tag:blogger.com,1999:blog-11999114817720602272024-03-14T05:19:05.148-05:00Med-SourceMed-Source provides medical students with the resources they need to save time, excel, and get some sleep during med school. Tons of downloads, advice & book recommendations.Med-Sourcehttp://www.blogger.com/profile/01012731834301555074noreply@blogger.comBlogger99125tag:blogger.com,1999:blog-1199911481772060227.post-14936104699201250862011-04-05T21:35:00.004-05:002013-09-11T10:30:10.746-05:00Quick update - more to followReaders - apologies for the recent dearth of posts Please shoot me a note if you are a current med student interested in taking over this site (I keep pretending I'll update it, but clearly that hasn't happened)Med-Sourcehttp://www.blogger.com/profile/01012731834301555074noreply@blogger.com3tag:blogger.com,1999:blog-1199911481772060227.post-18174586671278338692009-11-03T13:14:00.006-05:002009-11-19T01:47:55.901-05:00HIV / AIDS Treatment GuidelinesAs a med student in an urban area (and most likely anywhere) you are likely to treat at least one patient with HIV/AIDS. You may even have the opportunity to rotate through a clinic that exclusively treats HIV patients. In all cases you should be familiar with where to look to get a handle on the disease, the <span class="blsp-spelling-corrected" id="SPELLING_ERROR_0">epidemic</span>, and the drug regimens used to manage HIV.<br /><br />For a highly informative overview on the state of the HIV/AIDS epidemic visit the <span class="blsp-spelling-error" id="SPELLING_ERROR_1">CDCs</span> dedicated site here: <a href="http://www.cdc.gov/hiv" target="_blank">www.cdc.gov/hiv</a><br /><br />For the latest in treatment guidelines, including pediatrics and adolescents, visit the <span class="blsp-spelling-error" id="SPELLING_ERROR_2">NIH's</span> AIDS info site <a href="http://www.aidsinfo.nih.gov/Guidelines/" target="_blank">here</a>Med-Sourcehttp://www.blogger.com/profile/01012731834301555074noreply@blogger.com16tag:blogger.com,1999:blog-1199911481772060227.post-30702753729029673402009-08-26T09:39:00.011-05:002009-08-26T10:42:05.145-05:00Lumbar Puncture (LP) Results - Drawing Conclusions from the CSF<table style="width: 509px; height: 263px;" border="0"><tbody><tr class="main"><td style="text-align: left;font-family:trebuchet ms;"><span style="font-size:78%;">Dx</span></td> <td align="center" style="font-family:trebuchet ms;"><span style="font-size:78%;">RBCs*<br /></span></td> <td align="center" style="font-family:trebuchet ms;"><span style="font-size:78%;">WBCs*</span></td> <td align="center" style="font-family:trebuchet ms;"><span style="font-size:78%;">Glucose<br />(mg/dL)<br /></span></td> <td align="center" style="font-family:trebuchet ms;"><span style="font-size:78%;">Protein<br />(mg/dL)<br /></span></td> <td align="center" style="font-family:trebuchet ms;"><span style="font-size:78%;">Opening Pressure<br />(cm H20)<br /></span></td> </tr> <tr class="main"> <td style="text-align: left;font-family:trebuchet ms;"><span style="font-size:78%;">Normal<br /></span></td> <td align="center" style="font-family:trebuchet ms;"><span style="font-size:78%;"><10</span></td> <td align="center" style="font-family:trebuchet ms;"><span style="font-size:78%;"><5</span></td> <td align="center" style="font-family:trebuchet ms;"><span style="font-size:78%;">~2/3 of serum<br /></span></td><td align="center" style="font-family:trebuchet ms;"><span style="font-size:78%;">15 - 45<br /></span></td> <td align="center" style="font-family:trebuchet ms;"><span style="font-size:78%;"> 10 - 20<br /></span></td> </tr> <tr class="main"> <td style="text-align: left;font-family:trebuchet ms;"><span style="font-size:78%;">Bacterial Meningitis<br /></span></td> <td align="center" style="font-family:trebuchet ms;"><span style="font-size:78%;">+/-</span></td> <td align="center" style="font-family:trebuchet ms;"><span style="font-size:78%;">↑<br /></span></td> <td align="center" style="font-family:trebuchet ms;"><span style="font-size:78%;">↓</span></td> <td align="center" style="font-family:trebuchet ms;"><span style="font-size:78%;">↑</span></td> <td align="center" style="font-family:trebuchet ms;"><span style="font-size:78%;">↑</span></td> </tr> <tr class="main"> <td style="text-align: left;font-family:trebuchet ms;"><span style="font-size:78%;">Viral Meningitis<br /></span></td> <td align="center" style="font-family:trebuchet ms;"><span style="font-size:78%;">+/-</span></td> <td align="center" style="font-family:trebuchet ms;"><span style="font-size:78%;">↑<br /></span></td> <td align="center" style="font-family:trebuchet