Surgery collections Videos and quizez 2021

2023-03-20 23:05:04 Educational objective: Cervical radiculopathy is common in older individuals and usually arises after physical activity or trauma puts stress on the neck and leads to disc herniation or nerve root compression from underlying cervical spondylosis. Patients usually have pain in the neck radiating to the shoulder/arm, weakness in an upper extremity myotome, and sensory loss in an upper extremity derrnatorne. MRI of the cervical spine is the first test of choice. Open / Comment

2023-03-20 21:03:18 A 52-year-old man comes to the ·office due to upper extremity weakness and pain in his shoulders and upper back since shoveling snow a weeks ago. His left arm also has started to feel heavy, and he has difficulty dressing and undressing because he lacks the strength to pull clothes over his head. The patient has not had similar symptoms before and recalls no other trauma to the area. He has a history of hypertension and hypothyroidism. Vital signs are within normal limits. Physical examination of the shoulder joints shows no deformity, and passive range of motion is full with no pain. There is moderate weakness of left shoulder abduction, but strength in the other muscle groups is normal. Decreased sensation to light touch and pinprick is present on the left lateral forearm. The remainder of the examination shows no abnormalities. Open / Comment

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https://t.me/USMLERECALLS2021/916 Open / Comment

2023-03-12 16:59:52 Usmle recalls step 1, 2 and 3
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https://t.me/USMLERECALLS2021/872 Open / Comment

2023-03-08 22:13:28 https://t.me/studentdoctor Open / Comment

2023-03-03 20:02:28 Usmle recalls step 1, 2 and 3
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https://t.me/USMLERECALLS2021/872 Open / Comment

2023-02-28 20:47:02 Educational objective: Traumatic brain injury (TBI) of any severity can lead to (a few hours to days later) postconcussive syndrome, which is clinically described by the following constellation of symptoms: headache, confusion, amnesia, difficulty concentrating or with multitasking, vertigo, mood alteration, sleep disturbance, and anxiety. These symptoms typically resolve with symptomatic treatment within a few weeks to months following TBI; however, some patients may have persistent symptoms lasting >6 months. Open / Comment

2023-02-28 08:45:01 A 36-year-old woman comes to the office after a month of almost daily, bandlike headaches, dizziness, and fatigue. She has experienced irritability,inability to concentrate, and poor sleep of the same duration. Prior to the onset, she had an accident at work; a box fell on her head, and
she lost consciousness briefly. The patient was taken to an emergency department and all tests were normal, so she was discharged. She has had no nightmares or flashbacks of the event She has no known medical problems. She drinks 1-2 glasses of wine every evening but does not use tobacco or illicit drugs. The patient is afebrile. Blood pressure is 125/85 mm Hg and pulse is 76/min. Cardiopulmonary and abdominal examinations are unremarkable. She appears anxious but her neurologic evaluation including attention and memory is normal. Open / Comment

2023-02-27 20:45:03 Educational objective: In patients with suspected stroke, noncontrast CT scan of the head is the initial diagnostic test of choice as it is critical for guiding further management. Hemorrhagic strokes appear immediately on noncontrast CT as white hyperdense regions in the brain parenchyma whereas many ischemic strokes do not become evident (hypodense) until >24 hours after the event. Open / Comment

2023-02-27 08:43:02 A 76-year-old woman is brought to the hospital with a 1-hour history of confusion. Her husband says that the patient started having an occipital headache 2 hours ago and took acetaminophen and went to bed. An hour later, he had difficulty waking her up and found her confused. The patient's medical history is significant for coronary artery disease, diabetes mellitus type 2, hypertension, and persistent atrial fibrillation. She underwent coronary artery bypass grafting 8 years ago. Her current medications include apixaban, metoprolol, lisinopril, insulin glargine, and insulin aspart. She is an ex-smoker with a 30-pack-year smoking history, and she drinks a glass of wine daily. The patient lives with her husband and is independent in her daily activities. Her temperature is 37.9 C (100.2 F), blood pressure is 170/100 mm Hg, and pulse is 70/min and irregular. The patient is somnolent but wakes up with painful stimuli and withdraws all 4 extremities to pain. She is unable to follow simple commands and mumbles a few unintelligible words. Deep tendon reflexes are symmetric and Babinski sign is absent bilaterally. Fingerstick blood glucose is 110 mg/dL Open / Comment