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Salter-Harris Fractures Remix

Pediatric physeal fractures have traditionally been described by the five-part Salter-Harris classification system. Type I fractures occur through the growth plate. These injuries may present with normal radiographs and the diagnosis is often made clinically when...

Doc Vader vs. the electronic health record

A long time ago in a galaxy far, far away…what an uncannily accurate description of how it feels to practice in our very own “modern” health care system. In a world brimming over with exponential tech advances — supercomputer smartphones with user interfaces an embryo...

Antibiotics: The repercussions of overprescribing

We’ve heard it before: antibiotics just don’t work for viral infections. Docs know this, and I think most patients know this, but it’s an addiction we’ve had a hard time shaking. Docs overprescribe because it’s fast, it’s easy, and it (might) increase patient...

An ingrown toenail is not a lung transplant

Here’s a quick review of health care delivery basics: Primary care – Stuff you can get handled with your primary care provider in your neighborhood. Example: ingrown toenail. Secondary care – Stuff your primary care provider refers to a secondary provider...

Abnormal structures in Alzheimer’s disease

Alzheimer’s disease (AD) is a neurodegenerative disorder and the most common cause of dementia. Neurons communicate via chemical messages passed between two cells across a small gap called a synapse. In AD, abnormal cellular structures lead to a loss of synapses...

Cardiac Tamponade

Cardiac tamponade is an accumulation of fluid in the pericardial sac that compresses the heart, impairs diastolic filling, and leads to a reduction in cardiac output. Tamponade is most often caused by penetrating trauma. Other causes of acute cardiac tamponade include...

Avoid poor rapport

People can sense when you’re in a rush or focusing too much on an electronic health record (EHR). We must appreciate the importance of bedside manner and establishing trust with patients. Compassion is often more effective than a quick Z-pack. I’ve been told by...

Scoliosis and the Cobb Angle

Scoliosisis a lateral curvature of the spine. Adolescent idiopathic scoliosis is the most common type of scoliosis which typically has an onset after 10 years of age. The degree of curvature of the spine is determined by the Cobb angle. A curve with a Cobb angle ≥ 10...