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I start internal medicine Monday followed by infectious disease. No cutting for two whole months
WTF?I did a lit search and found hypoplastic sustentaculum tali in middle facet tarsal coalitions but not much about hypertrophy except some mention in a case or 2 of causing tarsal tunnel syndrome.
I am now on infectious disease rotation.
today I saw possible whipple's disease. This is the only intestinal disease that causes neurological effects.
Whipple was a very busy man. He has a disease, a general surgical procedure (pancreaticoduodenalectomy) for cancer of the ampulla Vater or bile duct. And he has a triad for hypoglycemia.
We saw a patient with colon cancer who had a colectomy, then the anastamoses perforated and intestinal contents spued into his abdomen. He was on abx already for prophylaxis. He formed several abscesses and all of them had yeast so he was treated with fluconazole.
I'm on internal medicine. I had my first 30 hour shift which our team does once a week. While you are on call, you are also on the code team. We had one patient code last night who ended up dying. I'm the chest compression guy. I also did a rectal yesterday. Anyway, this experience is making me very greatful to be going into podiatric medicine.
I'm on internal medicine. I had my first 30 hour shift which our team does once a week. While you are on call, you are also on the code team. We had one patient code last night who ended up dying. I'm the chest compression guy. I also did a rectal yesterday. Anyway, this experience is making me very greatful to be going into podiatric medicine.
I'm on internal medicine. I had my first 30 hour shift which our team does once a week. While you are on call, you are also on the code team. We had one patient code last night who ended up dying. I'm the chest compression guy. I also did a rectal yesterday. Anyway, this experience is making me very greatful to be going into podiatric medicine.
As a student I got to do guiacs and pelvics in the ED - woo hoo.
Today on ID we saw a patient that has HIV and lung cancer. The patient had hydropneumothorax a few days ago and some head aches. He had an MRI that had a lesion in it. It was thought to be HIV related. He underwent a brain biopsy. Frozen section reveals adenocarcinoma. His lung cancer metastized to his brain.
My first scrub last week and it was an ankle fusion. It was awesome!
Yea, some of this stuff is interesting but quite honestly, these rotations make me very thankful that I chose podiatry.
definitely. I get sort of board by just questioning the patient, listening to heart, lungs, look at throat, feel lymph nodes, listen to bowels, then rx some drugs based on a guess.
Today I was back on pod b/c I was on call. This AM we had a non-union of the 1st MPJ with a Wright Medical MPJ fusion plate that pussed out and dehissed. This has been occuring for 4 months and toe is not fused. We opened her up, resected the non-union, put in osteoset w/ vancomycin and gentomycin, and a minirail to hold it out to length. We also took some cultures of course.
today i was called in and saw a sweat case of tinea pedis...treated it with OTC lamisil and will have the pt follow up...things are so intense here in residency. So many toes, not enough time in the day to cut all the nails and cure the pandemic of athletes foot...we do all we can out here.
today i was called in and saw a sweat case of tinea pedis...treated it with OTC lamisil and will have the pt follow up...things are so intense here in residency. So many toes, not enough time in the day to cut all the nails and cure the pandemic of athletes foot...we do all we can out here.
today i was called in and saw a sweat case of tinea pedis...treated it with OTC lamisil and will have the pt follow up...things are so intense here in residency. So many toes, not enough time in the day to cut all the nails and cure the pandemic of athletes foot...we do all we can out here.
I start internal medicine Monday followed by infectious disease. No cutting for two whole months
why not? I am on ID and I got to drain a neck abscess yesterday
Today I saw a lung transplant patient with aspergillus infection in his transplanted lung. And a woman in the process of undergoing organ failure one organ at a time. She has a cardiomyopathy (2 siblings died from this already) she was on the list for a heart transplant and had to be placed on a biVAD (bi-ventricular assist device). The device got a psudomonal infection at the skin-device interface. Then she developed pseudomonal septicemia. The pseudomonas is resistant to almost every medication. But it is suseptable to levoquin. She was on imepenem for a while before the sensitivity came back, so it had some time to go rampant. She is on a ventilator thru a tracheostomy, the biVAD, her kidneys have failed (no more urine output), her liver is currently failing (platelets going down and bilirubin going up), her abdomen is distended to the point that she looks 6 months pregnant. They might withdraw support tomorrow.
Are you getting to do some good stuff out there? I mean, are you satisfied with what you're doing as an R1?
I am being sarcastic...i am having a blast and staying busy
Where is everyone? Probably working. I finished Internal Medicine last week. Now, I'm on Infectious Disease for a month. What am I doing here again??? Oh yea, I'm a podiatric surgery resident. I'm going to have to be re-trained next month
Saw a calc fx, ankle fx, tib fib fx, colle's fx, 5th met fx. I love fractures, because then I get to apply splints!
At my program, we like to actually fix the fracture (except the colle's)!!!
I saw a patient who came in to the ER today with onychogryphosis. Oh man, had we gotten to him a little later, he would have died. Good times, good times.
I've helped deliver two! Messy, messy, messy.Just curious...Has anyone delivered or participated in delivering a baby? One podiatrist I shadowed said during his residency at one point, he was the only doctor around and had to do the job. I think that would be just an amazing experience.
Just curious...Has anyone delivered or participated in delivering a baby? One podiatrist I shadowed said during his residency at one point, he was the only doctor around and had to do the job. I think that would be just an amazing experience.
Heck yeah... a lot of fractures of any kind. You might see some other good stuff also with the roads getting bad. Why do you think I did my MI clerkships in the summer?Lesson of the week:
Ice = A lot of ankle fractures
Heck yeah... a lot of fractures of any kind. You might see some other good stuff also with the roads getting bad. Why do you think I did my MI clerkships in the summer?
Simple old driveway ice was even what did poor old doc Atkins in.
Heck yeah... a lot of fractures of any kind. You might see some other good stuff also with the roads getting bad. Why do you think I did my MI clerkships in the summer?
Simple old driveway ice was even what did poor old doc Atkins in.
I got to do a choparts amputation skin to skin yesterday!
very exciting for me, not so much for the patient.
I got to do a choparts amputation skin to skin yesterday!
very exciting for me, not so much for the patient.
Do you mean 1st IPJ?...I did do two IPJ fusions which I had never done before.
Do you mean 1st IPJ?
Hard to imagine you haven't done dozens of hammertoe PIPJ arthrodesis procedures already. Heck, at some programs, that's basically all first year residents are allowed to do.
Yep... I figured it was HIPJ, but just thought I'd ask. What type of fix do they use there... single lag screw? I've read a bit about that procedure but never seen a case... or even a patient where it was really indicated (aside from an advanced OA where it was pretty much auto-fused already lol).Yea, 1st IPJ fusions. I can do hammertoes in my sleep by now! I tried to avoid programs that don't let 1st years do a whole lot. Everybody learns differently and some people like to see a lot before doing it. I'm one of those people that learns by doing. I've got nearly 150 C cases already and I've only been on podiatry for 4 months.
Did anyone else see the story about the man bringing grenades into the ER at Detroit Receivig Hospital(DMC)? Jonwill do you wear a flak jacket?