Yeah, no, don't watch serious medical shows with doctors. Hell, my parents can't even deal with Scrubs sometimes

Some people just have no willing suspension of disbelief.

#97, I'm not trying to discourage you from going into medical school in the future, but since you said you will be correct 98% of the time, I'm going to throw some questions at you: A 55 year old male comes to the ER with crushing substernal chest pain radiating to the jaw. He states that the pain has been occurring for 35 minutes and that antacids do not improve the situation. He has a history of type 2 diabetes, hypercholesterolemia and hypertension. He states that he has "a bunch of medications" but "doesn't take them." He denies any allergies and smokes 1 pack per day for 35 years. Review of symptoms are significant for: nausea, palpitations, dyspnea and diaphoresis. Physical exam is significant for an S3 gallop, and bibasilar crackles What is the next step in management: a) Get a Chest X-ray b) Consult Cardiology immediately c) Get a 12 lead EKG d) Draw blood for amylase and lipase e) RUQ ultrasound f) Abdominal CT Scan

Well House IS a crappy show... Sucks though OP. Better luck next time.

Seems like a pretty stupid choice of bonding experiences, if you ask me. I mean, first of all, he's a physician and probably doesn't want to spend his leisure time thinking about all of that stuff, and secondly, it's a TV drama known for being outrageously inaccurate medically. Isn't the whole point of House that he does things other doctors can't or wouldn't do? News flash... YDI

TV or Movies or Video ≠ Reality

#108, my initial diagnosis would be a heart attack or heart failure. So I'd need IV fluids, an ECG, monitor for arrhythmias, blood tests to confirm, meds such as anticoagulants and aspirin, and cardiac catheterization. I would go with B.

The correct answer was C. You are correct to some degree, but the first step = EKG/ECG for chest pain, regardless of what the origin sounds like (whether cardiac, GI or pulmonary etc.)...You have to first confirm this is a cardiac origin for the chest pain before consulting the cardiologist. In addition to what you said, cardiogenic shock is a scenario where you do NOT give IV Fluids. If the cardiac output is decreased, adding more fluids into the circulation would just worsen the pulmonary edema. What? You want more? Sure, why not: A 74 year old female with a past medical history of a stroke has a generalized tonic clonic seizure. The episode lasts for 30 minutes and she is stabilized in the ER with lorazepam. Neurology is consulted and notes that the patient is currently too confused to give a history. Her family notes that "she is as sharp as a tack and this confusion is unusual. Could this be Alzheimer's?" You explain what you think it may or may not be. The family also explains that she takes aspirin, an ACE Inhibitor and a statin drug regularly. Several days later, the nurse informs you that she has not urinated for 12 hours and is complaining of severe muscle aches. Her potassium is elevated, her CPK is elevated and her ESR values are elevated. BUN is 30 and Creatinine is 3. Next step in management: a) Give Kayexalate b) Muscle biopsy c) Immediate dialysis d) Renal biopsy and start corticosteroids immediately e) KUB X-ray f) Give IVF and mannitol g) Retrograde urethrogram

Your father sounds like a pretty legit guy with a great career and superior taste in entertainment. You should really try to be more like him.

i bet its the same concept with scientists and breaking bad