ms;"><span style="font-size:78%;">+/-</span></td> <td align="center" style="font-family:trebuchet ms;"><span style="font-size:78%;">↑ or +/-</span></td> <td align="center" style="font-family:trebuchet ms;"><span style="font-size:78%;">↑ or +/-</span></td> </tr> <tr class="main"> <td style="text-align: left;font-family:trebuchet ms;"><span style="font-size:78%;">Aseptic Meningitis<br /></span></td> <td align="center" style="font-family:trebuchet ms;"><span style="font-size:78%;">+/-</span></td> <td align="center" style="font-family:trebuchet ms;"><span style="font-size:78%;">↑</span></td> <td align="center" style="font-family:trebuchet ms;"><span style="font-size:78%;">+/-</span></td> <td align="center" style="font-family:trebuchet ms;"><span style="font-size:78%;">↑ or +/-</span></td> <td align="center" style="font-family:trebuchet ms;"><span style="font-size:78%;">+/-<br /></span></td> </tr> <tr class="main"> <td style="text-align: left;font-family:trebuchet ms;"><span style="font-size:78%;">SAH<br /></span></td> <td align="center" style="font-family:trebuchet ms;"><span style="font-size:78%;">↑</span></td> <td align="center" style="font-family:trebuchet ms;"><span style="font-size:78%;">↑</span></td> <td align="center" style="font-family:trebuchet ms;"><span style="font-size:78%;">+/-</span></td> <td align="center" style="font-family:trebuchet ms;"><span style="font-size:78%;">↑<br /></span></td> <td align="center" style="font-family:trebuchet ms;"><span style="font-size:78%;">↑ or +/-</span></td> </tr> <tr class="main"> <td style="text-align: left;font-family:trebuchet ms;"><span style="font-size:78%;">Guillain-Barre</span></td> <td align="center" style="font-family:trebuchet ms;"><span style="font-size:78%;">+/-</span></td> <td align="center" style="font-family:trebuchet ms;"><span style="font-size:78%;">+/-<br /></span></td> <td align="center" style="font-family:trebuchet ms;"><span style="font-size:78%;">↑ or +/-</span></td> <td align="center" style="font-family:trebuchet ms;"><span style="font-size:78%;">↑↑</span></td> <td align="center" style="font-family:trebuchet ms;"><span style="font-size:78%;">+/-<br /></span></td> </tr> <tr class="main"> <td style="text-align: left;font-family:trebuchet ms;"><span style="font-size:78%;">MS</span></td> <td align="center" style="font-family:trebuchet ms;"><span style="font-size:78%;">+/-</span></td> <td align="center" style="font-family:trebuchet ms;"><span style="font-size:78%;">↑ or +/-</span></td> <td align="center" style="font-family:trebuchet ms;"><span style="font-size:78%;">+/-</span></td> <td align="center" style="font-family:trebuchet ms;"><span style="font-size:78%;">+/-<br /></span></td> <td align="center" style="font-family:trebuchet ms;"><span style="font-size:78%;">+/-<br /></span></td> </tr> <tr class="main"> <td style="text-align: left;font-family:trebuchet ms;"><span style="font-size:78%;">Pseudotumor Cerebri<br /></span></td> <td align="center" style="font-family:trebuchet ms;"><span style="font-size:78%;">+/-</span></td> <td align="center" style="font-family:trebuchet ms;"><span style="font-size:78%;">+/-</span></td> <td align="center" style="font-family:trebuchet ms;"><span style="font-size:78%;">+/-</span></td> <td align="center" style="font-family:trebuchet ms;"><span style="font-size:78%;">+/-<br /></span></td> <td align="center" style="font-family:trebuchet ms;"><span style="font-size:78%;">↑↑↑</span></td> <br /><br /></tr></tbody></table><br /><span style="font-size:78%;">*per cubic mm</span>Med-Sourcehttp://www.blogger.com/profile/01012731834301555074noreply@blogger.com0tag:blogger.com,1999:blog-1199911481772060227.post-37812129744645029032009-07-01T09:05:00.003-05:002009-07-01T10:20:07.133-05:00Neonatal fever - Initial Assessment<ul style="font-family: trebuchet ms;"><li>Definition = temperature > 38.0°C or 100.4°F</li><li>All febrile infants up to age 56 days undergo a sepsis workup:<br /></li><ul><li>CBC, blood culture</li><li>Urinalysis, urine culture</li><li>Lumbar puncture with cell count, Gram stain, glucose, protein, culture, +/- HSV PCR</li><li>Chest X-ray if respiratory distress</li></ul><li>Age 0-4 wks</li><ul><li>ADMISSION and IV antibiotics, regardless of physical exam, for 48h</li><li>If LP negative: ampicillin, gentamicin, +/- acyclovir</li><li>If LP positive: ampicillin, cefotaxime, +/- acyclovir</li></ul><li>Age 4-8 wks</li><ul><li>If well-appearing with normal exam and unremarkable labs, discharge home with antibiotics and CLOSE PMD FOLLOW-UP</li><li>If ill-appearing, concern based on exam findings, or positive