How can you know if you like EM because you like the specialty or because you just get to do a lot as a med student?
M3 here. Been interested in EM for some time now. With VSAS around the corner, I need to seriously decide whether or not I should pursue EM. One thing I've been thinking about as of late is if my interest in the field right now has been a function of the fact that I have been able to do a lot during my shifts (I've done 15 shifts), such as H&Ps, present to attendings, updating patients on results, and helping with ultrasound or some minor procedure. To phrase another way, I think EM...
How can you know if you like EM because you like the specialty or because you just get to do a lot as a med student? (Source: Student Doctor Network)
Source: Student Doctor Network - March 9, 2020 Category: Universities & Medical Training Authors: Doctor_Strange Tags: Emergency Medicine Source Type: forums
Online preceptor for non-clinical ultrasounds?
A few of us independent solo or small group family docs in our area are working on adding Point of Care Ultrasound (POCUS) but are having a hard time hiring a local or online preceptor to review scans we've done so we can get enough precepted scans to satisfy our med mal carrier.
We've already had courses, have the equipment (mostly Butterflys) and are piling up scans but have yet to find a preceptor to review them with us. These are scans that we've done for our own training, not...
Online preceptor for non-clinical ultrasounds? (Source: Student Doctor Network)
Source: Student Doctor Network - March 1, 2020 Category: Universities & Medical Training Authors: FamilymedMD Tags: Family Medicine Source Type: forums
Mobile/pocket ultrasounds
Anyone have any cool ultrasounds that are highly mobile and have a relatively decent picture? The Butterfly IQ US looks really cool at a decent price (especially considering it's 3 probes in one), but it requires an annual subscription. I'm not doing.
Looking for something that could be used in a field environment for everything from starting IVs and draining abscesses to eFAST exams.
Thanks (Source: Student Doctor Network)
Source: Student Doctor Network - February 16, 2020 Category: Universities & Medical Training Authors: bigtruckguy3500 Tags: Emergency Medicine Source Type: forums
Ultrasound charge
I have been informed by our billers that charging for ultrasound requires too much documentation to continue billing. I know that ultrasound billing has been threatened for awhile, but I still thought they were allowing it. Has there been changes? Have you ran into this issue and/or found a solution? I was told the reading and documentation of the ultrasound had to be consistent with a radiology read. I have always put "ultrasound was used to advance xxx needle, while visualizing xxx...
Ultrasound charge (Source: Student Doctor Network)
Source: Student Doctor Network - February 8, 2020 Category: Universities & Medical Training Authors: BobLoblaw78 Tags: Anesthesiology Source Type: forums
Fraud
I was recently hired as a consultant to review claims for services provided by about 2 dozen DPMs. The fraud and the abuse are staggering.
Most of those involved are young associates in private practices. The practice owners impressed these associates with how much money they can make if they bill as instructed.
I have reviewed cases for an initial visit with unilateral heel pain. The patient ended up with BILATERAL xrays, ultrasound and fluoroscopy all for “comparison”. Patients...
Fraud (Source: Student Doctor Network)
Source: Student Doctor Network - January 28, 2020 Category: Universities & Medical Training Authors: ExperiencedDPM Tags: Podiatric Residents & Physicians Source Type: forums
Stellate Ganglion Block (cervical sympathetic chain block) with ultrasound guidance; in-plane or out of plane?
Assuming one starts at C6 or C7, Seems to me using an out of plane approach makes a lot of sense, for the following reasons:
1. easier to avoid vessels
2. If standing at head, and needle trajectory is from cranial to caudal trajectory, could push meds further caudal to stellate ganglion.
thoughts and preferences? (Source: Student Doctor Network)
Source: Student Doctor Network - January 2, 2020 Category: Universities & Medical Training Authors: Ligament Tags: Pain Medicine Source Type: forums
Stage I Follicular Lymphoma Case
Hello. I appreciate any input. Thanks in advance.
I have an otherwise very healthy 60 year old female with no chronic medical problems other than minor LLE venous stasis/vericose veins. She was sent to vascular surgeon for work up of that (at least 5 year history of this, just bad enough to want to see someone recently...would get a few days of puffy foot, then go away. After a long shift up on feet it would swell at night) and they found on venous ultrasound a 4cm lymph node in her...
