When to Check a Lipase?
So I had a case recently which has me a little puzzled.
EMS brings in a dude from local homeless shelter in respiratory distress - has a history of COPD + CHF, they’ve got him on cpap and his vitals are OK, low grade fever, but clearly sick. Mentating fine, no abdominal complaints.
Did the usual stuff in the ED, abx, steroids, careful IVF because of the CHF...labs (including liver stuff) only remarkable for metabolic acidosis and a white count. Notably did not get a lipase. Admitted to...
Read more (Source: Student Doctor Network)
Source: Student Doctor Network - December 5, 2020 Category: Universities & Medical Training Authors: The Knife & Gun Club Tags: Emergency Medicine Source Type: forums
Help with SCS lead location
Need some ideas.
I have a patient that has a history of rectal pain/tailbone pain. 77 year old male, history of L4-L5 laminectomy 15 years ago - essentially not complaining of much back pain. Had some urological procedure (i think prostate biopsy) successfully, but then started having some discomfort in tailbone area a couple of months later. Was sent to physical therapy and they put some type of probe in his rectum (YES YOU READ THAT RIGHT) and manipulated it for some god awful reason...
Read more (Source: Student Doctor Network)
Source: Student Doctor Network - November 25, 2020 Category: Universities & Medical Training Authors: predentalgirl Tags: Pain Medicine Source Type: forums
I like them both! Medical College of Wisconsin (Milwaukee) vs University of Central Florida
My situation is a bit weird as my husband is AD military and currently has orders to a base very far from either of these schools. However, in a few years (probably between MS3 and MS4) he will possibly be able to move closer to Orlando. However, there is absolutely no way that he will be able to live in WI for the foreseeable future.
I am interested in emergency medicine, ENT, or urology. I would love to hear unfiltered opinions from current students at either of these schools.
Medical...
I like them both! Medical College of Wisconsin (Milwaukee) vs University of Central Florida (Source: Student Doctor Network)
Source: Student Doctor Network - November 14, 2020 Category: Universities & Medical Training Authors: anniekat2025 Tags: Help Me Decide: X vs Y Medical School Source Type: forums
Local Anaesthetic Toxicity question..
Greetings to everyone in the forum!
I am still an unwise resident so I would like anyone with experience to comment..
After I read about lidocaine infusion benefits in open colorectal surgery I 've been convincing some of my more ''open minded'' attendings to run it intraop and in PACU in selected patients with no liver disease, at 2mg/kg/hr IBW. My issue is that surgeons regularly infiltrate the wound with 0.375% ropi, usually at a total dose of 75-150mg, during closure. Could this...
Local Anaesthetic Toxicity question.. (Source: Student Doctor Network)
Source: Student Doctor Network - November 12, 2020 Category: Universities & Medical Training Authors: CavGas Tags: Anesthesiology Source Type: forums
Interview at Optometry Practice, Any Suggestions?
I recently was notified that I am being offered an Interview at a local Optometry practice (yay!) however I have absolutely zero experience in the field of Optometry or Eye Care. I do have some experience as an Admin in a Nephrology office and have a lot of generalized Healthcare experience. They seem willing to train me for the position if I am hired, which is good. To practicing Optometrists; what would you look for in a good Optometry Assistant? I made it clear that I am Pre-Optometry and...
Interview at Optometry Practice, Any Suggestions? (Source: Student Doctor Network)
Source: Student Doctor Network - November 5, 2020 Category: Universities & Medical Training Authors: Doktor_dud3 Tags: Optometry Source Type: forums
Interventional nephrology
Hello guys,
What I know about interventional nephrology is that you can be certified via training or practice pathway. Anyone knows if practice pathway can be done through practicing under the supervision of interventional radiologists or vascular surgeon rather than interventional nephrologist? (Source: Student Doctor Network)
Source: Student Doctor Network - October 19, 2020 Category: Universities & Medical Training Authors: Interveno Tags: Other Subspecialties Source Type: forums
I need help and suggestions...
Hello my name is Carlos and I'm a Junior in Highschool. All my life I wanted to become a doctor. Once I had a better understanding I decided to become a pediatric surgeon. This is why: When I was born (in Puerto Rico) I was born with many complications and I was not expected to survive. I have had a total of 20 surgeries and tons of hospital visits and admissions. During the whole time I wanted to give back. I've am healthy now, most of the problems were about urology and nephrology since I...
