Uworld | Step 1

2021-10-30 07:50:07 A 10-year-old boy is brought to the emergency department due to a fall while riding his bicycle. The patient hit his forehead on a concrete road barrier and sustained a laceration but did not lose consciousness. He reports no headache, nausea, vomiting, vision disturbances, or focal weakness or numbness. The patient received a tetanus vaccine at age 6. Vital signs are within normal limits. Physical examination reveals a 2-cm laceration above the left eyebrow. There are no other injuries. Neurologic examination shows no abnormalities. Prior to laceration repair with suture, lidocaine is injected in the subcutaneous tissue around the laceration. The patient reports immediate relief of pain, and there is loss of sensation to touch in the area infiltrated with the medication. Open / Comment

2021-10-30 03:01:28 Happy news for USMLE learners

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2021-10-29 19:50:12 Open / Comment

2021-10-29 19:49:01 45-year-old woman is evaluated for numbness and painful tingling of the right hand. The symptoms began 2 months ago and are especially prominent after she plays tennis. On examination, there is diminished sensation in the lateral palm, thenar eminence, and palmar aspect of the first 3Y:z digits of the right hand. Open / Comment

2021-10-29 07:48:01 Open / Comment

2021-10-29 07:48:01 6-year-old boy is brought to the office due to frequent nighttime awakenings. Several times a week over the past month, he has come to his parents' bed around 3 AM, frequently crying, appearing frightened, and saying that he became lost in a crowd and couldn't find his parents. Although he is comforted by their reassurance, he refuses to return to his room and eventually falls back asleep in their bed. The boy is about to start first grade at a new school. He is healthy and developmental milestones are normal. Examination shows no abnormalities. Open / Comment

2021-10-28 19:49:12 Open / Comment

2021-10-28 19:49:11 53-year-old man comes to the emergency department due to severe lower back pain. The patient's back pain started 2 weeks ago without any preceding trauma and has been keeping him awake at night. The pain has acutely worsened over the past 2 days and is not relieved with over-the-counter pain medications. His vital signs are within normal limits. Examination shows low back pain that is worse with back flexion and raising of the legs; it radiates into his left leg. Pinprick in the perianal area does not cause rapid contraction of the anal sphincter. The rest of the neurologic examination is normal. Open / Comment

2021-10-28 08:36:23 Happy news for USMLE learners

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Pathoma videos 2021

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Pixorize 2021 videos and questions bank

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2021-10-28 07:48:01 Open / Comment