Stage I Follicular Lymphoma Case (Source: Student Doctor Network)
Source: Student Doctor Network - November 26, 2019 Category: Universities & Medical Training Authors: BobbyHeenan Tags: Radiation Oncology Source Type: forums
Abdominal pain in a 20 year old female, what could this case be?
20 year old female presents to the ER with abdominal pain. Afebrile and normal vitals.
Pregnancy test negative. Labs normal. Ultrasound normal, no stones.
CT (resident read) shows nonspecific inflammatory findings. Patient is sent home and her chlamydia test later returns positive. Attending CT read finds significant inflammatory findings in the mesentery and omentum, and she is told to return to the ER. Negative GU physical exam. But she is treated for PID with doxy and ceftriaxone. Later...
Abdominal pain in a 20 year old female, what could this case be? (Source: Student Doctor Network)
Source: Student Doctor Network - November 24, 2019 Category: Universities & Medical Training Authors: Medic_90x Tags: Medical Students - MD Source Type: forums
Athletic trainers vs sports med doctor
I know athletic trainers can't prescribe meds, order/interpret MRI/images or do diagnostic/therapeutic ultrasound injections. However, strictly in terms of diagnosing various musculoskeletal/sport injuries are they comparable in knowledge and skill? Thanks (Source: Student Doctor Network)
Source: Student Doctor Network - November 22, 2019 Category: Universities & Medical Training Authors: ucd Tags: Sports Medicine Source Type: forums
Ultrasound guided stellate ganglion block; best technique?
Can any of you point me in the direction of what is considered the best technique publication or video for ultrasound guided stellate ganglion block? Thanks! (Source: Student Doctor Network)
Source: Student Doctor Network - November 10, 2019 Category: Universities & Medical Training Authors: Ligament Tags: Pain Medicine Source Type: forums
Subclavian lines
I’m a surgery Intern going into IR. And I am coming here with a small grievance.... someone I plead with you please someone tell what is the obsession with surgeons and subclavian lines!?!?!?! In my short time as an intern I have seen so many pneumo’s oh, and mean while a perfectly good ultrasound is two feet away waiting to let you slip that needle into the IJ like buttaa! For the love of humanity and modern technology please stop!!!! (Source: Student Doctor Network)
Source: Student Doctor Network - November 9, 2019 Category: Universities & Medical Training Authors: NDcienporciento100 Tags: Surgical Residency Applications and Interviews Source Type: forums
Step 3 ccs/consults?
Just did a question on uworld where patient needs a endarterectomy. I consulted vascular surgery but they said no recommendations at this time, even after getting a carotid ultrasound. I was reading up on previous threads and not sure what the right move is.
On the real test, am I supposed to proceed with the endarterectomy if the consultant doesn't give any recommendations, or are they always supposed to give a recommendation if you sequence everything correctly on the real thing? (Source: Student Doctor Network)
Source: Student Doctor Network - September 14, 2019 Category: Universities & Medical Training Authors: Awarara Tags: Step III Source Type: forums
Re: Ultrasound is similar to mammography in detecting breast cancer, study shows
(Source: BMJ Comments)
Source: BMJ Comments - August 29, 2019 Category: General Medicine Source Type: forums
Tension PTX
You've done a bowel case for a perfed DU in an otherwise young healthy guy who took too much naproxen...
At the end of the case, you put in a triple lumen with ultrasound, but still manage to get a little hole in the pleura...
Patient extubated and in PACU, develops shortness of breath... can anyone walk me through the physiology of how this patient could develop a tension PTX if he's spontaneously breathing and not positive pressure ventilated... ?
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Tension PTX (Source: Student Doctor Network)
Source: Student Doctor Network - July 23, 2019 Category: Universities & Medical Training Authors: CodeBlu Tags: Anesthesiology Source Type: forums
Drexel vs. EVMS
I’ve been sitting on an acceptance from EVMS for awhile but I just got offered a spot off the waitlist at Drexel, so it’s decision time.
**EVMS**
Pros:
-cheaper (although money isn’t a huge concern)
-I was in their SMP program so M1 year will be very familiar and easier for me
-already have an apartment in Norfolk
-family lives close by
-great ultrasound training
-better Step 1 scores
Cons:
-match list is not as impressive
-very family medicine oriented (I know for sure I...
Drexel vs. EVMS (Source: Student Doctor Network)
Source: Student Doctor Network - July 14, 2019 Category: Universities & Medical Training Authors: flippermccoys Tags: Help Me Decide: X vs Y Medical School Source Type: forums
