Browsing All posts tagged under »USMLE«

Answer to Medical Challenge | Bloody Nose

February 5, 2014

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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 […]

Medical Challenge | Bloody Nose

February 2, 2014

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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 […]

Answer to Image Challenge | Difficulty Breathing

October 5, 2013

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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 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) – […]

Image Challenge | Difficulty Breathing

October 3, 2013

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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 […]

A Rare Presentation: Pott’s Disease

August 4, 2013

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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 […]

Medical Challenge | Altered Mental Status Pt. 2

July 12, 2013

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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 […]

The Importance of the USMLE Step 2 Clinical Skills Examination

March 29, 2013

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This guest post was written by Dr. Mark Swartz, M.D.  Please see the author bio below for more information. The Importance of the USMLE Step 2 Clinical Skills Examination “Do you smoke, drink coffee or consume alcohol? If you answered yes—how often?” As a patient, you may feel overwhelmed having to answer each question as […]