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 9, 2018 Category: Universities & Medical Training Authors: yhboi69 Source Type: forums
Why choose paediatric surgery?
I ask because I read this
"Only 11% of operations on children are carried out by paediatric surgeons. The remainder are performed by other specialist surgeons, some of whom specialise in paediatric cases. These include general, orthopaedic, plastic, oral and ophthalmic surgery as well as ENT and urology. Specialist adult surgeons may work in partnership with paediatric surgeons to treat uncommon childhood disorders such as thyroid and certain gastrointestinal conditions."
Are there any...
Why choose paediatric surgery? (Source: Student Doctor Network)
Source: Student Doctor Network - April 9, 2018 Category: Universities & Medical Training Authors: Kei22 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
Poly-arteritis nodosa presenting as bilateral renal infarction
A 47yo woman presents to the GP with left sided abdominal pain that has been present for a week. No fever or other symptoms. No relevant history or medication
- Contrast-enhanced CT: left renal infarction
- Angiography: dissection of left renal artery
The day after discharge, she presents to the ER with right sided pain
- new CT: right renal infarction DD pyelonephritis
The consequent angiography shows this image. Is this poly-arteritis nodosa? And could you guys help me point out...
Poly-arteritis nodosa presenting as bilateral renal infarction (Source: Student Doctor Network)
Source: Student Doctor Network - April 2, 2018 Category: Universities & Medical Training Authors: NEPHROLOGY Source Type: forums
