Home Blog Page 4

A Deadly Case of the Hiccups

As I have progressed into my second year of family medicine practice, I have realized that certain patients have a tendency to stay with me. If you are in your clinical rotations or in practice, you probably can relate. Perhaps it is the face of the child who was the first otitis media you ever diagnosed. Maybe it's an older...

Reviewing Uncomplicated Peptic Ulcer Disease

Peptic ulcer disease (PUD) is an ulceration in the stomach or duodenum that is caused by an imbalance between protective factors of the natural stomach lining and damaging mechanisms that predispose ulceration. Causes of Peptic Ulcer Disease Most duodenal ulcers (over 90%) occur in the first portion of the duodenum and gastric ulcers most commonly occur on the lesser gastric curvature...

When and How to Screen for Hepatitis C

Hepatitis C is a chronic systemic viral infection that mainly impacts the liver. The disease is responsible for significant morbidity and mortality yearly. As technology has advanced, new drugs now offer excellent clinical responses, which can prevent the rate of cirrhosis and end stage liver disease. New guidelines indicate the importance of screening for hepatitis C in asymptomatic individuals....

Mysterious Case of Persistent Groin Pain

Early on in my career, I had one of my most interesting cases to date.  To start off our relationship, a 44 year old male, showed up to his new patient appointment with active chest pain. So, I sent my patient straight to the emergency room, and subsequently, he was transferred to a larger facility for immediate heart catheterization. Two...

Signs and Symptoms of Ectopic Pregnancy

An ectopic pregnancy is any pregnancy which implants outside the uterus. Given its incidence of approximately 2% of all pregnancies (Cline et al, 2013) and the devastating consequences of missing the diagnosis, ectopic pregnancy is a commonly tested condition. This diagnosis must be considered in the differential of any child bearing age female presenting with abdominal pain. The presentation of ectopic...

High Yield Review Testicular Torsion

First off, what is testicular torsion? Well, it's the twisting of the testicle on the spermatic cord, ultimately leading to ischemia and necrosis. The most common type of torsion is intravaginal torsion from a bell clapper anatomic deformity or trauma. This is a medical emergency. Side note: click here to watch our clinical lecture regarding testicular torsion Signs and Symptoms for...

How to Study for the PANCE and PANRE

Look at the Content Blueprint for the PANCE and PANRE The first thing we need to do is look at what is being tested. Most of the PANCE and PANRE are very much the same. If you go to the NCCPA website, you’ll notice the content blueprint is the same for both exams. The PANRE has an option to focus...

Our Top 3 Cardiac Lectures

Cardiology seems to be a very commonly sought out subject, and, for good reason! I mean, it's a very complex topic and it takes up a large percentage on the boards (PANCE, PANRE, Nurse Practitioner Examination, and USMLE). Today, I want to share 3 of our most popular cardiology lectures - never miss another cardiology case again! Ventricular Tachycardia Pitfalls  Hypertensive...

Practicing As a New Graduate

The first thing you need to know - is that you will never know it all. You need to be ok with that. There are over 50 specialties recognized in the United States. Why? Because medicine evolves so quickly. It takes a lifetime to master each specific, medical, niche. Therefore, it is impossible to know it all. Yet, many feel like failures, because they feel...

Quality Over Quantity

I through up a Facebook post, about seeing 60 patients/day, and got a lot of flack for it... The point of the post was not to brag about the amount of patient's I see. To be honest, that was actually my least favorite part of the job. The purpose of the post was to point out the fact I turned down the opportunity...