How much potassium is in a banana?

http://www.healthalternatives2000.com/fruit-nutrition-chart.html

422mg

Most addicting substances

http://addictionrecoverybasics.com/am-i-stupid-or-is-this-list-of-the-18-most-addictive-drugs-all-mixed-up/
According to the panel of health experts consulted by Health magazine, here is their list:

1. Nicotine
2. Ice, Glass (Methamphetamine, smoked)
3. Crack
4. Crystal Meth (Methamphetamine, injected)
5. Valium (Diazepam)
6. Quaalude (Methaqualone)
7. Seconal (Secrobarbital)
8. Alcohol
9. Heroin
10. Crank (Amphetamine oral)
11. Cocaine
12. Caffeine
13. PCP
14. Marijuana
15. Ecstasy
16. Psilocybine Mushrooms
17. LSD
18. Mescaline

Pannus

We had a Pt that was over 400 lbs and had a "Pannus" which the attending described as a hardening of the tissue and skin of the flab of fat that was hanging down beyond her knees. After a quick wikipedia, I see that Pannus is incorrectly used in place of a Panniculus.

A Panniculus is a medical term describing a dense layer of fatty tissue growth, consisting of subcutaneous fat in the lower abdominal area.[1] It can be a result of obesity and can be mistaken for a tumor or hernia. Abdominal panniculus can be removed during abdominal panniculectomy, a type of abdominoplasty. A panniculus can also be the result of loose tissues after pregnancy or massive weight loss.[2]

[edit] Grading of abdominal panniculiGrade 1
Panniculus barely covers the hairline and mons pubis but not the genitalia.
Grade 2
Extends to cover the genitalia.
Grade 3
Extends to cover the upper thigh
Grade 4
Extends to cover the mid thigh.
Grade 5
Extends to cover the knees or beyond.

Tips from a friend in clinical rotations

me: cud u email me tips for starting internal medicine

i want to be smmmurt

D: lol

7:14 PM i just started internal medicine

me: how is it

D: its good

A.) Work Hard

if a patient says they were seen at another hospital for something related to their current hospitalization

call up the other hospital and get that info

7:15 PM me: nice

D: B.) follow up on info

if you know a patient is getting a culture or xray, call up xray etc and follow up

key is to be proactive

go after information

don't wait for it to come to you

7:16 PM me: werd

D: if you get assigned a patient

and they have something

look up papers on that

and maybe discuss it when talking about the patient the next day

it shows that you are interested and care

7:17 PM things like that stick out

read Step up to Medicine

know your antibiotics

just put forth a strong effort

7:18 PM me: k sweet

thx

too clutch bra

D: you mean brah

me: lulz

7:19 PM Dib: when you do things like thism the residents like you

cause you are doing stuff they don't have to do anymore and they can free up more time to teach you

it sounds silly, you are making their life easier and your better

7:20 PM me: makes sense

D: when you do stuff like that, they'll also enjoy teaching you more

and be less dickish to you

7:22 PM me: i like less dickish

some lists today

Drugs that can cause Leukopenia (<4000)/suppress the bone marrow
1. Chloremphenicol
2. Vinblastine
3. AZT
4. Benzene

Viral causes:
1. Parvovirus B19
2. Hep C
3. Hep E

7 Drugs that can cause Neutropenia and cause agranulocytosis*
1. Carbamazapine*
2. Colchicine
3. Clozapine*
4. Propylthiouracil
5. Methimazole
6. Dapsone
7. Ticlopidine*

The Herpes viruses
HHV1 oral
HHV2 genital
HHV3 varicella
HHV4 EBV
HHV5 CMV
HHV6 Roseola
HHV7 Pityriasis
HHV8 Kaposi

Rinne and Weber tests

RINNE TEST: The Rinne test is performed by placing a vibrating tuning fork (512 or 256 Hz) initially on the mastoid process until sound is no longer heard, the fork is then immediately placed just outside the ear.

In a normal ear, air conduction (AC) is better than bone conduction (BC)
AC > BC, and this is called a positive Rinne.

In conductive hearing loss, bone conduction is better than air
BC > AC, a negative Rinne.

WEBER'S TEST: In the Weber test a tuning fork (either 256 or 512 Hz) is struck and the stem of the fork is placed on the top of the patient's skull - equal distance from the patient's ears, in the middle of the forehead - equal distance from the patient's ears or above the upper lip over the teeth. The patient is asked to report in which ear the sound is heard louder.
Weber without lateralization & Rinne both ears AC>BC = Normal hearing.


HOW TO USE THE TESTS:

Weber Lateralizes Left & Rinne both ears AC > BC = senorinerual loss Right ear

Weber Lateralizes Right & Rinne both ears AC > BC = sensorineural loss Left ear



Rinne Left BC>AC & Weber's lateralized to the left = conductive loss on the left

Rinne Right BC>AC & Weber's lateralized to the right = conductive loss on the right

tips for clinicals

squire's fundamentals of radiology robert a. novelline, md
buya self-learning EKG text book
the name of the game is to impress people in clinicals
Kochar's clinical medicine for students, it is the first step of reading for ur pt
ACP medicine volume 1 david c dale daniel d federman 3rd edition

read abt ur pt everyday
write it down in the little book and later look it up in the big book
read for understandning not for fact memorization
this is also how you will learn to do life long learning
how to get an inside track
use ur electives
choose a reasonable site
work very hard do way more than what is expected
goal: to get your attending to write a glowing assesment/recommendation
name recognition bwyour attaending and the program director is the key

avoid multiple attempts to pass usmle1
dont use illict drugs ever or stop
be very careful w alcohol a dwi can ruin your career
get along in ur clerkships be a team player you cant cover urpatient 24/7
if you have a disordered personality, hide it or switch professions now
show up, be ontime, be prepared

stop using digital social media
evenbe careful what u write in email
dont like to pts , to attending, or to collegeuas
dont write orders or write anything in the chart that you dont understand, dont be a scribe