Author: andygrock

  • Resident Editor In Chief of blog.clinicalmonster.com.
  • Co-Founder and Co-Director of the ALiEM AIR Executive Board - Check it out here: http://www.aliem.com/aliem-approved-instructional-resources-air-series/
  • Resident at Kings County Hospital

Almost, But Not Quite Bored Review

A patient presents to Andy’s stupid fictional (but HIPAA compliant) hospital. He is an overweight 11 year old male who complains of hip pain and limp since minor fall 2 weeks ago. ROS o/w neg. VS wnl. PE with externally…

Case of the Month # 5, Presentation

It’s an eerily quiet morning in the ED when in comes a vomiting patient…   The (Made-Up) Case  48 year old M, pmhx DM, chronic/heavy drinker, presents with 4 days of NBNB vomiting. He hasn’t taken his diabetes medication during this…

Are You Worried About Re-Infarction or Rhabdo?

  It seems like only yesterday, I was writing about the silliness of some order set (link) with a one-click stop for amylase, lipase, and ketones. Now, for another. In some hospitals, a single, “cardiac markers” click orders troponin I…

Wednesday Wrap-Up 10/29/14

We had some great discussion on the various papers for our Case-Based Learning Series. Thanks to Dr.’s Isaksen, Silverberg, and Gernsheimer for their wisdom and time.  .  . . From Dr. Hannah LoCascio’s Lecture 1.  Brooklyn is a huge place…

Still Not Bored Review

Welcome to the procedure block’s first Bored Review You are working in CCT at 3am when the patient arrives. Young man with multiple GSW’s to chest. You address his ABCs – he is not breathing and has no pulse. EMS…

Case # 4 -Answer

Want to re-read the case before checking out the answer? See it here   The Answer   Back To Fun Med School Pathophys Two centers of language are Broca’s area and Wernicke’s area. To put it simply, Wernicke’s is responsible…

Case #4 Presentation

This is a fictitious patient seen at a fictitious hospital called Janus General. Don’t believe me? I’m on staff there – see   The Case… It’s 4 AM and the ER is starting to be an even split between etoh intox,…