labs*, admit and treat with vancomycin and cefotaxime<br /></li><ul>*Positive labs are defined as:<br /> CBC has WBC > 15,000 or <> 0.2<br /> LP shows CSF pleiocytosis<br /> Urinalysis > 10 WBCs<br /> Positive CXR findings<br /></ul></ul></ul>Med-Sourcehttp://www.blogger.com/profile/01012731834301555074noreply@blogger.com1tag:blogger.com,1999:blog-1199911481772060227.post-26220386698776684482009-04-22T22:49:00.003-05:002009-04-22T23:11:42.567-05:00Resources Beyond PubMed for ResearchDuring my year at Wharton I have had the opportunity to work on various health care projects across multiple sectors, and have needed to look beyond PubMed for data. I have found a few gold mines:<br /><ul><li><a href="http://hcupnet.ahrq.gov/HCUPnet.jsp?Id=420BA777B7AF8C36&Form=SelALLLISTED&JS=&Action=%3E%3ENext%3E%3E&_ALLLISTED=Yes" target="_blank">HCUPnet</a>: Provides access to health statistics and information on hospital inpatient and emergency department utilization. The data includes costs and charges and allows you to search by diagnosis, procedure or ICD-9 code. It is the on-line query system based on data from the Healthcare Cost and Utilization Project (HCUP)</li></ul><ul><li><a href="http://www.cms.hhs.gov/home/rsds.asp" target="_blank">CMS</a>: Centers for Medicare and Medicaid Services Research, Statistics and Data provides a wealth of information on the Medicare and Medicaid populations as well as reimbursement and health care spending data.</li></ul><ul><li><a href="http://content.healthaffairs.org/index.dtl" target="_blank">Health Affairs, The Policy Journal of the Health Sphere</a>: Health Affairs offers excellent reviews with a focus on services, reimbursement, and access to care.</li></ul><ul><li><a href="http://www.kff.org/" target="_blank">The Kaiser Family Foundation</a>: Policy and managed care. Excellent source for public health topics.<br /></li></ul><ul><li><a href="http://research.thomsonib.com/" target="_blank">Investext</a>: from Thomson Research. This resource requires a login, but your school may have access. If so, this is the best source for company information and analyst reports. Public, private, and international companies are covered.<br /></li></ul>Med-Sourcehttp://www.blogger.com/profile/01012731834301555074noreply@blogger.com5tag:blogger.com,1999:blog-1199911481772060227.post-20383890436115499102008-08-29T11:31:00.003-05:002008-08-29T11:40:04.411-05:00AIDS Defining Infections Seen in HIV+ Patients<div style="text-align: center;"><a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjIcxT4J58g1w3zIfTMOI4NITBn-TGOZ7Ww_4npndFs2mQov8KdnVvOa8xnNf5DU68Qs6dJLuzEyQxxSJrMHvHF5hcv6dwaEvS9LPlUitUpj0UhIY5xgnZrZvtKTyQ2xsaYt-LX8AE56WQ/s730/hiv-tb-table.jpg"><img src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjIcxT4J58g1w3zIfTMOI4NITBn-TGOZ7Ww_4npndFs2mQov8KdnVvOa8xnNf5DU68Qs6dJLuzEyQxxSJrMHvHF5hcv6dwaEvS9LPlUitUpj0UhIY5xgnZrZvtKTyQ2xsaYt-LX8AE56WQ/s730/hiv-tb-table.jpg" alt="" border="0" /></a><br /></div><a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhw6llv8S6ukR8ynfJRDjkWq4rX7gB25Grm6jyxlT63oS5jgbPx8VyLDgpNF6EbPcilVc_g9fs7vbo0vdRMQE4AqF1xkqMDSf0cHn_H_5LlVuaXIko2WQwgwlDQiuGoWREHN4O50bF9FKA/s1600-r/hiv+tb+table.bmp"><br /></a>Med-Sourcehttp://www.blogger.com/profile/01012731834301555074noreply@blogger.com2tag:blogger.com,1999:blog-1199911481772060227.post-11344818028764714862008-06-10T06:59:00.004-05:002012-09-07T17:53:05.173-05:00Taking A Year Out During Medical School - The 5 Year Plan<div>
As the class I entered med school with becomes rising 4th years, an informal poll (and carefully tracked statistics by the administration) reveal that only about half of us will graduate as members of the class of 2009. So what about the other half? Drop outs? Not so much. It has become more and more common to complete med school on the 5 year plan.<br />
<br />
Traditionally, an extra year was often taken to do research and improve one's chance of securing a top residency in a competitive field. This is still the most popular reason to delay graduation, but there are other reasons to take a little more time. My fellow classmates are earning 2nd degrees, consulting, traveling etc. Below is a mini-guide to get you started if you are just looking for options, or if you have a project in mind but are not quite sure what's out there.<br />
<ul>
<li>Research</li>
</ul>
<ul><ul>
<li>American Australian Association - 4 fellowships available per year with a stipend of up to $20,000. More information available here: <a href="http://www.americanaustralian.org/Educational/usa-australia.php">http://www.americanaustralian.org/Educational/usa-australia.php</a>.</li>
