Browsing all posts in October, 2005.

USMLE-like exam results in Mexico

Here in Mexico there is a similar exam to the USMLE, who is proposed to select those medicine graduated into residents to get a speciality.
This exam is called “Examen Nacional de Aspirantes a Residencias Médicas – ENARM” (National Exam of Aspirings to Medical Residences). This exam was on September 3rd and 4th this year, it [...]

Pulmonary tuberculosis: a common diagnosis at INER

A 24 year old woman who presented at INER (Instituto Nacional de Enfermedades Respiratorias) at Mexico City complaining of shortness of breath, weight loss, and chronic cough. This image shows a classic radiographic appearance of pulmonary tuberculosis. An heterogeneous image with alveolar filling pattern and homogeneous opacity are observed at the right apex. Elevation of [...]

Horrible: Child abuse

Another case of Child abuse was shown today on TV news.
It seems that we can’t stop this and some parents preffer to remain in silence rather than to speak out loud about this impunity.
I think it is time to recognize this cases and report them to the authorities. So today’s matter is to know the [...]

Concern about appearence

24-year-old male comes to you with the chief complaint that his nose is too big to the point of being hideous. He has been avoiding contact with others and has left his studies.
The patient states that his nose is a constant embarrassment to him and he would like it surgically reduced. He tells the physician [...]

Doctor’s Day

Congratulations to all my colleagues in Mexico, because today is the celebration of Doctor’s Day.

Background & History:
On October 19 of 1833, Valentín Gómez Farías ordered the clossure of the Universidad Nacional y Pontificia and The School of Surgery. Then it inagurated on October 23 of 1833 the establishment of Medical Sciences wich then became [...]

You should never take this chest x-ray

To take this chest x-ray is a common error for those without experience.

The diagnosis of Tension-type pneumothorax is a clinical one. That is because it’s a real emergency (inmediately life-threatening), that should be identified on primary survey.
Basis of Diagnosis:

Hyperresonance of affected hemithorax

Decreased or absence of breath sounds
Tracheal deviation [...]