Saturday, June 20, 2020
The Daily Eponym A FREE Email Series - Eponym a Day in Your Inbox
.et_bloom .et_bloom_optin_17 .et_bloom_form_content { background-color: #c9c6b9 !important; } .et_bloom .et_bloom_optin_17 .et_bloom_form_container .et_bloom_form_header { background-color: #303030 !important; } .et_bloom .et_bloom_optin_17 .et_bloom_form_content button { background-color: #7d7a73 !important; } .et_bloom .et_bloom_optin_17 .et_bloom_form_content .et_bloom_fields i { color: #7d7a73 !important; } .et_bloom .et_bloom_optin_17 .et_bloom_form_content .et_bloom_custom_field_radio i:before { background: #7d7a73 !important; } .et_bloom .et_bloom_optin_17.et_bloom_optin .et_bloom_border_letter { background: repeating-linear-gradient( 135deg, #ffffff, #ffffff 10px, #fff 10px, #fff 20px, #f84d3b 20px, #f84d3b 30px, #fff 30px, #fff 40px ) !important; } .et_bloom .et_bloom_optin_17 .et_bloom_form_content button { background-color: #7d7a73 !important; } .et_bloom .et_bloom_optin_17 .et_bloom_form_container h2, .et_bloom .et_bloom_optin_17 .et_bloom_form_container h2 span, .et_bloo m .et_bloom_optin_17 .et_bloom_form_container h2 strong { font-family: "Open Sans", Helvetica, Arial, Lucida, sans-serif; }.et_bloom .et_bloom_optin_17 .et_bloom_form_container p, .et_bloom .et_bloom_optin_17 .et_bloom_form_container p span, .et_bloom .et_bloom_optin_17 .et_bloom_form_container p strong, .et_bloom .et_bloom_optin_17 .et_bloom_form_container form input, .et_bloom .et_bloom_optin_17 .et_bloom_form_container form button span { font-family: "Open Sans", Helvetica, Arial, Lucida, sans-serif; } Sign up for the FREE Daily EponymAn invaluable daily email series with a short description of the most common medical eponyms. Impress your preceptors with your vast abundance of medical knowledge SUBSCRIBE! You have Successfully Subscribed! The Case of The Missing Eponym A Clinical Case An otherwise healthy 44 y/o male presents with R ankle pain and inability to weight-bear after falling off a horse. The exact mechanism of injury (external/internal rotation or pronation/supination) is unclear. R ankle is diffusely swollen with tenderness over the tip of the medial malleolus. Neurovascular intact. He has no other injuries. The important historical fact that this man was thrown off a horse and positive screening with the Ottawa ankle ruleswhichmake me think that he needs an x-ray. I present to the attending with this plan. After discussing our fear of horses, she agrees and we order the ankle series. This is more or less what we get back. A perfectly normal looking ankleon x-ray at least There is no way- I dont believe it. I express my surprise at the negative x-ray given the patients presentation to the attending and she asks, well did he have any proximal fibula tenderness?. I had checked, and he did. So we order an AP proximal fibula. This is what we get next. A spiral fracture of the proximal fibula. So now we are working with: medial malleolar tenderness, bruising and swelling and a fibula fracture. With the new knowledge in mind we review the original ankle films and are able to convince ourselves (maybe with a little confirmation bias) that the joint space might be a tiny bit wide. Nothing like some more impressive Maisonneuves that look like this We consult ortho and sure enough they agree. He is scheduled for follow up, and likely surgery (necessary for most Maisonneuve fractures) the next day. A discussion of the treatment is beyond the scope of this article but a nice review of evidence-based management of this injury can be foundhere. So what about the Eponym? This whole clinical encounter would have been much smoother if I had justknown the eponym. At the time I didnt know what a Maisonneuve fracture was. I knew enough to look for proximal fibula tenderness in my initial physical exam because I had remembered learning something about energy transfer through the interosseous membrane in ankle injuries, but I couldnt put it all together. I didnt know the words to describe what I was worried about. The word Maisonneuve would have really helped me express what I was thinking. In the onlineClinical Problem Solvingcourse through Coursera you can learn about the importance of problem processing. The importance of taking a patients complaint and turning it into medical language that triggers our memory about the condition and that allows us to communicate efficiently. I know they are a hot subject but like it or not in this case and for many other conditionseponyms are an important part of problem processing. Instead of sending the patient back and forth to x-ray and taking up time and space in a busy ED if I had said the first time, I am worried about a Maisonneuve fracture he could have had both x-rays at once. What is an Eponym? If you are, or ever have been a PA student and you are not familiar with eponyms then you just may be living under a rock. "Eponyms" is best knownasan app that gives a short description of