</ul>
</ul>
<ul><ul>
<li>American Diabetes Association - Stipend $30,000. Application deadline 1/15 annually. More information here <a href="http://www.diabetes.org/diabetes-research/research-grant-application-forms/training-awards.jsp#medical">http://www.diabetes.org/diabetes-research/research-grant-application-forms/training-awards.jsp#medical.</a></li>
</ul>
</ul>
<ul><ul>
<li>The American Heart Association - $21,000.00 stipend per year. Application deadline 1/16 annually. For more information visit<span style="text-decoration: underline;"> </span><a href="http://www.americanheart.org/downloadable/heart/1193086197672Great%20Rivers_Final.pdf">http://www.americanheart.org</a>.</li>
</ul>
</ul>
<ul><ul>
<li>Applied Epidemiology Fellowship at the CDC offers 8 positions to medical students. Application deadline 1/16 annually. For more information visit: <a href="http://www.cdcfoundation.org/thecdcexperience">http://www.cdcfoundation.org/thecdcexperience</a>.</li>
</ul>
</ul>
<ul><ul>
<li>Howard Hughes Medical Institute-National Institutes of Health (HHMI-NIH) Research Scholars Program offers two research training programs: one for research conducted at the NIH-Cloister facilities and one for research conducted at any other institution in the United States. Students may apply simultaneously to both programs. Scholars will receive annual compensation of $27,000, health insurance, and other benefits. For more information visit: <a href="http://www.hhmi.org/cloister" target="_blank">http://www.hhmi.org/cloister</a> or <a href="http://www.hhmi.org/grants/individuals/medfellows.html" target="_blank">http://www.hhmi.org/grants/individuals/medfellows.html</a></li>
</ul>
</ul>
<ul><ul>
<li>NIH Pre-Doctoral Intramural Research Training Award (IRTA) fellowship - Designed to augment the educational preparation and development of future scientists by supporting a period of research at the NIH. Stipend levels for participants will be determined by the amount of education completed by the candidate at the time the award is activated. More info is available at <a href="http://www.training.nih.gov/student/Pre-IRTA/previewinterim.asp" target="_blank">http://www.training.nih.gov/student/Pre-IRTA/previewinterim.asp</a>.</li>
</ul>
</ul>
<ul><ul>
<li>NIH The Clinical Research Training Program (CRTP) is a year-long opportunity to do mentored research at the NIH. The stipend is $29,400. Health insurance and moving costs are provided. Deadline 1/15 annually. For more information visit: <a href="http://www.training.nih.gov/crtp/index.asp" target="_blank">http://www.training.nih.gov/crtp/index.asp</a></li>
</ul>
</ul>
<ul><ul>
<li>Pharmaceutical Research and Manufacturers of America Foundation (PhRMA) Fellowship - full-time research effort within a pharmacology or clinical pharmacology unit. Available for 6 to 24 months with a maximum stipend of $18,000. Deadline 9/1 annually. For more information visit:<a href="http://www.phrmafoundation.org/awards/clinical/medstudent.php"> http://www.phrmafoundation.org/awards/clinical/medstudent.php</a></li>
</ul>
</ul>
<ul><ul>
<li>The Stanley J. Sarnoff Fellowship in Cardiovascular Research - Up to 20 fellowships are awarded with a stipend of $27,500 and additional research-related funds. Fore more information visit <a href="http://www.sarnofffoundation.org/program/information.cfm" target="_blank"> http://www.sarnofffoundation.org/program/information.cfm</a>.</li>
</ul>
</ul>
<ul>
<li>Dual Degree Opportunities - For all dual degree programs students must apply separately to both programs.</li>
</ul>
<ul><ul>
<li>MD/MBA - Designed for students interested in integrating the study of medicine with training in managerial, financial, and technical expertise in the health care field.Over 50 medical schools now offer combined MD/MBA degrees.</li>
</ul>
</ul>
<ul><ul>
<li>MD/MPH - Designed for students interested in studying medicine with a special focus on population health problems. The goal of the program is to provide strong interdisciplinary training to individuals interested in clinical practice, prevention, hygiene, education and policy making.</li>
</ul>
</ul>
<ul><ul>
<li>MD/JD - Just like it sounds. Shave off a year (at most institutions) and get a jump start on becoming a medical litigator or policy maker.</li>
</ul>
</ul>
<ul><ul>
<li>MD/Master of Bioethics program (MD/MBE) - designed to provide its graduates with the interdisciplinary training they will need in order to address the ethical, legal, and social challenges in health care today and in the future.</li>
