medschool

Zohydro: FDA Approves a New Opiate

The FDA just approved a new prescription painkiller, called Zohydro. Similar to medicine’s current favorite painkiller, Oxycodone, but 10x more powerful, Zohydro is expected to be available next month. Considering the epidemic of opiate addiction and over-prescribing of medication, this new approval has many professionals concerned. It’s been developed with chronic pain sufferers in mind– specifically those with cancer–hence the very high dose (upwards of 50 mg in a single pill). Professionals are also concerned about the potential for accidental overdose: a single Zohydro pill contains enough hydrocodone to kill a child, and it would be reasonable to assume, what with patients already struggling to manage multiple medications, there could be fatal accidental overdoses with such a potent medication. Then, there’s the issue of pure tolerance for opioids: someone who hasn’t taken them before could overdose on just two pills. Though the drug may prove to have benefits to chronic pain suffers, hopefully doctors and healthcare practitioners will be properly educated on the risks. In response to the concerns expressed since its approval, the company that created Zohydro has said in a statement that the medication “will come with a warning...

5 Must-Know Eye Conditions for any Opthalmology Exam

While most of the ABIM Examination topics fall neatly into organ system categories, not all of them fit into this schematic. These include: ophthalmology, primary care screening guidelines, vaccinations, etc. Here at Knowmedge, we’ve incorporated this important group of subject areas into General Internal Medicine, similar to the American College of Physicians’ Internal Medicine In-Training Exam Blueprint. Today, in this first of a series of blogs, we review the key eye diseases: Conjunctivitis, Macular Degeneration, Glaucoma, Retinal Detachment, and Cataracts. The eyes may see only what the mind knows, but your mind should know these eye conditions for the ABIM exam. The exam is several months away so go ahead and bookmark this page so you can quickly review it once more in the days before you obtain your certification or recertification.   1. Conjunctivitis Conjunctivitis is broken down into viral, bacterial, and allergic conjunctivitis Viral • Usually caused by adenovirus • Having a preceding upper respiratory infection or recent exposure to a person with conjunctivitis are clues to aid in the diagnosis • Acute onset • Usually unilateral redness • Watery discharge is present • Highly contagious • Frequent hand washing must be performed to prevent spread of infection • Supportive treatment including cold compresses and artificial tears. NO role for antibiotic eye drops with viral conjunctivitis   Bacterial • Common causing agents are Staph aureus, Streptococcus pneumoniae,...

A Final Thought as American Heart Month Comes to an End

As American Heart Month comes to an end there are a few things doctors and “almost” docs should think about when treating patients at risk of heart disease. The number one consequence of misdiagnosis is jeopardizing patient safety. Of course doctors do everything in their power to protect and better patients’ health; however, when women with heart disease are misdiagnosed, the consequences that doctors face are extremely important to understand. This infographic provides great information about the consequences of misdiagnosis and and ways to prevent that from happening. Protect the patient and protect...

7 Best Study Snacks As Decided By Reddit

Much of one’s success in medical school comes from continually improving one’s study techniques. Well, I can tell you that no study technique is complete without proper snackage. Because of this I recently posed a question to reddit to help with my study snack game. The question: “what are your best study snacks?” The following are the top responses. Let’s do this. #7 Chocolate Covered Espresso Beans (by: Phillynotdoc) The perfect synergy between candy and coffee: the chocolate covered espresso bean. This is the, “I’m not messing around” snack. It’s for the work hard, play hard type that wants both right now. #6 Thing + Nutella (by: cloocubster) Do they have a Nobel Prize for food? They totally should and Nutella definitely deserves one. Nutella can pretty much go on anything. A banana, pretzels, a chair…the sky is the limit with this incredible spread. However, fun fact, Nutella was sued for false advertising because they claimed to be “part of a nutritious breakfast” despite not carrying any nutritional health benefits. So ya, I guess there is one thing that Nutella can’t go with. #5 Sugar Free gum. (by: thismythrowawayyall) Otherwise known as the “I don’t want to gain weight while I live an obscenely sedentary lifestyle for two years snack”. Enjoy as your Masseters gain the ability to crush rocks. #4 Pure protein bars (by: Bnthatsht) Sometimes, when you’re...

The 4 Professors You’ll Have in Med School…In Pictures

Professors are…interesting. They are (or should be) ultimately there to convey the necessary information but sometimes their own agenda gets in the way! Have you encountered these professors? Leave a comment and tell us about your favorite/favorite-to-immitate professor! 1. The one who seems to have forgotten the competitive process of getting into medical school.   2. The one who seems to forget the confines of human memory.     3. The one who can’t differentiate between “What you need to know for Step I” and “What you need to know when you’re a practicing physician.”   4. The one who seems to be...

6 Questions for a Med Student on International Rotations

Practicing medicine abroad has always been an interest of mine and when I was recently contacted by Work the World, a program which places medical students in rotations in countries across the globe, I was eager to hear more about the kind of work that can be done internationally. Alison Maclean, a research student at the Liverpool Medical School in the UK whose interest is Women’s Health, took the time to answer some questions I had about her experience doing a 5 week elective in Sri Lanka. I was amazed by the freedom and opportunities she had to really practice medicine and excited to hear about the possibilities for learning and getting truly involved with clinical care. If Alison’s story appeals to you, taking some time to continue your medical education in a different country might be worth looking into. Work the World is just one of many organizations who offer international rotation opportunities. Additionally, many schools have developed global medical experience programs and may offer financial aid to assist you with travel costs. Consider talking to an advisor or doing some research online to make sure you find the right fit for you! Galle Fort, Sri Lanka (all pictures courtesy of Work the World) 1.     What are your interests and passions, what school do you attend, what field are you specializing in, what is your favorite part of...

How Med School (Ironically) Taught Me That Studying Comes Second

You know you have a problem when you can’t fall asleep at night. That’s where I was nearing at the end of anatomy in my first year of medical school. I couldn’t sleep because I was terrified of what the next day held. My sympathetic nervous system was on full alert, ready to handle the next day. The only thing between the next day and me was a night of sleep that seemed harder and harder to get to. In the “Chronicles of Narnia” series, C.S. Lewis remarks that sleep is something that becomes more difficult the harder you try to accomplish it. This was the curse of my predicament. I was exhausted and in dire need of rest at the end of each day, but held captive by what “could” happen the next day. In a follow-up visit with my pediatrician over winter break, I had some testing done that revealed some unanticipated results. Though I had been diagnosed with ADHD in grade school, my pattern of inattention and easy distractibility was more consistent with an anxiety disorder than ADHD. With further questioning and history taking, it became obvious that I was a classic case of generalized anxiety disorder. It wasn’t something that was created from the rigors of medical school; it was something revealed for what it was by the rigors of medical school. I had been able to get...