Nov 26 2011

Internalize Info of the Week: Tramadol (Ultram)

This week was a nice short week for me, and I was very grateful to have time off for Thanksgiving. Being on an office rotation is especially great for that reason. I didn’t get asked very many questions this week, and no topic stuck out for me to post on. So, I decided to post …

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Nov 25 2011

Cotton Swabs Should Not Be Put Into Your Ears

I have looked into at least several hundred pairs of ears by now in my medical education, and I have seen the effects of cotton swab usage. It is pretty easy to tell by looking into someone’s ear if they are using them, because there is usually a big glob of wax packed far into …

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Nov 24 2011

Eagle’s Syndrome

When I think of an eagle, I think about America, and when I think about America, I think about the Declaration of Independence, and when I think about the Declaration of Independence, I think about how it was signed with a pen (stylus), and when I think about a stylus, it reminds me of the …

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Nov 23 2011

Text Messaging Can Help You Quit Smoking

Text messaging has become a widely used method of communication, and has even developed its own language with all the abbreviations and autocorrect errors. Texting while driving (and even walking) has its own inherent dangers, but could texting actually be good for your health? Well, quitting smoking sure is and text messages can help you …

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Nov 22 2011

How to Dictate a History and Physical

Dictating is part of every doctor’s responsibilities, but is not formally taught in medical school. Medical students are not usually allowed to dictate when they are on clinical rotations in the 3rd and 4th years of medical school. All residents are responsible for dictating, and most learn how to do so on the job during …

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Nov 21 2011

Overview of Thyroid Cancer

Cancer is something that all doctors keep in the back of their minds as a worst case scenario. Therefore, it should always be in the differential so it can be ruled out. In any patient that presents with a neck mass, swollen lymph nodes, enlarged thyroid gland, or thyroid nodule, thyroid cancer must be ruled …

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Nov 19 2011

Learn the Lab Test: Troponin

It is fairly common knowledge that troponin is the marker that becomes elevated in a heart attack, or myocardial infarction (MI). However, there is a lot more information that troponin has to offer. This post will review what exactly troponin is, and what conditions cause it to be elevated (it’s not always an MI). Troponin …

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Nov 19 2011

Internalize Info of the Week: A Frog in Your Throat, the Ranula (Mucous Cyst)

Ever had a frog in your throat? How about a frog under your tongue? This week I came across an interesting case of just that, called a ranula. A ranula is a cyst that is located under the tongue. The name comes from the Latin word for “little frog,” Rana, which is also the scientific …

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Nov 16 2011

Initial Evaluation of Dizziness

I am currently on an ENT rotation and thought it would be helpful to post on a confusing and frequently encountered topic: Dizziness. Dizziness is a common complaint encountered in the primary care setting. However, the term dizziness is very broad. Patients often use the word dizziness to describe vertigo (spinning), disequilibrium (imbalance), or presyncope …

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Nov 15 2011

Internalize Info of the Week: Hemolytic Anemia Laboratory Evaluation

A couple of days late for the info of the week, but I still think this is worth posting. I have been moving around and haven’t had access to a computer for a few days. This week I was pimped on the laboratory findings that you see in anemia, specifically hemolytic anemia. All anemias are …

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