</ul>
</ul>
<ul>
<li>Other - Want to travel either in the states or internationally? Check out <a href="http://www.amsa.org/global/ih/ihopps.cfm" target="_blank">AMSA's site</a> or the home pages of other medical schools. Also many schools have global health offices that are a great starting point.</li>
</ul>
</div>
Med-Sourcehttp://www.blogger.com/profile/01012731834301555074noreply@blogger.com8tag:blogger.com,1999:blog-1199911481772060227.post-86748339095933313272008-04-30T19:08:00.004-05:002012-09-07T17:51:20.120-05:00ACLS AlgorithmsEvery student should take an advanced cardiac life support (ACLS) class before their sub-internship / externship. Although you may find that by the time you arrive at a code there are already approximately 302934 people there, you should know your algorithms and understand the logic of the person running the code...one day it could be you. Below are links to the ACLS algorithms based on the most recent American Heart Association (AHA) guidelines.<br />
<ul>
<li><a href="http://circ.ahajournals.org/content/122/18_suppl_3.toc" target="_blank">AHA/Circulation direct links to all guidelines </a></li>
<li><a href="http://circ.ahajournals.org/content/vol112/24_suppl/images/large/4FF2.jpeg" target="_blank">Adult CPR Algorithm</a> (<a href="http://circ.ahajournals.org/content/122/18_suppl_3/S729/F2.large.jpg" target="_blank">circular version</a>)</li>
<li><a href="http://circ.ahajournals.org/content/122/18_suppl_3/S729/F3.large.jpg" target="_blank">Bradycardia Algorithm</a></li>
<li><a href="http://circ.ahajournals.org/content/122/18_suppl_3/S729/F4.large.jpg" target="_blank">Tachycardia with Pulses Algorithm</a></li>
<li><a href="http://circ.ahajournals.org/content/122/18_suppl_3/S729/T1.expansion.html" target="_blank">Treatable Causes of Cardiac Arrest: The H's and T's</a></li>
</ul>
Med-Sourcehttp://www.blogger.com/profile/01012731834301555074noreply@blogger.com24tag:blogger.com,1999:blog-1199911481772060227.post-52707166209713383542008-04-11T17:45:00.001-05:002008-04-12T04:11:35.496-05:00NHLBI EPR3: Guidelines for the Diagnosis and Management of AsthmaBelow are two pdf. files summarizing the NHLBI EPR3: Guidelines for the Diagnosis and Management of Asthma. These are the current standard of care issued in 2007.<br /><br /><a href="http://www.box.net/shared/6qqsswcsos" target="_blank">Guidelines for children ages 0 - 4 years old</a><br /><a href="http://www.box.net/shared/98kl5vykg4" target="_blank">Guidelines for children ages 5 - 11 years old</a>Med-Sourcehttp://www.blogger.com/profile/01012731834301555074noreply@blogger.com3tag:blogger.com,1999:blog-1199911481772060227.post-756777728530062092008-03-03T20:26:00.000-05:002008-03-03T20:27:42.740-05:00Normal Pediatric Vital Signs<table border="1"><tbody><tr class="main"><td align="center">Age</td> <td align="center">Weight (kilograms)</td> <td align="center">Pulse</td> <td align="center">Respirations</td> <td align="center">Systolic BP</td> <td align="center">Diastolic BP</td> </tr> <tr class="main"> <td align="center">Premature</td> <td align="center">1</td> <td align="center">145</td> <td align="center"><> <td align="center">42 +/- 10</td> <td align="center"> 21 +/- 8</td> </tr> <tr class="main"> <td align="center">Premature</td> <td align="center">1-2</td> <td align="center">135</td> <td align="center">--</td> <td align="center">50 +/- 10</td> <td align="center">28 +/- 8</td> </tr> <tr class="main"> <td align="center">Newborn</td> <td align="center">2-3</td> <td align="center">125</td> <td align="center">--</td> <td align="center">60 +/- 10</td> <td align="center">37 +/- 8</td> </tr> <tr class="main"> <td align="center">1 month</td> <td align="center">4</td> <td align="center">120</td> <td align="center">24-35</td> <td align="center">80 +/- 16</td> <td align="center">46 +/- 16</td> </tr> <tr class="main"> <td align="center">6 month</td> <td align="center">7</td> <td align="center">130</td> <td align="center">--</td> <td align="center">89 +/- 29</td> <td align="center">60 +/- 10</td> </tr> <tr class="main"> <td align="center">1 year</td> <td align="center">10</td> <td align="center">120</td> <td align="center">20-30</td> <td align="center">96 +/- 30</td> <td align="center">66 +/- 25</td> </tr> <tr class="main"> <td align="center">2-3 years</td> <td align="center">12-14</td> <td align="center">115</td> <td align="center">--</td> <td align="center">99 +/- 25</td> <td align="center">64 +/- 25</td> </tr> <tr class="main"> <td align="center">4-5 years</td> <td align="center">16-18</td> <td align="center">100</td> <td align="center">--</td> <td