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Old 12-19-2013, 18:05   #1
ender18d
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Originally Posted by Sacamuelas View Post
I didn't say some academic won't put that on a board exam. They like to pull out wild Dx for common symptoms for standardized tests... HaHa

We had all sorts of "what ifs" drilled into us as well during school.... they are good to know when you've run through a very thorough process of ruling out the more likely causes. Just trying to give some scale to the problem so that our members knew how unlikely IE is from dental procedures.
Roger that sir! This is some great real world info that may prevent me from pulling a zebra out of my back pocket on rounds one day and looking like a typical med student.
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Old 12-19-2013, 18:29   #2
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I am sufficiently scared for the next time I have lower back pain.

Thank you.

PS, I like these scenarios and I like the fact that board members are taking the time to post these. I read through and don't understand. I'm a "take a knee and drink water" type of guy, but it's good to know that those common maladies may kill me.
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Old 12-20-2013, 04:37   #3
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Originally Posted by ender18d View Post
Roger that sir! This is some great real world info that may prevent me from pulling a zebra out of my back pocket on rounds one day and looking like a typical med student.
We are often looking to see if you can keep the differential broad - we like hearing a medical student form a broad differential and a logical diagnostic plan that covers the common and most urgent causes and how to proceed from there if initial testing doesn't point to a cause.

I used to make sure that Munchausen (or Munchausen by proxy) and ingestion got on every differential in our "morning report" case exercises.
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Old 12-20-2013, 10:29   #4
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Originally Posted by DocIllinois View Post
This is especially true of a practice with a specific anatomical concentration.
Like recreational gynecology?
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‎"The dignity of man is not shattered in a single blow, but slowly softened, bent, and eventually neutered. Men are seldom forced to act, but are constantly restrained from acting. Such power does not destroy outright, but prevents genuine existence. It does not tyrannize immediately, but it dampens, weakens, and ultimately suffocates, until the entire population is reduced to nothing better than a flock of timid, uninspired animals, of which the government is shepherd." - Alexis de Tocqueville
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Old 12-20-2013, 12:32   #5
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Originally Posted by Brush Okie View Post
This post is useless with out photograph documentation.
Where do you think the camera was positioned when my avatar photo was taken?

(for the record: my avatar is from the original "Bean" movie.)
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‎"The dignity of man is not shattered in a single blow, but slowly softened, bent, and eventually neutered. Men are seldom forced to act, but are constantly restrained from acting. Such power does not destroy outright, but prevents genuine existence. It does not tyrannize immediately, but it dampens, weakens, and ultimately suffocates, until the entire population is reduced to nothing better than a flock of timid, uninspired animals, of which the government is shepherd." - Alexis de Tocqueville
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