Small Bowel Obstruction 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, […]
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
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 […]
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
This article is going to show two very easy ways to help increase your PANCE or PANRE score by 100 points. I’ve written about this topic before but there is new information that I want to share. While there is no magic pill or wand to achieve this, these two techniques are the most useful and not difficult to implement and only require a little of your time. This means anyone can take advantage of them. The first tactic is to use a system over a couple of months to identify what you don;t know. Sounds easy, right? The key is going to be to go through a curriculum and identify what you don’t know – not what you are weak at – but what you don’t know. The second strategy is to take advantage of human error. Tests are written by humans, of course, and humans make errors. This article will show you 5 very easy techniques to narrow down an answer choice to either the correct answer or to a 50/50 probability – even without knowing anything about the topic. By combining these two strategies, you’ll be able to increase your PANCE or PANRE score by 10 points – which could be the difference between passing or failing. Let’s get started.
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 […]