Medical school is usually divided into two very different parts: the pre-clinical years, spent mostly in classrooms and labs, and the clinical years, spent in hospitals and clinics with real patients. The move from one to the other is one of the biggest transitions in your training. Knowing what changes helps you prepare and succeed. … Read more
Acute ischemic stroke within 4.5 hours: when to give IV thrombolysis and the blood pressure limit of 185/110.
Metabolic alkalosis from vomiting: how to check for appropriate respiratory compensation and why urine chloride is low.
Neuroleptic malignant syndrome after haloperidol: lead-pipe rigidity, high CK, and why dantrolene is the drug to add.
Beta-thalassemia minor: microcytic anemia with a high RBC count, normal iron and increased HbA2 on electrophoresis.
Pyloric stenosis: why IV fluids and electrolyte correction come before pyloromyotomy in hypochloremic metabolic alkalosis.