Lure of Great Wealth Affects Career Choices - New York Times

Lure of Great Wealth Affects Career Choices - New York Times
Physicians are switching from their practices to other fields such as finance.

dry patches

Subjective

34 year old white male presents with dry patches on his scalp, back of his elbows, and the front of his knees. They have been present for several months. No itching.

Objective

Vital signs stable. Skin - dry, scaling plaques, well-circumscribed, silver present on scalp, extensor surfaces of elbow and knee

Assessment and Plan

A- Psoriasis P- topical corticosteroids, other options include ultraviolet light (sunlight), lubricants, and keratolytics

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ulcers in the mouth

Subjective

75 year old male presents with ulcers in his mouth. Started five months ago. Ulcers have progressed to around his mouth and on his forearms.

Objective

Vitals signs stable. Oral- multiple bullae in mucosa Skin - multiple bullae Labs - biopsy shows antibody pattern in fish-net immunofluorescence pattern

Assessment and Plan

A- Pemphigus P- corticosteroids

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SOAP Note

SOAP note: "SOAP Note will create a standard patient encounter document. Please comment with any suggestions."

painful red nodules

Subjective

45 year old female presents with painful, red nodules on her shins. Started 1 month ago. Patient was recently diagnosed with ulcerative colitis.

Objective

Vital signs stable Extremities - pretibial, tender, erythematous nodules

Assessment and Plan

DDX - sarcoidosis, coccidiomycosis, ulcerative colitis, streptococcal infection, idiopathic A - erythema nodosum due to ulcerative colitis P - treat ulcerative colitis

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Growth on forehead

Subjective

25 year old patient notes a growth on her forehead which is the color of her skin. It started about 2 months ago and has stopped growing.

Objective

Vital signs stable. Skin - flesh colored lesion on forehead with central crater, crater contains keratinous material

Assessment and Plan

A - Keratocanthoma P - Lesion will likely resolve in a few months, observation for few months, biopsy if needed.

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One for the Ages: A Prescription That May Extend Life - New York Times

One for the Ages: A Prescription That May Extend Life - New York Times
Calorie restriction diet in rhesus monkeys shows health advantages, however other scientists believe the research may not translate to humans as well.