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.
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
Pediatric Hematology Diseases Board Review Questions | CME Quick Quiz
A 7-year-old boy presents to you for evaluation of abdominal pain and rash that have been present for the past 2 days (see Figure 1). Figure 1. His past medical history is significant only for an upper respiratory infection the previous week. On physical examination, his vital signs are stable, but his abdomen is moderately tender, and his stool is … Read More
Against Medical Advice (AMA): Clinical Pearls Blog
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
Bedside Diagnostic Challenge – 16-year-old girl 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
Youth Sports Concussion: Clinical Pearls Blog
A concussion is a type of traumatic brain injury—or TBI—caused by a bump, blow, or jolt to the head or by a hit to the body that causes the head and brain to move rapidly back and forth. This sudden movement can cause the brain to bounce around or twist in the skull, creating chemical changes in the brain and … Read More
Orthopedic Injuries: Free Board Review Questions
Orthopedic injuries affecting bones and joints can be caused by degenerative conditions such as arthritis or sudden trauma from a fall or collision. Dislocations, sprains, strains, fractures, ligament damage etc, all carry their own set of treatment challenges and potential complications. From the musculoskeletal point of view, the major complications of traumatic orthopedic injuries in are acute respiratory distress syndrome … Read More
Know Your Guidelines – Infant with Brief Apneic Event
The 2016 American Academy of Pediatric (AAP) Guidelines changed both the terminology and management of apparent life-threatening episodes (ALTE) in infants. Do you know the most recent guidelines for the management of infants with ALTE? Stay in step with current national guidelines with Med-Challenger Guideline Knowledge Checks. Today’s Guideline Knowledge Check question comes from the desk of Med-Challenger Emergency Medicine … Read More
Free Board Review Questions of the Week – Pediatric EENT Disorders
This week’s FREE CME Quick Quiz offers free Pediatric EENT Disorders questions. Topics include: pediatric eye disorders, ear disorders, and more. Here’s a sample… A 5-month-old infant girl is brought by her parents because she has had 2 days of fever and fussiness. She was born at term, is breastfed, and has been growing and developing normally. Her temperature is … Read More
12 Tips for Avoiding Opioid-related Prescription Trouble
Your medical license is likely your most valuable – and expensive – investment. Don’t lose it by taking needless risks that could result in the diversion of prescription drugs to illegitimate use. Understand the laws designed to prevent diversion, know how the government investigates and prosecutes it, and apply practical steps you can take right now to stay on the … Read More
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