Surgery collections Videos and quizez 2021

2023-02-15 08:14:01 A 36-year-old woman comes to the emergency department due to left-sided facial droop. The patient woke up 4 hours ago and noticed that the left side of her face was sagging and that she was drooling from a corner of the mouth. She has had no facial numbness but has noticed an increased sensitivity to noise. The patient has a history of migraines, seasonal allergies, and gestational diabetes. Temperature is 36.5 C (97. 7 F), blood pressure is 120/70 mm Hg, and pulse is 78/min. BMI is 32 kg/m2. The face appears asymmetric with loss of the left nasolabial fold. When the patient is asked to smile, the left side of her face does not move. She is unable to raise her left eyebrow or completely close her left eye. Facial sensation to touch and pain is normal bilaterally. There are no skin or mucous membrane lesions. Open / Comment

2023-02-14 20:14:01 Educational objective: REM sleep behavior disorder (RBD) is characterized by dream enactment during REM sleep atonia. Most patients with idiopathic RBD eventually develop a disorder of alpha-synuclein neurodegeneration, most commonly Parkinson disease. Open / Comment

2023-02-14 08:13:01 A 58-year-old man comes to the ·office accompanied by his wife, who is concerned about his abnormal behavior during sleep. Several years ago she first noticed that he would occasionally shout and jerk his arms and legs while remaining asleep. Over the past year, these episodes have become more frequent, occurring 3-4 nights a week, and his movements have become more violent. The episodes typically occur at least 2 hours after he has fallen asleep. Sometimes he kicks and punches his wife as if he were defending himself from attack. The patient has fallen out of bed on occasion and once knocked over the nightstand. His wife is afraid that he will inadvertently injure himself or her. The patient has no history of irritable, aggressive, or violent behavior during the day or any history of sleep difficulties; however, his dreams have become more intense and he has frequent nightmares of being attacked. He has a history of hypertension that is well controlled. Physical examination is unremarkable. Open / Comment

2023-02-13 20:15:56 Usmle recalls step 1, 2 and 3
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https://t.me/USMLERECALLS2021/872 Open / Comment

2023-02-13 20:12:01 Educational objective: Idiopathic intracranial hypertension typically presents in young, obese women with headache, vision changes, papilledema, and abducens nerve (CN VI) palsy. Diagnosis is confirmed by lumbar puncture showinq elevated opening pressure and normal cell counts. Open / Comment

2023-02-13 12:10:45 An 18-year-old woman comes to the clinic due to persistent headaches, which have occurred daily for 3 months. The headaches are holocranial, pulsating, and especially bothersome at night
Ibuprofen has not helped the pain. The patient has double vision when looking sideways and
blurry vision in both eyes. She has no history of head trauma prior to the onset of symptoms and no fever, vomiting, photophobia, or weakness. The patient has no chronic medical conditions and does not use tobacco, alcohol, or illicit drugs. Her mother and sister have migraine headaches. Temperature is 37 C (98.6 F), blood pressure is 130/85 mm Hg, and pulse is 90/min. BMI is 34 kg/m2. Physical examination shows no nuchal rigidity or sinus tenderness. Eye examination reveals optic disc edema and left lateral rectus palsy. CT scan of the head without contrast is normal. Open / Comment

2023-02-08 18:11:41
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https://t.me/USMLERECALLS2021/817 Open / Comment

2023-02-04 20:44:37 USMLE RECALLS STEP 1 2 AND 3

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2023-02-02 18:45:27 https://t.me/studentdoctor Open / Comment

2023-01-31 08:19:14 USMLE RECALLS STEP 1 2 AND 3

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https://t.me/USMLERECALLS2021/768 Open / Comment