Causes: adhesions (pelvic surgery) > tumor > hernia (inguinal) Proximal: bilious vomiting Distal: feculent vomiting High pitched bowel sounds X-ray: dilated bowel, air-fluid levels, “stack of coins” or “string of pearls” sign Modality of choice: CT NGT, surgery
Appendicitis Patient will be complaining of fever, pain that began periumbilical then moved to RLQ, nausea and anorexia PE will show Psoas sign (RLQ pain on extension of right hip), Obturator sign (RLQ pain on internal rotation of flexed right hip), Rovsing sign (right lower quadrant pain when the left lower quadrant is palpated) Diagnosis is made by ultrasound, CT Most commonly caused […]
As knowledge increases, wonder deepens. -Charles Morgan Welcome back to Episode 20! We have a great episode lined up for you this week, again covering topics that run the gamut of Emergency Medicine. We are excited to say that we have covered over 100 questions in approximately five hours of Roshcast over six months! As always, […]
Today’s teaching image and Rapid Review covers cardiac tamponade. Pericardial Tamponade Patient will be complaining of dyspnea and chest pain PE will show muffled heart sounds, JVD and hypotension (Beck’s triad), pulsus paradoxus ECG will show low voltage QRS, electrical alterans Echocardiography will show diastolic collapse of RV Treatment is pericardiocentesis For more teaching images, try […]
Today’s teaching image and Rapid Review covers tinea versicolor. Tinea Versicolor Malassezia furfur Patches with altered pigmentation Torso Affected skin does not tan Selenium shampoo For more teaching images, try a free trial of our board review qbanks.
Knowing is not enough; we must apply. Willing is not enough; we must do. -Johann Wolfgang von Goethe Welcome back to episode 19! We are certainly relieved to have this year’s in-training exam behind us, and we are sure you are too. We hope you recognized some of the content we reviewed in episodes 1-15 […]
Today’s teaching image and Rapid Review covers basilar skull fracture. Basilar Skull Fracture Petrous portion of temporal bone fracture most common Battle’s sign, raccoon eyes, hemotympanum, CSF otorrhea/rhinorrhea CN VII, VIII entrapment CT For more teaching images, try a free trial of our board review qbanks.
Q. Do you have a specific pretest breakfast? No. Q. Do you have any night-before-the-exam routines? Quit studying at least a few hours before I plan to sleep. Q. What do you bring for lunch during your exam? Peanut butter sandwich, Mountain Dew Q. Do you have any strategies that you employ during the exam (e.g. Answer particular […]