#internal med

[johnsonworled]

[caffeineinducedmd]

On the wards and my presentations are SHIT

The prelim intern is getting the more complicated cases (not intentionally distributed that way) and presenting them a WHOLE ton better than I am.

Plus ITE in 2 weeks and I know absolutely fucking nothing and I’m getting conflicting info on whether it’s important to score well. Still thinking pulm/CC and with my shitting step 1 score, I need all the advantages I can get

Not to mention step 3. When the fuck do I need to do that crap??

Ugh and two case reports to write b/c why the fuck not.

I’ve been at the hospital (on the “easy” wards rotation) for 14-15 hours for the past 2 weeks. I’m SO FUCKING SLOW.

/endrant

[sleepingbear21]

Concept

A reality tv show called “The Match” where a group of men and a group of women do a series of speed dates and challenges. Everyone ranks their prospective dates by true preference. The matching algorithm used for residency/fellowship pairs them and they must spend the next 6 months together.

[missnoodliness]

I have worked 15 straight days in this hospital with critical inpatients and my brain feels like mush. It will probably be a 21 total days of work when this is all done unless one of my rotation mates who has had a weekend off takes pity on me.

I've been working 12 hr shifts, coming home and doing paperwork until I sleep. Then doing it all over again for 15 days. I'm very tired and crabby and haven't finished typing up my Ortho rotation. Internal med is kicking my butt time wise.

[itsnotvinebutitsfine]

| I can never get the timing right with gynecological exams 🤷

[stethoscopingmaybe]

The truth about burn out...... gotta day this one hits it on the nail

[neuromedical]

Slovenské & české medblrs

(...ak tu také sú.) Našla som krásnu mnemotechnickú pomôcku na spísanie terajšieho chorenia v anamnéze, o ktorej možno viete, možno nie. Chcem sa podeliť :D

Dúfam, že ovládate abecedu, pretože je to MNOPPQRSTU.

M - miesto príznakov, bolesti, etc.

N - nástup príznakov - okamžitý, rýchly alebo pomalý

O - odkedy príznaky trvajú - presný čas začiatku

P - predchádzajúce udalosti - či pt niečo zjedol, čo robil, čo k tomu viedlo

P - predchádzajúce epizódy - či sa príznaky už niekedy opakovali

Q - quality+quantity - intenzita príznakov (druh bolesti atď) + ako často sa vyskytujú, frekvencia, v akej sile a množstve (pri zvracaní atď)

R - radiácia - vyžarovanie príznakov - najčastejšie bolesti

S - súvisiace príznaky - či sa okrem toho “hlavného” pridáva ešte niečo

T - terapia - či sa pacient lieči na uvedené alebo iné ťažkosti, poprípade či sa pokúšal liečiť sám (voľnopredajné lieky)

U - úľavové a zhoršujúce faktory - úľavová poloha, zhoršenie po jedle, etc.

Ako niekto, kto sa večne na niečo zabudne opýtať, mám pocit, že to je super vec :D Samozrejme, treba to vždy prispôsobiť jednotlivcovi, ale je to slušná osnova.

[vet-student]

Favrot’s diagnostic criteria for atopic dermatitis

Affected dog is younger than 3 years of age

Living mostly indoors

Itchiness responsive to glucocorticosteroids

Itchiness without lesions at first

Front paws affected

Ear pinnae affected

The margin of ear pinnae is lesion-free

Dorso-lumbar area is lesion-free

Meeting 5 out of 8 of these criteria gives 85% probability of atopic dermatitis.

(photo from: Canine atopic dermatitis: Detailed guidelines for diagnosis and allergen identification, Hensel P., Santoro D., 2015)