I need help and suggestions... (Source: Student Doctor Network)
Source: Student Doctor Network - October 18, 2020 Category: Universities & Medical Training Authors: Carlosp2003 Tags: hSDN Source Type: forums
Liver Transplant Advice
Patient being evaluated for liver transplant at a major transplant center. Their MELD score is over 30. They passed all the requirements to be presented to the transplant committee. Although the nuclear stress test was normal and they have no cardiac history, a cardiac cath was performed. It revealed
RT heart dominance
LAD 60 % diffuse dx with multiple discrete lesions
CX 60% distal discrete dx
Om2 50% diffuse dx
EF nl
No cardiac sx ever, even with End Stage Liver Dx.
The Dr told patient...
Liver Transplant Advice (Source: Student Doctor Network)
Source: Student Doctor Network - October 17, 2020 Category: Universities & Medical Training Authors: Angus Avagadro Tags: Anesthesiology Source Type: forums
Status of kidney care in Vietnam: A need for surveillance system and database
(Source: BMJ Comments)
Source: BMJ Comments - October 15, 2020 Category: General Medicine Source Type: forums
Liver SBRT and being rural
I am able to do liver SBRT safely. in turn, that makes me the only person in my neck of the woods that can treat a solitary liver lesion definitively (no surgeon here would do this, and no IR). I was referred a patient with HCC by the local med onc. The lesion was originally thought to be a lung met. The patient is 80 and relatively healthy, but doesn't want surgery, and isn't really interested in driving somewhere to meet with interventional radiology, or for that matter a hepatolgist...
Liver SBRT and being rural (Source: Student Doctor Network)
Source: Student Doctor Network - October 11, 2020 Category: Universities & Medical Training Authors: Ray D. Ayshun Tags: Radiation Oncology Source Type: forums
Pudendal Nerve Block for Overactive Bladder/Urinary Urgency?
Anyone done this? Have a Urologist requesting...
Can't find much literature online that supports, just some case reports.
Would be doing it for non-pain reasons, reasonable? (Source: Student Doctor Network)
Source: Student Doctor Network - October 6, 2020 Category: Universities & Medical Training Authors: Blitz2006 Tags: Pain Medicine Source Type: forums
match registration for dual applicants
Hi all, I had 2 questions about this topic:
1- If you register for the NRMP match, do early match systems i.e. AUA find out in anyway?
2- Does including the AUA ID in ERAS alert all programs you send ERAS out to, or only urology programs?
Thanks (Source: Student Doctor Network)
Source: Student Doctor Network - October 5, 2020 Category: Universities & Medical Training Authors: snoozfest Tags: ERAS, SOAP, and NRMP Match Source Type: forums
Urology Possibilities as an IMG
I am a 24 year old 4th year medical student US IMG graduating this November. My goal is to match into urology, I have a 226 on Step 1 first pass, 239 on step 2 first pass and CS failed on my only attempt. I had always had my eyes on internal medicine and had been prepared to apply this match 2020-2021. I am pretty convinced I have a good shot of matching into IM with my medical profile, LOR's, and USCE; but frankly I have been captivated by a career in urology. I am currently looking...
Urology Possibilities as an IMG (Source: Student Doctor Network)
Source: Student Doctor Network - October 5, 2020 Category: Universities & Medical Training Authors: BlackLomein Tags: Urology Source Type: forums
GI fellowship Swap!!
Posting this on Behalf of 2 separate friends!
2 current PGY4 GI fellows both based in Midwest area are interested in a swap for family reasons and logistic difficulties in maintaining relationships because of covid-19 crisis-
Program description : Both are Tertiary care academic medical center / main hospitals of a medical schools, are liver transplant centers . The fellows are happy with the program. Good US news rankings (top 30 for one /top 20-40 for other). GI program tier : mid to...
GI fellowship Swap!! (Source: Student Doctor Network)
Source: Student Doctor Network - September 26, 2020 Category: Universities & Medical Training Authors: cabergoline2 Tags: Gastroenterology Source Type: forums
Us img
Why is being an IMG looked so down upon/places you at such a disadvantage for a specialty such as Uro or something alike? (Source: Student Doctor Network)
Source: Student Doctor Network - September 19, 2020 Category: Universities & Medical Training Authors: BlackLomein Tags: Urology Source Type: forums
