when the attending asks me for my plan
Posted Mar 5, 2022, 7:21 PM UTC
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- exploratory lap of everywhere
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- an extra thoracotomy for good measure
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With a pit-stop in the....wellll we won't go there
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start pip/tazo and give corticosteroids
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Let’s just do a year of Pembrolizumab for good measure.
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What are you, in NP school?
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Beat me to it.
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Assessment: Whatever diagnosis you think it is after rejecting mine
Plan: Whatever uptodate says for above
Dispo: SNF placement tomorrow when the patient will be medically clear to continue treatment outside the hospital
Sums up internal medicine residency so far
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Lol wtf is this guy smoking and how is he an MD? AI CT doesn’t exist. Full body mri would be asinine.
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I schedule a colonoscopy every month because prevention is key
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I think what he means is CT interpretated with AI assistance? There has been very promising studies for AI models with good sensitivity & specifity for malignancy in CT imaging and histopathology, but i'm not aware of any place that has clinically incorporated such thing..
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All those studies are for one single type of tumor (e.g. assessing treatment response glioblastoma) with hand picked cases. As soon as you give it real cases, it falls apart. We have an AI program for long nodules that loves to cAll the diaphragm and pulmonary arteries nodules. It’s so bad, none of us use it- faster to just scroll through ourselves.
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gets cancer from CT radiation, like a boss
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If this is real, I'm wondering what the use of a CT is going to be if you're going to get an MRI anyway
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There’s a bunch of potential problems with the logistics and physics of it but one of the biggest issues would be that the field of view necessary for a full body MRI (performed in a reasonable amount of time) makes it not very sensitive for a lot of pathology. That’s one of several reasons why it’s only used for certain indications right now.
I would argue that from a radiologist’s perspective, a full body CT generally provides more useful information than a full body MRI performed using existing protocols, mostly due to the differences in spatial resolution. This is of course disregarding radiation exposure as a factor.
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Thoughts and prayers
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Administer IV fluids and start dialysis
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Pan cultures, pan consults...
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my go-to is palliative care tbh
DNR DNI CMO dilaudid drip goes brrrr