more than 1,700 common and obscure medical eponyms. Medical eponyms are terms used in medicine which are named after people (and occasionally places or things). New discoveries are often attached to the people who made the discovery because of the nature of the history of medicine. This has produced a large number of medical eponyms:Wikipedia Why are Eponyms Important? The case above gives a beautiful demonstrations of why knowing medical eponymous cansave dollars, unnecessary testing and even lives. The Daily Eponym on your iPhone Eponyms come up all the time, they are hot topics duringpreceptor pimping sessions on your PA schoolrotations and they make excellent post rotational andPANCE or PANRE exam questions. In the old days when I was toting around my beloved palm zire 71eponyms was one of the most talked about and downloaded (or "beamed" - shout out to my fellow gen X'ers out there) of every medical students arsenal. Well that, and the infamousPalma SutraðŸâ¢â The problem with eponyms is that there really are only a handful of those 1,700 medical terms that are important to know and seem to come up all the time. So, in the spirit of thedaily PANCE and PANRE I wanted to do something for all you hard working, nose to the grindstone PA students out there (and maybe even help save a life along the way). And with this intention I am delighted to bring to you The Daily Eponym. This is an email series designed to do exactly what it sounds like, send you an eponym a day to your inbox for the rest of your life. (ok not really, but until I run out of good ones to send you) Who knows, you might wake up one day to the answer that will save you from your next surgical rotation pimp session(read the section about "ego dementor's" and doctor Dick) or make that inspirational diagnosis that you cantell at dinner parties. Better yet, it is FREE! When you know everything, or you are just sick of it, cancel your subscription, I won't be hurt although don't blame me if you miss that surprise question about TheApley Scratch Test. .et_bloom .et_bloom_optin_17 .et_bloom_form_content { background-color: #c9c6b9 !important; } .et_bloom .et_bloom_optin_17 .et_bloom_form_container .et_bloom_form_header { background-color: #303030 !important; } .et_bloom .et_bloom_optin_17 .et_bloom_form_content button { background-color: #7d7a73 !important; } .et_bloom .et_bloom_optin_17 .et_bloom_form_content .et_bloom_fields i { color: #7d7a73 !important; } .et_bloom .et_bloom_optin_17 .et_bloom_form_content .et_bloom_custom_field_radio i:before { background: #7d7a73 !important; } .et_bloom .et_bloom_optin_17.et_bloom_optin .et_bloom_border_letter { background: repeating-linear-gradient( 135deg, #ffffff, #ffffff 10px, #fff 10px, #fff 20px, #f84d3b 20px, #f84d3b 30px, #fff 30px, #fff 40px ) !important; } .et_bloom .et_bloom_optin_17 .et_bloom_form_content button { background-color: #7d7a73 !important; } .et_bloom .et_bloom_optin_17 .et_bloom_form_container h2, .et_bloom .et_bloom_optin_17 .et_bloom_form_container h2 span, .et_bloo m .et_bloom_optin_17 .et_bloom_form_container h2 strong { font-family: "Open Sans", Helvetica, Arial, Lucida, sans-serif; }.et_bloom .et_bloom_optin_17 .et_bloom_form_container p, .et_bloom .et_bloom_optin_17 .et_bloom_form_container p span, .et_bloom .et_bloom_optin_17 .et_bloom_form_container p strong, .et_bloom .et_bloom_optin_17 .et_bloom_form_container form input, .et_bloom .et_bloom_optin_17 .et_bloom_form_container form button span { font-family: "Open Sans", Helvetica, Arial, Lucida, sans-serif; } Sign up for the FREE Daily EponymAn invaluable daily email series with a short description of the most common medical eponyms. Impress your preceptors with your vast abundance of medical knowledge SUBSCRIBE! You have Successfully Subscribed! View all posts in this seriesFree PANCE and PANRE Board Review Email SeriesThe Daily Eponym: A FREE Email Series That Will Impress Your Preceptor and Save Countless LivesPhysician Assistant School and Program Directory eBook You may also like -Free PANCE and PANRE Board Review Email SeriesSign up for the FREE Daily PANCE and PANRE I am super excited to announce myFree Daily PANCE and PANRE board review email review series. It's 60 days of PANCE and PANRE Board Review Questions and Answers delivered directly to your []How to (Really) Get Into the PA School of Your Choice! verybody's journey to becoming a PA is a bit different. We all have different lives, differentupbringings, different barriers to overcome to reach our goals. We have different paths that have led us to want to become a physician []Attention Procrastinators: Introducing The Daily PANCE and PANRE FAST-TRACK Email Edition!Get a full 90 days of official board review email questions in just 30 days! Of all the things I offer here on the PALife blog, few have been as popular as the free Daily PANCE and PANRE board review email series. If you haven't []
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