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**If you would like another chance to read the challenge before seeing the answer, click here. Scroll down for the answer. ** ———————————————————————————————————————————————————————————– The correct answer is C) Acute promyelocytic leukemia. This was a challenging case and differential, but the presentation and smear were classic and are exactly what you would be […]
February 2, 2014
A 25 year-old otherwise healthy male presents to his primary care doctor after a difficult to control nosebleed, lasting approximately two hours. There is no history of trauma, drug use, or previous episodes of prolonged bleeding. He has not been feeling fatigued lately (able to carry out his usual activities). He does endorse easy bruising […]
January 1, 2014
As the only year in which I have been both a medical student and a doctor drew to a close, I reflected on my new career. In little more than 6 months, my level of responsibility will expand again, and I will be approving the decisions of the incoming flock of freshly-minted physicians (the only […]
October 5, 2013
**If you would like another chance to read the challenge before seeing the answer, click here. Scroll down for the answer. ** ———————————————————————————————————————————————————————————– The correct answer is Aspiration Pneumonitis (D). Explanations of the choices follow, and management of the patient is discussed at the bottom of the page. Don’t feel bad if you chose Pneumoperitoneum (A) – […]
October 3, 2013
An 80 year old male with multiple medical problems (including CAD, COPD and atrial fibrillation) is undergoing evaluation for progressive early satiety and vomiting after meals for the past year. A peri-pancreatic mass causing extrinsic compression of the gastric outlet near is discovered on abdominal imaging, and upper endoscopy with endoscopic ultrasound and fine needle […]
August 4, 2013
I’d like to share with you a very interesting case of spinal tuberculosis, or Pott’s Disease. It’s a condition we all learn about in medical school, and which many US physicians will never see due to its rarity. According to the CDC, about 10,500 cases of TB were reported in the US in 2011, and […]
August 1, 2013
**If you would like another chance to read the challenge before seeing the answer, click here. Scroll down for the answer. ** ———————————————————————————————————————————————————————————– The correct answer is Medication induced delirium (G). This was a difficult case, but with the information provided the most likely answer should be clear. It’s an important topic, as this is a commonly-encountered clinical […]
July 12, 2013
This medical challenge is adapted from a real clinical scenario, and though complex, is an excellent example of the broad differential required for an elderly person with a change in mental status – one of the most common presentations to the emergency department. An 80 year old white male is brought to the emergency department […]
June 26, 2013
Humanism and empathy are all the rage in today’s medical literature and are increasingly emphasized in the education process. We select applicants who display these virtues or in whom we think we can cultivate them. They’re even recognized by national societies like the Arnold P. Gold Foundation, of which I am I a member. All […]
June 17, 2013
It’s been a long time since I’ve been able to post anything – thanks for bearing with me. Believe me, it’s been a busy few months. I finished up my clinical rotations, worked in a Chinese hospital, graduated medical school, became a Lieutenant, and drove from one coast to the other to reach my new […]
Abnormal Facies 
February 5, 2014
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