February 2012 archive

Feb 18 2012

Defining Systemic Inflammatory Response Syndrome (SIRS) and Sepsis Criteria

Systemic Inflammatory Response Syndrome Sepsis Pathyway

The body’s response to inflammation and infection has been characterized by the American College of Chest Physicians and Society of Critical Care Medicine. These organizations defined a four step pathway to determine when a body is responding to inflammation and when that inflammation is caused by an infectious organism. This pathway consists of the Systemic …

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Feb 17 2012

Top 10 Clinical Criteria/Scoring Systems for Internists and Medical Students

Clinical scoring systems, clinical criteria, and clinical prediction rules are used widely in medicine and academics. They are used to aid physicians in their clinical decision making and finalizing a diagnosis. Although they should never be used in place of a physician’s sound clinical judgment, they are great clinical tools and methodologies used to organize …

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Feb 10 2012

Top 10 Things Medical Students Should Have in Their White Coats

Medical students’ white coats are short, but still have a lot of pockets to carry necessary supplies. These white coats are notorious for becoming heavy, so I have come up with the “Top 10 Things Medical Students Should Have in Their White Coats,” to help lighten the load. 1. Pens. Write notes, take notes, and …

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Feb 10 2012

How to Excel on an Internal Medicine Sub-Internship Rotation

Once you have decided that you want to match into an internal medicine residency, you should try to schedule as many sub-internship or “audition” rotations as possible. Definitely schedule these at your top program choices, and then try to do more at other programs that you are interested in knowing more about. The optimal time …

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Feb 04 2012

Circulation of Cerebrospinal Fluid (CSF)

Circulation of Cerebrospinal Fluid CSF

The flow of CSF through the Central Nervous System is important to understand for the many conditions that can affect it including hydrocephalus, infections, masses, or bleeds. I have created a flow chart to show the anatomy of the circulation of CSF. It is important to remember that the lateral structures are arranged in pairs, …

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Feb 02 2012

Epidural and Subdural Hematomas, and Subarachnoid Hemorrhage Mnemonic

These three types of brain bleeds are the highest yield to be able to recognize on board exams. Additionally, you definitely do not want to miss these on any patient. In my studies, I always seemed to have trouble keeping the first two straight (epidural and subdural). I came up with this mnemonic to help …

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Feb 01 2012

Peripheral Nervous System (PNS) Physical Examination

This post is designed so that you will never have to write “Neuro: Grossly intact” on your History & Physicals again! Writing “grossly intact” is pretty much saying that you didn’t examine the system at all. This post will address how to do a thorough peripheral nervous system physical examination for the purposes of a …

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