MedInsights

Hello guys, it's good to be back! We are going to start posting new content in the coming days, so I will keep you posted!

1 week ago | [YT] | 0

MedInsights

Quick QUESTION: during my last shift I saw a 41-year-old patient with no significant medical history who came into the ER with right upper quadrant abdominal pain, nausea, vomiting at home, and fever episodes, symptoms that started about 2 days ago.

On physical exam, she had a positive Murphy sign. Lab results showed leukocytosis around 17K and a CRP of 50 mg/L, no anemia, normal lipase, and no signs of cholestasis, hepatocytolysis, or other abnormalities.

What imaging would you order first, and what diagnosis are you thinking?

2 months ago | [YT] | 3

MedInsights

USMLE-style question of the week - ENDOCRINOLOGY

A 45-year-old woman presents with fatigue, cold intolerance, weight gain and constipation for the past 4 months. She also reports dry skin and menorrhagia. Physical examination shows bradycardia and periorbital puffiness.

Which of the following is the best initial laboratory test to confirm the suspected diagnosis? What do you think ?

5 months ago | [YT] | 4

MedInsights

Happy New Year, everyone! 🎉

Start the year strong !

Watch the video first: https://youtu.be/X-hNiSinh00

And try this USMLE-style question and see if you get it right !

A 45-year-old man presents to the emergency department with sudden-onset, severe right flank pain radiating to the groin. The pain is colicky and associated with nausea and vomiting. He appears restless and uncomfortable. Urinalysis shows gross hematuria, but no leukocytes or nitrites.

A non-contrast CT scan of the abdomen reveals a 4 mm stone lodged at the vesico-ureteric junction.

Which of the following is the most appropriate initial management for this patient?

5 months ago | [YT] | 4

MedInsights

USMLE style question of the week:

A 51 year-old man presents to the emergency department with sudden, severe epigastric pain radiating to the back. The pain worsened after a heavy meal and is associated with nausea and vomiting.
He has a history of chronic alcohol use.

On physical examination, he has epigastric tenderness without guarding or rebound.

Laboratory studies show:

• Serum lipase: 3× the upper limit of normal
• C-reactive protein (CRP): 10× the upper limit of normal
• White blood cell count: 15,000/µL
• Mildly elevated AST and ALT
• Normal bilirubin

Which diagnosis should be most strongly suspected in this patient?

5 months ago | [YT] | 5

MedInsights

USMLE question of the week:

A 45-year-old woman presents with 6 months of symmetrical joint pain in the hands and morning stiffness. She also reports progressive fatigue and mild unintentional weight loss over the past several months.

On examination, she has a malar rash sparing the nasolabial folds, which is photosensitive. We can also see mild swelling of several small joints.

Laboratory tests show anemia, leukopenia, thrombocytopenia, and elevated ESR and CRP. Urinalysis is normal.

What do you think is the most likely diagnosis and what additional tests would you order?

6 months ago | [YT] | 7

MedInsights

Hi everyone, I was thinking about creating short USMLE-style quizzes from time to time, so you can test your medical knowledge!

A 32-year-old man comes to the clinic because of recurrent, painful mouth ulcers for the past 18 months. He also reports episodic genital ulcers and recent redness and pain in both eyes. On physical examination, in addition to shallow aphthous ulcers on the buccal mucosa, he has tender nodular lesions on the lower extremities and his eyes appear injected with findings suggestive of anterior uveitis on slit-lamp evaluation.

What do you think? Based on the clinical picture, what’s the most likely diagnosis?

Drop your thoughts in the comments!

6 months ago | [YT] | 8