Thursday, August 19, 2010

Cancer Screening

http://www.cancer.org/Healthy/FindCancerEarly/CancerScreeningGuidelines/american-cancer-society-guidelines-for-the-early-detection-of-cancer

I guess this link will provide you a knowledge on cancer screening:
American Cancer Society Guidelines for the Early Detection of Cancer
The American Cancer Society recommends these screening guidelines for most adults. Good to know so that you can get up-to-date information.

Enjoy reading'em.

Sunday, August 8, 2010

My Ob Gyn

www.permanente.net/homepage/kaiser/pdf/6289.pdf
https://secure1.csmc.edu/nicu/cbg/ (Cord gas)

This is a good article talking the difference of level 1 ultrasound and level 2 ultrasound. Still have a lot of readings to do and assignments to complete. Got to hasten my pace.

http://www.gentlebirth.org/archives/dic.html

This is an article about DIC in pregnancy. I witnessed a patient with this condition. Was transferred to ICU and was well taken care of. Let's not forget that there is a possibility that a mother will get into this condition during pregnancy.

Tuesday, July 6, 2010

Golden phrase from Jefferson

Below listed are the phrases I got from today's orientation:

1. Don't ever ask questions that you can look up the answers.
2. Never pimp another student in front of team.
3. Never answer question directly specific to another student. Wait for your turn.
4. If you are asked a question, even if you do not the answer, make sure you reason them "out loud"
5. Always be within or easy contact with residents. Observe also what the residents are doing.
6. Check patient often!
7. Appear interested all times!
8. Think "How can I make my resident's job easier?" e.g. discharge summaries, scripts, pre/post-ops checks
9. Do not get caught in race for information with fellow students

Journals:
1. Periodically bring respected journals e.g. NEJM, JAMA
2. Read whole article and make an intelligent sentence or 2 summing them up
3. Do not overdo a.k.a. overkill (one to two times per week will be good)
4. Do not print and distribute to whole team

Presentation:
1. Handouts for all
2. Appropriate presentation
3. Practice before you give presentation
4. If information is split among teammates, NEVER present information someone was assigned to

Handheld/Smartphones:
Do not use them in rounds unless looking for drugs. Resident will think you are playing games. You are warned!

If you are absent in rotation, call the clerkship coordinator or resident on team.
Nurses are your biggest ally. DO NOT SLEEP IN ROTATION!

Monday, June 14, 2010

Hidradenitis suppurativa

http://www.aocd.org/skin/dermatologic_diseases/hidradenitis_suppu.html
http://www.mayoclinic.com/health/hidradenitis-suppurativa/ds00818

Hidradenitis Suppurativa

Hidradenitis suppurativa, also known as acne inversa, is a chronic, often debilitating disease primarily affecting the axillae, perineum, and inframammary regions. Prevalence rates of up to 4% have been estimated. Our understanding of the disease has changed over time. It is now considered a disease of follicular occlusion rather than an inflammatory or infectious process of the apocrine glands. Clinically, the disease often presents with tender subcutaneous nodules beginning around puberty. The nodules may spontaneously rupture or coalesce, forming painful, deep dermal abscesses. Eventually, fibrosis and the formation of extensive sinus tracts may result. The location of the lesions may lead to social embarrassment and the failure to seek medical treatment. Therapies in the past have consisted of long-term antibiotics, antiandrogens, and surgery. New treatments like tumor necrosis factor-alfa inhibitors have given clinicians more options against this difficult disease.

From: http://www.ncbi.nlm.nih.gov/pubmed/19293006

Thursday, June 10, 2010

Corn a.k.a. hyperkeratosis, clavus, heloma and tyloma

http://www.epodiatry.com/corns-callus.htm
http://footcare.ygoy.com/foot-corns-and-corn-treatment/

The above mentioned websites are some reference if you are interested in a condition called foot corn. Well, it's basically, as suggested from the name, a corn-like lesion over the foot. To be accurate, it's hyperkeratosis. The function is nothing but to protect your feet from the hardship they are exposed to. Differentiation from it with that of a callus is important. Here is the difference: A callus generally refers to a more diffuse thickening of the skin (more common on the toes, but can occur under the ball of the foot) whereas a corn is a thicker more focal area area (more common on the toes). A corn can occur under and be surrounded by callus. Complication worried is that infection can occur on the it, and eventually leading to the formation of an abscess.