I thought OMM would make me a rockstar at USMLE MSK questions. I was wrong.
It seems like a lot of my friends and I struggle with MSK on USMLE because it feels like the OPP COMAT writers purposely design OMM content to be non-overlapping with USMLE MSK content.
Here is a list of USMLE MSK content I can come up with that NEVER shows up on OPP COMAT:
SCFE
LCP
Charcot marie tooth syndrome
Metabolic/neurological causes of ataxia
Diabetic MSK foot changes
Developmental dysplasia of the hip
I also BARELY see questions about ankylosing spondylitis, lupus, RA, etc
And...
Read more (Source: Student Doctor Network)
Source: Student Doctor Network - May 19, 2023 Category: Universities & Medical Training Authors: HipiMochi Tags: Medical Students (DO) Source Type: forums
Med Mal: Kidney biopsy -- > Hemorrhagic Shock -- > Pressors -- > 9 fingers amputated
Case here: Hemorrhagic Shock from Biopsy
Lady with antiphospholipid syndrome (also history of PE and DVT) comes to ED with SOB.
No PE/DVT, admitted.
Presumptive diagnosis of lupus nephritis made, biopsy recommended.
Warfarin held, switched to heparin before procedure, then Lovenox afterward (plan to monitor with anti Xa levels).
Anti Xa levels never come back.
Patient develops hemorrhagic shock, started on pressors, fingers ischemic. 9 digits amputated (right thumb lives to fight...
Read more (Source: Student Doctor Network)
Source: Student Doctor Network - November 2, 2021 Category: Universities & Medical Training Authors: bbc586 Tags: Internal Medicine and IM Subspecialties Source Type: forums
PBI in N1mi (actual radiation question)
We should have a sub-forum where we ask radiation questions... Have a lady with a RUOQ T1N1mi ER/PR+ breast cancer s/p lumpectomy and SLNB with microscopic disease in the SLN. She has lupus with some mild cutaneous manifestations on plaquenil. She doesn't want mastectomy, and have discussed risks. The cavity with margin and level 1/2 could be treated pretty conveniently instead of WBRT, sparing a ton of tissue. Was wondering if this sounds reasonable in this setting. (Source: Student Doctor Network)
Source: Student Doctor Network - September 5, 2020 Category: Universities & Medical Training Authors: Ray D. Ayshun Tags: Radiation Oncology Source Type: forums
Question about friends patient encounter
Pathologist here....So long story short. My friend went to see a derm for what she thought was a pimple near her eye. The derm did what I think was a punch biopsy on it because he thought she had lupus. My friend had no other symptoms, no other skin lesions. No labs were ordered before biopsy. Now she has a small wound from the biopsy. The ANA was ordered after the biopsy which was negative.
when I heard this I was furious.
Was the biopsy clinically indicated? I was thinking several...
Question about friends patient encounter (Source: Student Doctor Network)
Source: Student Doctor Network - February 29, 2020 Category: Universities & Medical Training Authors: KeratinPearls Tags: Dermatology Source Type: forums
Do you workup and treat painful diseases (not just the pain)?
This is perhaps more of a nuance question, but do you workup and treat painful diseases?
For example, of you suspect RA/Lupus/etc, do you do the bloodwork and manage DMARDs, biologics, etc or simply refer to Rheumatology?
If you think the patient has osteoporosis, do you do the bone density/DEXA and give Calcium/Vit D, bisphosphonates, etc?
If the patient is having possible side effects from opiates, (which may be related to other medical problems as well) such as low testosterone...
Do you workup and treat painful diseases (not just the pain)? (Source: Student Doctor Network)
Source: Student Doctor Network - June 21, 2019 Category: Universities & Medical Training Authors: Ferrismonk Tags: Pain Medicine Source Type: forums
Prior Service Navy HPSP and Other Issues
So I figured it would be best to jump on here and gets some thoughts from the salty docs on the forums regarding my current dilemma.
Brief background: Male. 28 y/o. Prior service navy corpsman (5 years HM3). Finishing bachelors. Accepted to DO school. Wife. Dog. A little out of shape but nothing I can't fix in a month. Disability (this is the dilemma part).
Thoughts/Concerns: When I left the military it was always with the intention of going to medical school. College was near impossible...
Prior Service Navy HPSP and Other Issues (Source: Student Doctor Network)
Source: Student Doctor Network - February 25, 2018 Category: Universities & Medical Training Authors: It's lupus! Source Type: forums
Good Books
I was hoping I might get recommendations on any good books for leisure reading about Anesthesiologists. I've read Counting Backward but was really hoping more than one exists. You could expand this selection to critical care or tangentially related reading. Just looking for good bedtime reading.
