The Differential
Blog Address: http://blogs.medscape.com/thedifferential
August 12, 2013

What's Your Differential?

A 56-year-old male presents to the ER, complaining of chest discomfort, which he describes as a severe, retrosternal pressure that awoke him from sleep. He has hyperlipidemia and a 45 pack-year history of smoking. When you examine him, he appears uncomfortable and diaphoretic. His heart rate is 120bpm, blood pressure is 165/103 mm Hg, respiratory rate is 25 breaths per minute and oxygen saturation is 97% on room air. JVP is normal. On auscultation, the chest reveals clear lung fields, a regular rhythm with an S4 gallop and no murmurs or rubs. A chest radiograph shows clear lungs and an unremarkable cardiac silhouette.

What is your differential diagnosis?

...

Posted By: Zoyah Thawer  

August 12, 2013

Medical Student Syndrome

It's the beginning of a new year. MS-II, and we are kicking this phase off with Brain and Behavior. This is the part of the curriculum where the weird ticks, potential biases and particular proclivities of the neuropsychiatric world of medicine come to bare. It is also the part ...

Posted By: Olaseni Ajibade  

August 11, 2013

Out On a Limb

There was a sort of rare beauty unfolding in Dallas, Texas last night. I do not know if it was the exceptionally heavy humidity riding an evening breeze or the special way in which the day's residual warmth radiated off the grass and the trees. It's like there's less incomprehen...

Posted By: Bryce Krishna Cragg  

August 8, 2013

On to the next journey

I imagine that she was a lively mother, wife and friend. She had a fulfilling life with her husband raising three children. She coached them through each sport season and heartbreak. She cried after every move-in to a college dorm. And when she waved “good-bye” to the ...

Posted By: Amanda Xi  

August 8, 2013

Finding a New Study Style

I can't hear lyrics. 

I can hear music, and I can hear that the singers are saying words, but most of the time I can't really make out what they are unless I look up the lyrics. My friends have always made fun of this weird quirk, coining the term lyrics-deaf to des...

Posted By: Sara Teichholtz  

August 7, 2013

One Apple, BID

Two hospitals in New York City have launched a pilot program in which patients are prescribed fruits and vegetable by their doctors. Each "prescription" gives participants in the Fruit and Vegetable Prescription Program $2 in health bucks which can be used to purchase fresh produc...

Posted By: Alexa Mieses  

August 7, 2013

The End of Medical School

Step II scores were released last night with little more than an email and a chirp from my phone's cracked casing. After a few clicks of the mouse, it was over. My friends and I smiled, some wider than others, most just relieved that the number we read on the computer scr...

Posted By: Rick Pescatore  

August 3, 2013

The Slow Death of Creativity in Medicine

My closest colleague Joshua Thomas has said it more than once, “If we really wanted to enjoy medicine we should have been born 300 years ago.” There was a time when being a physician entailed a life of scientific exploration in addition to providing treatment. The fr...

Posted By: Bryce Krishna Cragg  

August 2, 2013

Myriad's Genetic Problems

It's hard to comment on Supreme Court (SCOTUS) decisions because they tend to be steeped in controversy.  However, I will say that I agree with the recent ruling to rescind the monopoly on human genes. Personal...

Posted By: Olaseni Ajibade  

July 31, 2013

The Growing Gap: Not Just a Feeling

I've said it before and I'll say it again: I love New York. However, as I've grown into an adult in this city, I feel the city has really changed. New York does not have the same unique spirit it once had. A lot of older architecture is being replaced by new luxury condominiums. T...

Posted By: Alexa Mieses  

 
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About This Blog

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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    Chicago Medical School at Rosalind Franklin University

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    Temple University School of Medicine, Philadelphia, PA

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    Temple University School of Medicine

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    O&Med School of Medicine|Havard Developed Pilot Program

     

 
 


 
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