The Differential
Blog Address: http://blogs.medscape.com/thedifferential
November 1, 2010

My first LP

Ms. D is a 28 yo Hispanic female who presented with a possible seizure.  Through questioning witnesses and learning more about her symptoms, we think she more likely had a syncopal episode, possibly a vasovagal response, but etiology was not determined with certainty as imaging and studies all returned negative.

Upon talking to her, we discovered that she has an 8 year history of migraines. Her migraines occur upon waking, are associated with blurred vision and nausea and she is an overweight young female. These features led us to consider pseudotumor cerebri in her differential.

As part of her work up I got to perform my first lumbar puncture. When we...

Posted By: Arti Allam  

November 1, 2010

National Primary Care Week (NPCW) November 1st-5th, 2010

National Primary Care Week serves as a time to highlight the importance of primary care. In an effort to stress the need for additional primary care professionals, medical schools across the nation will be organizing with the

Posted By: Carl Streed Jr  

October 31, 2010

The Business of Medicine

By the time I finish my medical training, I'd expect that if you came to me with a vague complaint, I'd be able to ask you the right questions, perform a directed physical exam, and order the right lab and imaging studies to arrive at the most likely diagnosis ...

Posted By: Alex Folkl  

October 25, 2010

Jelly Beans, Olives and Hubs: Medical Students and Health Information Technology

Last month, for the first time in my medical school career, I saw patients with only paper charts. While I recognize that this is probably not a big deal for most physicians and perhaps most other medical students, it was definitely new to me. Rather than just clicking on a tab or...

Posted By: Elizabeth Wiley  

October 24, 2010

Taking a Mental Holiday

After studying embryology and fetal development I was amazed that any of us ever made it out of the womb in a functional state. There are so many things that could have gone wrong leaving us paralyzed, diseased or even non-existent today.

Now three weeks into my psychiatry...

Posted By: Joshua Batt  

October 24, 2010

The Art of Procrastination

I am an excellent procrastinator. For example, right now, I'm supposed to be working on  a case presentation on sleep disorders for tomorrow, which is the first day of my neurology clerkship. Yet here I am: Surfing the web, seeing what's happening with all of my "friends" (an...

Posted By: Alex Folkl  

October 22, 2010

In Your Hands

Después de Dios, miramos hacia el médico. Ponemos nuestros hijos y nuestras almas, no sólo en sus manos, pero en su corazón.

(After God, we look to the doctor. We put our children and our souls not only in your hands but in your heart.)...

Posted By: Carl Streed Jr  

October 18, 2010

Surviving the Surgery Shelf

After a long, hard four months of hospital work, another clerkship block has bitten the dust. Or so I think. On Friday, I finished up my surgery rotation by taking the surgery shelf. I'm just putting it out there: That test is really, really hard. I mean, I studied a lot -- for th...

Posted By: Alex Folkl  

October 17, 2010

The Things We Do for a Good Review

"Code Green, front entrance; Code Green, front entrance." One of the psych patients had escaped and the staff was quickly on its feet to find the runaway, myself included. I was racing across an open dirt field towards the local neighborhood in my typical medical student attire: p...

Posted By: Joshua Batt  

October 15, 2010

Listening to the Beat


"Follow your heart, but be quiet for a while first. Ask questions, then feel the answer. Learn to trust your heart." -- Unknown


We're one week into cardiology, and already I feel as though my heart is beating different...

Posted By: Carl Streed Jr  

 
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Medical school and residency can be a stressful, demanding time. These medical students share their insights and experiences, good and bad, in order to create a community of support and understanding for medical students everywhere.

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