick people. A new patient is brought through the doors and assigned to you. 70 yo female, history of metastatic colon cancer with mets to brain, adrenals, bone, liver, dm2, htn biba to ED with decreased mental status, baseline a&ox3. Has been receiving palliative chemotherapy and steroids in the outpatient setting, last one was a week ago. T: 100.6 P 105 BP 86/56 RR 14 SpO2 97% on RA... Shock Journal Club (Source: Student Doctor Network)
Source: Student Doctor Network - March 12, 2017 Category: Universities & Medical Training Authors: Psai Source Type: forums

How disruptive could SBRT be for Interventional Oncology?
There is a pretty active thread going on SIR Connect about the use of SBRT instead of RFA/Cryo/MW, etc. for HCC, any solid tumor met to the liver, lung, and potentially others. Would be interested in getting perspective of people that post on here based on what you're seeing in your practices. I think this could be disruptive for a few reason: 1) Appeal to patient: SBRT is totally non-invasive. Sure, it can take several fractionations and patient may have to miss more time from family or... How disruptive could SBRT be for Interventional Oncology? (Source: Student Doctor Network)
Source: Student Doctor Network - February 28, 2017 Category: Universities & Medical Training Authors: RadsFTW123 Source Type: forums

Acute liver failure
Forum: International lounge Posted By: RobertCoats Post Time: 21-01-2017 at 23:12 (Source: The Student Room)
Source: The Student Room - January 22, 2017 Category: Universities & Medical Training Source Type: forums

*Opinion Survey* Importance of transplant cases in training - resident/fellow input appreciated
Background: 4th year trying to create match list. It seems like hearts are straight forward and the experience can be replaced with any cardiac case using cardiopulmonary bypass. Same with lung in that one-lung ventilation is required for a lot of thoracic cases. In my experience, liver transplant management is the most unique/difficult, and thus harder to replace, what with the coagulopathy, AB derangements, and massive transfusion. Individually those challenges can be found in most sick... *Opinion Survey* Importance of transplant cases in training - resident/fellow input appreciated (Source: Student Doctor Network)
Source: Student Doctor Network - December 23, 2016 Category: Universities & Medical Training Authors: CriticallyCarED4 Source Type: forums

Help with diagnosis please!!
Hi! I'm on my third year of med school and we need to determine what is wrong with this liver based on this biopsies. I've been researching for weeks now and can't seem to find anything like this. Have you ever seen anything like this? If so, can you please help me? Thank you!!! View attachment 211684 View attachment 211685 View attachment 211686 View attachment 211687 View attachment 211688 View attachment 211689 (Source: Student Doctor Network)
Source: Student Doctor Network - December 8, 2016 Category: Universities & Medical Training Authors: mednunu Source Type: forums

Virginia Mason
I know it's a VERY strong and reputable anesthesiology program but had a few questions since their website seems to be pretty bare bones. - Do they do liver transplants/other large transplant cases? - Are many residents able to sit for the basic echo boards at the end of residency? - Moonlighting opportunities? (Source: Student Doctor Network)
Source: Student Doctor Network - November 4, 2016 Category: Universities & Medical Training Authors: wolfpackMD Source Type: forums

Please Help (what are my chances?)
I have around a 3.0 overall GPA with (hopefully) by next semester I will have a science GPA of around 3.1 or 3.2. I've taken my OAT and scored a 360 with a 340TS. I have shadowed two optometrists, worked as an ophthalmology tech, and currently have a job at Warby Parker (they make glasses). Think I have a good chance at an interview? Oh the bad GPA is credited to having a liver disease which I took treatment for during that time and is mentioned in my personal statement. (Source: Student Doctor Network)
Source: Student Doctor Network - November 2, 2016 Category: Universities & Medical Training Authors: poojerrr Source Type: forums

Re: Non-alcoholic fatty liver disease (NAFLD): summary of NICE guidance
(Source: BMJ Comments)
Source: BMJ Comments - September 22, 2016 Category: Journals (General) Source Type: forums

Duration of Toradol therapy
I had an rx the other day for Toradol 1 qd prn #20. I've seen quite a couple patients on Toradol longer than the 5 day max. The one I dispensed was a patient had been on 3 mos of therapy and had switched PCPs. The new PCP had done LFTs and SCrs. Pt said was not getting sufficient relief from other NSAIDs and Narcotic side effects were bothersome at best. Is the risk of liver failure worse than the benefit of mobility in a patient with severe arthritis/spondylitis, etc? (Source: Student Doctor Network)
Source: Student Doctor Network - August 2, 2016 Category: Universities & Medical Training Authors: Farmercyst Source Type: forums

NBME 16 the unsolvables
Answer and please explain if you did get them right>.
Source: Student Doctor Network - July 19, 2016 Category: Universities & Medical Training Authors: fatwalletuab Source Type: forums

A Compilation and Interpretation of Common Adult Lab Values
In this link, you will find a compilation of all common adult lab values I created with topics that includes: basic metabolic panel, electrolytes, liver, GI, thyroid, hematology, anticoagulation, lipids, diabetes, viral, blood gasses, inflammation, and more! If you find this chart useful, you can download/save a PDF version in the link. This helped me tremendously throughout my APPE rotations and will help me... A Compilation and Interpretation of Common Adult Lab Values (Source: Student Doctor Network)
Source: Student Doctor Network - June 7, 2016 Category: Universities & Medical Training Authors: iAPPEblog Source Type: forums

why do you get inc estrogen in cirrhosis
Is it b/c of the decreased synthesis of SHBG? Liver dysfunction leading to low SHBG synthesis--> Low SHBG conc --> Increases free estrogen --> causes spider nevi, gynecomastia, testicular trophy??? (Source: Student Doctor Network)
Source: Student Doctor Network - February 27, 2016 Category: Universities & Medical Training Authors: MudPhud20XX Source Type: forums

CFTR nonsense w-1204, nonsense w-1143
Chr7: 117,267,718 G>A Pathogenic Zygosity: Homozygous dbSNP ID: rs121908764 Population Allele Frequency: 0.00% Gene Impact: CFTR NONSENSE W-1204-* NONSENSE W-1143-* Gene Impact: AC000111.6 INTRON Hello all, I'm a 42 year old male and I had all kinds of problems with my lungs all my life (Pneumonia half a dozen times, Bronchitis more times than I can count, and asthma. A few months ago I ordered an Asthma Peak Flow Meter and my air flow is much worse than it should be even when I do not have any asthma symptoms. For the past several weeks I have had Bronchitis. I didn't bother going to the doctor because this type ...
Source: Cystic Fibrosis DNA and Mutations Forum - October 28, 2015 Category: Respiratory Medicine Authors: oaktree Tags: DNA and Mutations Source Type: forums