The Differential
Blog Address: http://blogs.medscape.com/thedifferential
August 1, 2015

How to Read a Chest X-Ray

They say there is no wrong way to read a chest X-ray. Everyone has a different approach that ultimately gets him or her to the final conclusion. First step could be to check for quality. Is it rotated? Is it upright or supine? How many ribs can you see? Then look for bone symmetry or fractures, foreign bodies, and metastatic lesions. Is the diaphragm visible (effusion) or flat (COPD)? Check lung fields for abnormal marking and outline the great vessels. Finally checking the size of the heart (>50% in CHF). The most important thing to remember is to read the film the same way every time. Eventually, it becomes second nature, increasing efficiency, which is vital...

Posted By: Samuel Shapiro  

July 28, 2015

The 40 List

One of the strangest and possibly most insightful conversations I had with an attending this last year was about where I saw myself at 40. Dr. J has a bit of a reputation for talking about his "smoking hot wife" and how she was a pageant contestant and she knew Halle Berr...

Posted By: Olaseni Ajibade  

July 27, 2015

Remembering Amy Winehouse

It's a humid morning, but I don't know it yet. The air conditioner hums and muffles out the sound of the city, gently reminding me with its presence that that's where I am. It's cold and I'm under blankets--that weird sensation during the summer when it's freezing inside ...

Posted By: Heather Kagan  

July 27, 2015

Advice for First Years

With orientation begining in two weeks, several questions float around my head and I'm turning to my readers for advice. For those of you that have completed their first year of medical school, what would be the single best piece of advice you could offer to an incoming M...

Posted By: Rick Tumminello  

July 25, 2015

Countdown to Step 2

My exam is three days away! I feel as though I am preparing for war. I have been training all month and have proper attire and enough food and water to get me through the battle.

And really, that's what Step 2 is: an 8-hour battle against standardized test exams.<...

Posted By: Alexa Mieses  

July 23, 2015

What Are You Looking for in a Residency

For those of us in our last and final year of medical school, this is a busy and exciting time. ERAS, letters of recommendation, boards, auditions, and so on. My checklist seems to be growing no matter how many boxes I check off. All the effort, hard work, and time spent ...

Posted By: Matthew Marschall  

July 20, 2015

Countdown to Lift Off

I apologize for the briefness of this post, but the M1 first term schedule was released to incoming students today, and I sense I should begin studying now. I feel as if I am seated in a space shuttle's flight deck awaiting mission control to countdown to ignition and lau...

Posted By: Rick Tumminello  

July 19, 2015

The Problem With Prison

A few weeks ago, I attended the New York State Academy of Family Physicians Congress of Delegates; two hotly debated resolutions presented to the Reference Committee related to police practices that disproportionately affect minority communities. With all of the current e...

Posted By: Alexa Mieses  

July 17, 2015

Step 2 CS – Atlanta Experience

I took my CS two days ago in Atlanta. Here's my two cents:

Prep Materials

I used one thing and one thing only to prepare for this exam: First Aid Step 2 CS. Given time constraints, I did not even attempt to read the book from cover to cove...

Posted By: Felix Lee  

July 16, 2015

Healthcare Reform: My Modest Proposal

If America had to rebuild its healthcare system from scratch, what would that look like? It's a question I'm not sure gets asked enough. Healthcare and, specifically, insurance has long been a problem in the US because it's almost always a tool used for political posturin...

Posted By: Olaseni Ajibade  

 
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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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Poll: Are you still in contact with your roommates from 1st year? Yes, they're right next to me.|Yes, but we don't room together anymore|No, we didn't get along|I didn't have a roommate|

  • Alina Khurgel
  • Kolin Meehan
  • Neil C. Bhavsar

    Medical Student 
    New Jersey Medical School

  • Rick Tumminello

    Philadelphia College of Osteopathic Medicine

  • Sung Woo Koh

    Chicago Medical School at Rosalind Franklin University

  • Heather Kagan

    Temple University School of Medicine, Philadelphia, PA

    www.heatherkagan.com

  • Stephanie Nguyen

    Temple University School of Medicine

    Philadelphia, PA

  • Vincent Migliaccio Michaelson

    O&Med School of Medicine|Havard Developed Pilot Program

     

 
 


 
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