align="center">99 +/- 20</td> <td align="center">65 +/- 20</td> </tr> <tr class="main"> <td align="center">6-9 years</td> <td align="center">20-26</td> <td align="center">100</td> <td align="center">12-25</td> <td align="center">100 +/- 20</td> <td align="center">65 +/- 15</td> </tr> <tr class="main"> <td align="center">10-12 years</td> <td align="center">32-42</td> <td align="center">75</td> <td align="center">--</td> <td align="center">112 +/- 20</td> <td align="center">68 +/- 15</td> </tr> <tr class="main"> <td align="center">Over 14 years</td> <td align="center">> 50</td> <td align="center">70</td> <td align="center">12-18</td> <td align="center">120 +/- 20</td> <td align="center">75 +/- 15</td></tr></tbody></table>Med-Sourcehttp://www.blogger.com/profile/01012731834301555074noreply@blogger.com3tag:blogger.com,1999:blog-1199911481772060227.post-70682560484117270182008-01-11T22:37:00.001-05:002008-03-03T20:30:26.528-05:00Chemo ManHave trouble remembering the toxicities associated with the major chemotherapeutic agents. Med-Source presents Chemo Man who has been passed along the hallways at HUP (Hospital of the University of Pennsylvania).<br /><br /><div style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEigP3sQ3EuKMm4plfApcGjq0KGxLprtasSZgpB-fAWcpVjGnew59Nk85I0oLrdjNSUlZGu-OJ7VR8fDOSI9sUtxRq-eYbSjJ2GmUuFLLaBGl4fTiTw9lu569fGOj9I8WTAzZmojHr-Bv_U/s730/chemo-tox-man.jpg" target="_blank"><img src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEigHAaZc48LDyREM3v4nKzWf7llIXfH5K1W4KApE1Rut8TkH_ECOEuhyIYc34NotFvf_0bKv4f3GXrxeSd8TjvQP8_kLncPzQS_lk85vYJhhoMQqPiUOO3LLq5R5vmsoMDIV3KpFnsukbw/s730/chemo-tox-man.jpg" alt="chemo tox man" border="0" /></a><br /></div>Med-Sourcehttp://www.blogger.com/profile/01012731834301555074noreply@blogger.com7tag:blogger.com,1999:blog-1199911481772060227.post-32776378143958850972008-01-08T11:31:00.000-05:002008-01-08T11:33:15.727-05:00SHELF / USMLE Step 2 Practice Questions > Internal Medicine > OncologySHELF / USMLE Step 2 Practice Questions > Internal Medicine > Oncology<br /><br />82 Case based vignette style practice questions from the American College of Physicians (ACP) with answers & thorough explanations - <a href="http://www.box.net/shared/bg94c49c0w" target="_blank">DOWNLOAD the .pdf</a><br /><br />Want more great practice questions for the Medicine Shelf Exam? Go with <a name="evtst|a|1930513623" href="http://www.amazon.com/gp/product/1930513623?ie=UTF8&tag=medsourc-20&link_code=as3&camp=211189&creative=373489&creativeASIN=1930513623" target="_blank">MKSAP for Students 3</a><img src="http://www.assoc-amazon.com/e/ir?t=medsourc-20&l=as2&o=1&a=1930513623" alt="" style="border: medium none ! important; margin: 0px ! important;" border="0" height="1" width="1" />Med-Sourcehttp://www.blogger.com/profile/01012731834301555074noreply@blogger.com0tag:blogger.com,1999:blog-1199911481772060227.post-54556730388393506222007-12-31T12:32:00.000-05:002007-12-31T12:35:33.734-05:00SHELF / USMLE Step 2 Practice Questions > Internal Medicine > NeurologySHELF / USMLE Step 2 Practice Questions > Internal Medicine > Neurology<br /><br />92 Case based vignette style practice questions from the American College of Physicians (ACP) with answers & thorough explanations - <a href="http://www.box.net/shared/jwmytr1oo4" target="_blank">DOWNLOAD the .pdf</a><br /><br />Want more great practice questions for the Medicine Shelf Exam? Go with <a href="http://www.amazon.com/gp/product/1930513623?ie=UTF8&tag=medsourc-20&linkCode=as2&camp=1789&creative=9325&creativeASIN=1930513623" target="_blank">MKSAP for Students 3</a><img src="http://www.assoc-amazon.com/e/ir?t=medsourc-20&l=as2&o=1&a=1930513623" alt="" style="border: medium none ! important; margin: 0px ! important;" border="0" height="1" width="1" />Med-Sourcehttp://www.blogger.com/profile/01012731834301555074noreply@blogger.com0tag:blogger.com,1999:blog-1199911481772060227.post-71580909580378458032007-12-21T16:18:00.000-05:002007-12-21T16:23:53.952-05:00Med-Spot on Med-Source: Personal Genome SequencingGenetics has gone commercial with companies like deCODEme & 23andMe. What's all the hype about? Is it worth the $. Take a look at the video below made a recent deCODEme customer as she views the results of her husband's genome. <embed