A 17-year-old high school student had been recently experiencing visual problems. When questioned by the physician, she mentioned that she had stopped menstruating several months previously. A MRI-scan of her head showed an abnormal mass just inferior to the hypothalamus. …
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  There are four types of hypersensitivity reactions. Type I is IgE-mediated and occurs very quickly after exposure. It is associated with allergens such as bee stings, peanuts, and certain medications, to name a few. This can lead to a …
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USMLE Step 1 Practice Question: Pharmacology   To achieve a loading dose of a drug where the volume of distribution of the drug is 35 L and the clearance rate is 70 ml/min, and the desired dose is 3.5 mg/L, …
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Medical Mnemonic of the Week: Normal Pressure Hydrocephalus (“Wacky, Wobbly, Wet”)     Patients who present with the triad of urinary incontinence, wide-based gait and dementia are likely to have normal pressure hydrocephalus (NPH). Symptoms for these patients are often …
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USMLE STEP 1 Practice Question   Today we start a new feature on the blog with a focus on USMLE Step 1 Practice Questions. Here we have a two part physiology question:   An obese, pregnant, 26-year-old woman was seen …
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Medical Mnemonic of the Week: Rheumatic Fever (“JONES CAFE PAL”)     Rheumatic fever occurs after a streptococcal infection (usually caused by Group A Beta-Hemolytic Strep (GABHS)). It is an inflammatory condition that affects the joints, skin, heart and brain. …
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The John Hopkins Internal Medicine Board Review   Publication Date: April 25, 2012   Editors: Bimal H. Ashar, Redonda G. Miller, Stephen D. Sisson   Overview:   The John Hopkins Internal Medicine Board Review, 4th edition book, published by Elsevier, …
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  The Cleveland Clinic Intensive Review of Internal Medicine   Publication Date: April 9, 2009   Editor: James K Stoller, Franklin Michota Jr, Brian Mandell   Overview:   The Cleveland Clinic Intensive Review of Internal Medicine, 5th edition book, published …
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  Mayo Clinic Internal Medicine Board Review   The Mayo Clinic Internal Medicine Board Review, 10th edition book, published by Oxford University Press, was developed as a comprehensive review guide specifically for those preparing for the ABIM Internal Medicine Board …
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The NBME Internal Medicine Shelf Exam is challenging especially from the standpoint that it occurs during your internal medicine clerkship – a period that you are likely spending a lot of time at the hospital. This means whatever precious time …
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