Rubor, Dolor, Calor, Tumor

Bread and Butter

mcrislip@webmd.net — Wed, 16 May 2012 04:05:05 GMT

I have been very busy the last few weeks, but none of the cases are fascinomas: fever in the icu without good reason, culture negative sepsis in a dialysis patient, the 1/2 positive blood culture for S. viridans, AIDs patient with a fever. &n...

Yes, I Remember It Well

mcrislip@webmd.net — Sat, 12 May 2012 03:05:12 GMT

There are those things you learn about just so you can pass the boreds. Not a typo. Diseases I never really expect to see given how rare they are, and even less likely to diagnose, except by mistake.

For example, CID had a rece...

Starts as one thing, turns out to be another, looking for a third.

mcrislip@webmd.net — Thu, 10 May 2012 04:05:19 GMT

Middle aged male with intermittent fevers for 6 years. A couple of times a year he has the abrupt onset of fevers and severe myalgias and arthralgias, and he takes to bed and they resolve in less than 48 hours. Uninsured, he never soug...

Doug Flutie has nothing on me

mcrislip@webmd.net — Tue, 08 May 2012 00:05:13 GMT

Today in the ICU I over heard a nursing saying to a patient, who survived an out of hospital arrest secondary to a large myocardial infarction and was waking up on a ventilator: "Don’t worry. You’re all right. You are in the ICU ...

There and Back Again

mcrislip@webmd.net — Fri, 04 May 2012 20:05:13 GMT

The patient has the uneventful life of the solid citizen, then he develops fevers and rigors. He is goes to the ER and a CT reveals some plus/minus diverticulitis. I looked at the films, and I was unimpressed. The patient had no ...

Ugg

mcrislip@webmd.net — Thu, 03 May 2012 03:05:15 GMT

Sometimes I just don’t know. I connect the dots and it forms a picture, and looking at the result I just do not accept what I see. It is ugly. Yet I can see no other explanation that ties the facts together.

The patient ha...

Another unconfirmed great diagnosis.

mcrislip@webmd.net — Tue, 01 May 2012 04:05:22 GMT

As regular readers of this blog are probably aware, there is nothing in medicine that gives me a bigger thrill than making a diagnosis. Everyone goes into medicine and chooses their career path for different reasons. Some choices...

UFC: Occam vrs Hickam. Round Five.

mcrislip@webmd.net — Thu, 26 Apr 2012 03:04:13 GMT

It is always the problem in medicine. How many of the patients symptoms can be explained by one process, or do you have to multiply the possibilities needlessly.

I am strongly of the ...

Peripatetic Pastimes

mcrislip@webmd.net — Tue, 24 Apr 2012 04:04:09 GMT

"There is no lykelihoode that those thinges will bring gryst to the mill."

Work has been oddly slow for the last week. It is all part of the contin...

Peripatetic Pastimes

mcrislip@webmd.net — Tue, 24 Apr 2012 04:04:06 GMT

"There is no lykelihoode that those thinges will bring gryst to the mill."

Work has been oddly slow for the last week. It is all part of the contin...