src="http://services.brightcove.com/services/viewer/federated_f8/271548443" bgcolor="#FFFFFF" flashvars="videoId=1351299777&playerId=271548443&viewerSecureGatewayURL=https://services.brightcove.com/services/amfgateway&servicesURL=http://services.brightcove.com/services&cdnURL=http://admin.brightcove.com&domain=embed&autoStart=false&" base="http://admin.brightcove.com" name="flashObj" seamlesstabbing="false" type="application/x-shockwave-flash" swliveconnect="true" pluginspage="http://www.macromedia.com/shockwave/download/index.cgi?P1_Prod_Version=ShockwaveFlash" height="412" width="486"></embed>Med-Sourcehttp://www.blogger.com/profile/01012731834301555074noreply@blogger.com0tag:blogger.com,1999:blog-1199911481772060227.post-84406131589244407932007-12-20T06:27:00.000-05:002007-12-20T06:29:28.268-05:00SHELF / USMLE Step 2 Practice Questions > Internal Medicine > NephrologySHELF / USMLE Step 2 Practice Questions > Internal Medicine > Nephrology<br /><br />58 Case based vignette style practice questions from the American College of Physicians (ACP) with answers & thorough explanations - <a href="http://www.box.net/shared/08c3jrpwsw" target="_blank">DOWNLOAD the .pdf</a><br /><br />Want more great practice questions for the Medicine Shelf Exam? Go with <a href="http://www.amazon.com/gp/product/1419551507?ie=UTF8&tag=medsourc-20&linkCode=as2&camp=1789&creative=9325&creativeASIN=1419551507" target="_blank">USMLE Step 2 CK Qbook (Kaplan USMLE Qbook)</a><img src="http://www.assoc-amazon.com/e/ir?t=medsourc-20&l=as2&o=1&a=1419551507" alt="" style="border: medium none ! important; margin: 0px ! important;" border="0" height="1" width="1" />Med-Sourcehttp://www.blogger.com/profile/01012731834301555074noreply@blogger.com1tag:blogger.com,1999:blog-1199911481772060227.post-61645579679110503222007-12-09T11:44:00.000-05:002007-12-09T11:54:40.906-05:00SHELF / USMLE Step 2 Practice Questions > Internal Medicine > Infectious DiseaseSHELF / USMLE Step 2 Practice Questions > Internal Medicine > Infectious Disease<br /><br />183 Case based vignette style practice questions from the American College of Physicians (ACP) with answers & thorough explanations - <a href="http://www.box.net/shared/1ooi8k4izq" target="_blank">DOWNLOAD the .pdf</a><br /><br />Want more great practice questions for the Medicine Shelf Exam? Go with <a name="evtst|a|1419551507" href="http://www.amazon.com/gp/product/1419551507?ie=UTF8&tag=medsourc-20&link_code=as3&camp=211189&creative=373489&creativeASIN=1419551507" target="_blank">USMLE Step 2 CK Qbook (Kaplan USMLE Qbook)</a><img src="http://www.assoc-amazon.com/e/ir?t=medsourc-20&l=as2&o=1&a=1419551507" alt="" style="border: medium none ! important; margin: 0px ! important;" border="0" height="1" width="1" />Med-Sourcehttp://www.blogger.com/profile/01012731834301555074noreply@blogger.com2tag:blogger.com,1999:blog-1199911481772060227.post-50667920248186476512007-12-04T20:04:00.000-05:002007-12-11T22:07:34.267-05:00hypoxic-ischemic coma prognosisWhen you are on you're on your neurology clerkship (or ICU rotations) you will undoubtedly encounter many patients in post-stroke comas. A good physical/neuro exam can help a lot with ultimate prognosis. After 7 days prognosis is almost always apparent. Here is a validated method based on Based on Levy et al JAMA 1985, 253<br /><br />GOOD = mod disability (independent w/ ADLs) or better<br />POOR = death, persistent coma until death, or persistent veg state.<br /><br /><li>< 3hrs<br /></li><ul><li> GOOD (41% good, 41% bad)</li><ul><li> Eyes: Roving conjugate</li><li>Motor: Posturing or better</li></ul><li>POOR (94% bad, 0% good) </li><ul><li>Eyes: Absent pupillary responses</li><li>Motor: Posturing or worse<br /></li></ul></ul><ul></ul><li>24 hrs.</li><ul><li> GOOD (63% good, 7% bad)</li><ul><li> Eyes: Open to noise / spontaneously</li><li>Motor: Withdraw or better</li></ul><li>POOR (95% bad, 1% good) </li><ul><li>Eyes: Not roving conjugate<br /></li><li>Motor: Still posturing or worse</li></ul></ul><li>3 days</li><ul><li> GOOD (77% good, 8% bad)</li><ul><li> Eyes: Normal orienting movements</li><li>Motor: Withdraw or better</li></ul><li>POOR (93% bad, 0% good) </li><ul><li>Motor: Still posturing or worse<br /></li></ul></ul><li>7 days</li><ul><li> GOOD (72% good, 6% bad)</li><ul><li>Obeys commands<br /></li></ul><li>POOR (100% bad, 0% good) </li><ul><li> Not obeying commands</li><li>Eyes: Not roving or orienting, not opening spontaneously</li></ul></ul>Med-Sourcehttp://www.blogger.com/profile/01012731834301555074noreply@blogger.com0tag:blogger.com,1999:blog-1199911481772060227.post-80757772956244315732007-11-27T23:12:00.000-05:002007-11-27T23:17:58.395-05:00SHELF / USMLE Step 2 Practice Questions > Internal Medicine > ImmunologySHELF / USMLE Step 2 Practice Questions > Internal Medicine > Immunology / Allergy<br /><br />36 Case based vignette style practice questions from