Sent from my Pixel XL using SDN mobile (Source: Student Doctor Network)
Source: Student Doctor Network - February 14, 2018 Category: Universities & Medical Training Authors: It's lupus! Source Type: forums
Misnomers in Medicine
I've been trying to make a mental note of everything that I've learned which had a contradictory name, but I feel like I'm only scratching the surface and wanted to consult SDN's collective wisdom. Things like "Obliquus Capitis Inferior" which doesn't attach to the skull like the name implies, or the "Patellar Tendon" which actually connects two bones. The only other "misnomers" that I can think of are "Lupus Anticoagulant" and "Acoustic Neuroma".
I know this probably isn't ultra high-yield...
Misnomers in Medicine (Source: Student Doctor Network)
Source: Student Doctor Network - November 1, 2017 Category: Universities & Medical Training Authors: DrBeethoven Source Type: forums
CRISPR and Gene Editing Treatment
Anyone else find this new treatment exciting? Hopefully one day in the future gene-editing treatment will be a routine, alternative treatment for those with genomic/chromosomal abnormalities (multiple sclerosis, cancer, lupus, etc). I just saw this one story about this little girl who had leukemia, and it was very progressive and nothing could be done for her. However, she was one of the first to apparently have been used with CRISPR, where they changed the DNA of her WBC's so they can...
CRISPR and Gene Editing Treatment (Source: Student Doctor Network)
Source: Student Doctor Network - July 23, 2017 Category: Universities & Medical Training Authors: Matrix207 Source Type: forums
Am I too old to become a doctor?
I am 24, I will be 25 this coming September. Medicine and ballet have always been my top things. I'm alone in the world now after helping my mother battle lupus, but she died last year. I endured a very abusive household that didn't allow for me to study the way I wish I would've been able to, in hindsight, but my dream of becoming a doctor has never left me. I feel terrible because I graduated HS when I was 15 years old, and I could've been finished with medical school by now. I am married...
Am I too old to become a doctor? (Source: Student Doctor Network)
Source: Student Doctor Network - July 2, 2017 Category: Universities & Medical Training Authors: SantiniHoudini Source Type: forums
55-yo, awaiting transplant, suspect renal neoplasm, next step?
MKSAP 16 question:
55-yo awaiting kidney transplant (ESRD per lupus). Kidney ultrasound reveals a complex-appearing mass suspicious for a renal neoplasm in the right kidney.
Which of the following is the most appropriate imaging study to perform next?
A) CT with contrast (51%) [correct answer]
B) Intravenous pyelography
C) MRI with gadolinium
D) Positron emission tomography (30%) [wrong answer that I chose]
So I understand that CT is the better radiological modality to characterize said...
55-yo, awaiting transplant, suspect renal neoplasm, next step? (Source: Student Doctor Network)
Source: Student Doctor Network - March 7, 2017 Category: Universities & Medical Training Authors: DrMetal Source Type: forums
Intraop Seizure
Long time lurker here. Enjoyed reading clinical discussions. I'm quite fresh out of training and would appreciate any feedback or wisdom about a recent case:
50 yo F for elective lumbar laminectomy. PMH of lupus anticoagulant with previous right central retinal vein thrombosis on plavix + coumadin, off both for 5 days for surgery. She's on Plaquenil, CellCept, Prednisone for SLE. No h/o HTN, DM, stroke, heart/lung/renal/hepatic issues. 100kg BMI 35. NKDA. No previous GA anesthetic...
Intraop Seizure (Source: Student Doctor Network)
Source: Student Doctor Network - June 8, 2016 Category: Universities & Medical Training Authors: eggscal99 Source Type: forums
Re: Systemic lupus erythematosus
(Source: BMJ Comments)
Source: BMJ Comments - July 4, 2015 Category: Journals (General) Source Type: forums
Systemic lupus erythrocyte
Forum: Biology, biochemistry and other life sciences
Posted By: Anatomy =)
Post Time: 27-02-2015 at 19:39 (Source: The Student Room)
Source: The Student Room - February 27, 2015 Category: Universities & Medical Training Source Type: forums
Free access to BMJ cardiology content in February
To mark National Heart Month in the UK, BMJ is offering free access to a selection of content from its cardiology journals and products (see full list here) and 15% off the article publishing charge when you publish your cardiology research in one of its open access journals (Open Heart, BMJ Open, Lupus Science & Medicine). To claim the 15% use promotion code ZJ6UJR3 upon payment after your article has been accepted.
Here are some of the free modules from BMJ Learning:
10 minute consultation - diagnosis and management of chronic heart failure
Chest pain of recent origin - assessment and diagnosis: in as...
Source: Doc2Doc BMJ Cardiology - February 3, 2015 Category: Cardiology Authors: Sabreena Source Type: forums
