brain stem biopsy

Physical Exam Tips: The Nervous System

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The physical exam of the brain and nervous system can be broken down into two parts: the lumbar puncture and everything else. Lumbar Puncture The lumbar...
fast train

Tips: How to Perform a Spinal Tap on a Moving Train

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I have to admit: spinal taps (lumbar punctures) are not one of my favorite procedures to perform.  I’m fairly certain our patients don’t enjoy...
patient in hospital NPO after discharge

Tips: How to Worsen Your Already-Terrible Bedside Manner

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You may find your bedside manner is pretty terrible given how busy you are and your general frustration with humanity as a whole.  If...
blood pressure heart

Physical Exam Tips: The Heart

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In this series, we review the physical exam, the intermediate step in a patient evaluation that ultimately leads to imaging.  There are so many...
doctors teaching

Tips for Interns: How to Respond to Your Attending’s Questions

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Here are a few short cases to help out our new interns! CASE 1 Your attending asks you during floor rounds: “What can you tell me about...
fetal position

Tips for New Interns: How to Curl into the Fetal Position

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We can certainly feel for all those interns starting this month: their minds are spinning and their cardiac rhythms are just shy of V-tach....
roller skate injury

ICD-10 Primer, Lesson 2: Roller-Skate Documentation

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A minute doesn’t go by at work without someone talking about yet another patient involved in some roller-skating injury.  ICD-9 codes for roller-skating were...

Tips: How to Be the Coolest Doctor on the Block

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Over the past few months at GomerBlog, we've received thousands upon thousands of letters from doctors all over the world asking us how they...
gondola

So You Develop Chest Pain on a Gondola, What to Do Next

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How much do you hate this scenario?  You're taking a lovely ride on your gondola when it happens: substernal 10 out of 10 chest...