Acute Sinusitis: Guidelines Knowledge Check

Andrea Eberly, MD, MS, FAAEMEmergency Medicine, Family Medicine, Guideline Knowledge Check, Internal Medicine, Nurse Practitioner, Pediatric Medicine, Urgent Care

acute sinusitis guidelines check

Sinusitis and rhinosinusitis refer to inflammation in the nasal cavity and paranasal sinuses. Acute rhinosinusitis (ARS) lasts less than four weeks. The most common etiology of ARS is a viral infection associated with the common cold. Distinguishing acute viral rhinosinusitis related to colds and influenza-like illnesses from bacterial infection is a frequent challenge to the primary care clinician. Acute rhinosinusitis … Read More

Bedside Diagnostic Challenge – A 53-year-old woman with acute onset of pain and swelling of the left leg.

Paul Griner, MD, MACPBedside Diagnostic Challenge, Emergency Medicine, Family Medicine, Internal Medicine, Nurse Practitioner, Nursing RN/PN, Pediatric Medicine

bedside diagnosis ruptured baker's cyst case

Test your bedside diagnostic skills with this free clinical case question. A 53-year-old woman with a 6-month history of morning stiffness involving her wrist, fingers, and knees presents with the acute onset of pain and swelling of the left leg, more pronounced on walking. She states that she has had a large, soft lump in the back of the left … Read More

Geriatric Syndromes Board Review Questions | CME Quick Quiz

Scott Akin, MD, FAAFPEmergency Medicine, Family Medicine, Internal Medicine, Nurse Practitioner, Question of the Week, Urgent Care

Geriatric syndromes CME quiz

A 75-year-old man with well-controlled diabetes mellitus developed a laceration on his right lower extremity (see Figure). It happened 3 weeks ago. He tells you that he first noticed it after he got out of his car. Since then, he has been using soap and water to clean the wound. He has been applying topical antibiotic ointment and covering the … Read More

Burn Treatment Critical Care Board Review Questions | CME Quick Quiz

Kathryn Butler, MD, FACSEmergency Medicine, Internal Medicine, Nurse Practitioner, Question of the Week, Urgent Care

burn treatment CME quiz

A 46-year-old man weighing 85 kg with no past medical history is brought in by paramedics after sustaining extensive burn injuries in a brush fire. He was clearing brush in his yard when the blaze spread out of control and his clothing caught fire. By the time his family heard his cries and helped him extinguish the flames, he had … Read More

Against Medical Advice (AMA): Clinical Pearls Blog

Gerard Kiernan, MD, FAAFP, FHMClinical Pearls, Emergency Medicine, Family Medicine, Internal Medicine, Nurse Practitioner, Pediatric Medicine, Urgent Care

against medical advice AMA discharge

When a patient leaves against medical advice – or AMA, the patient is leaving before their treating physician recommends discharge or despite medical advice to the contrary. This definition implies the patient received and understood the medical advice given. In practice, the term “AMA” is often used regardless of whether medical advice was given or not.  Patients may lack the … Read More

Internal Medicine Boards Survival Guide: How To Best Prepare for IM Boards

Nancy M. Anderson, MBA, MSInternal Medicine, Personal Education

Internal medicine boards study guide, how to prepare for IM boards

Exam time is approaching, and you’re wondering how to prepare for Internal Medicine Boards. Let us help you with that! This internal medicine study guide is full of tips, tricks, and valuable insight into the art of internal medicine board prep and the inner-workings of the exam itself. Follow these steps and you’ll likely pass – and with a higher … Read More

Bedside Diagnostic Challenge – 16-year-old girl with lack of bowel movements

Paul Griner, MD, MACPBedside Diagnostic Challenge, Emergency Medicine, Family Medicine, Internal Medicine, Nurse Practitioner, Nursing RN/PN, Pediatric Medicine

16-year-old-with-lack-of-bowel-movements

Test your bedside diagnostic skills with this free clinical case question. A 16-year-old girl is brought to her physician because of lack of bowel movements. The patient states that for the past 3 months, she has had a bowel movement only every other week. She describes them as normal in color and consistency. She has had no abdominal pain or … Read More

Critical Care Pharmacology: Board Review Questions | CME Quick Quiz

Paul Griner, MD, MACPEmergency Medicine, Family Medicine, Internal Medicine, Nurse Practitioner, Question of the Week, Urgent Care

critical care pharmacology board review questions quick quiz

Critical Care Pharmacology Case: A 62-year-old man with a history of hypertension has been complaining of abdominal pain for several weeks. He tells you that the pain is moderate in intensity and does not seem to be related to eating. He also had chills, but no fevers have been documented. You order computed tomography of the abdomen, which showed the … Read More

Asymptomatic Bacteriuria: Clinical Pearls Blog

Gerard Kiernan, MD, FAAFP, FHMClinical Pearls, Family Medicine, Internal Medicine, Nurse Practitioner

Asymptomatic Bacteriuria positive urine culture

Asymptomatic bacteriuria (ASB) is a common finding in many populations, including healthy women and persons with underlying urologic abnormalities or those who have bladder catheters inserted for an extended period.  Asymptomatic bacteriuria is a condition in which larger than normal numbers of bacteria are present in the urine but symptoms do not result. A 76-year-old woman with Alzheimer’s disease, hypertension, … Read More

Bedside Diagnostic Challenge – A 54-year-old woman with attacks of pain, burning, and redness on hands and feet

Paul Griner, MD, MACPBedside Diagnostic Challenge, Emergency Medicine, Family Medicine, Internal Medicine, Nurse Practitioner

diagnostic case - woman with pain, burning and redness on hands and feet

Test your bedside diagnostic skills with this free clinical case question. A 54-year-old woman presents with attacks of pain, burning, and redness of her hands and feet. Attacks appear suddenly, last for a half-hour to an hour and are quite disabling. They occur every 2-3 days, are not related to activity, and have been occurring for about two weeks. Interestingly, … Read More