the American College of Physicians (ACP) with answers & thorough explanations - <a href="http://www.box.net/shared/2acypllkjm" target="_blank">DOWNLOAD the .pdf</a><br /><br />Want more great practice questions for the Medicine Shelf Exam? Go with <a href="http://www.amazon.com/gp/product/1419551507?ie=UTF8&tag=medsourc-20&linkCode=as2&camp=1789&creative=9325&creativeASIN=1419551507" target="_blank">USMLE Step 2 CK Qbook (Kaplan USMLE Qbook)</a><img src="http://www.assoc-amazon.com/e/ir?t=medsourc-20&l=as2&o=1&a=1419551507" alt="" style="border: medium none ! important; margin: 0px ! important;" border="0" height="1" width="1" />Med-Sourcehttp://www.blogger.com/profile/01012731834301555074noreply@blogger.com0tag:blogger.com,1999:blog-1199911481772060227.post-82653074712614037242007-11-16T18:08:00.000-05:002007-11-16T18:22:54.957-05:00SHELF / USMLE Step 2 Practice Questions > Internal Medicine > HematologySHELF / USMLE Step 2 Practice Questions > Internal Medicine > Hematology<br /><br />66 Case based vignette style practice questions from the American College of Physicians (ACP) with answers & thorough explanations - <a href="http://www.box.net/shared/lrcfhxhgpa" target="_blank">DOWNLOAD the .pdf</a><br /><br />Want more great practice questions for the Medicine Shelf Exam? Go with <a href="http://www.amazon.com/gp/product/1419551507?ie=UTF8&tag=medsourc-20&linkCode=as2&camp=1789&creative=9325&creativeASIN=1419551507" target="_blank">USMLE Step 2 CK Qbook (Kaplan USMLE Qbook)</a><img src="http://www.assoc-amazon.com/e/ir?t=medsourc-20&l=as2&o=1&a=1419551507" alt="" style="border: medium none ! important; margin: 0px ! important;" border="0" height="1" width="1" />Med-Sourcehttp://www.blogger.com/profile/01012731834301555074noreply@blogger.com0tag:blogger.com,1999:blog-1199911481772060227.post-3698935285563033272007-11-06T22:48:00.000-05:002007-11-06T22:49:17.833-05:00SHELF / USMLE Step 2 Practice Questions > Internal Medicine > Gastroenterology<div style="text-align: left;">SHELF / USMLE Step 2 Practice Questions > Internal Medicine > Gastroenterology<br /><br />26 Case based vignette style practice questions from the American College of Physicians (ACP) with answers & thorough explanations - <a style="font-weight: bold;" href="http://www.box.net/shared/z2oc3x1x27" target="_blank">DOWNLOAD the .pdf</a><br /><br />Want more great practice questions for the Medicine Shelf Exam? Go with <a id="lnx0" name="evtst|a|1930513623" href="http://www.amazon.com/gp/product/1930513623?ie=UTF8&tag=medsourc-20&link_code=as3&camp=211189&creative=373489&creativeASIN=1930513623" target="_blank">MKSAP for Students 3 </a><img src="http://www.assoc-amazon.com/e/ir?t=medsourc-20&l=as2&o=1&a=1930513623" alt="" style="border: medium none ! important; margin: 0px ! important;" border="0" height="1" width="1" /></div>Med-Sourcehttp://www.blogger.com/profile/01012731834301555074noreply@blogger.com0tag:blogger.com,1999:blog-1199911481772060227.post-71657148658278620992007-11-05T21:26:00.000-05:002007-11-05T21:36:41.401-05:00SHELF / USMLE Step 2 Practice Questions > Internal Medicine > EndocrinologySHELF / USMLE Step 2 Practice Questions > Internal Medicine > Endocrinology<br /><br />26 Case based vignette style practice questions from the American College of Physicians (ACP) with answers & thorough explanations - <a style="font-weight: bold;" href="http://www.box.net/shared/0dkdz1ts76" target="_blank">DOWNLOAD the .pdf</a><br /><br />Want more great practice questions for the Medicine Shelf Exam? Go with <a id="lnx0" name="evtst|a|1930513623" href="http://www.amazon.com/gp/product/1930513623?ie=UTF8&tag=medsourc-20&link_code=as3&camp=211189&creative=373489&creativeASIN=1930513623" target="_blank">MKSAP for Students 3 </a><img src="http://www.assoc-amazon.com/e/ir?t=medsourc-20&l=as2&o=1&a=1930513623" alt="" style="border: medium none ! important; margin: 0px ! important;" border="0" height="1" width="1" />Med-Sourcehttp://www.blogger.com/profile/01012731834301555074noreply@blogger.com0tag:blogger.com,1999:blog-1199911481772060227.post-387861631998386632007-11-03T15:07:00.000-05:002007-11-03T15:10:47.603-05:00SHELF / USMLE Step 2 Practice Questions > Internal Medicine > DermatologySHELF / USMLE Step 2 Practice Questions > Internal Medicine > Dermatology<br /><br />67 Case based vignette style practice questions from the American College of Physicians (ACP) with answers & thorough explanations - <a style="font-weight: bold;" href="http://www.box.net/shared/h29luq99v1" target="_blank">DOWNLOAD the .pdf</a><br /><br />Want more great practice questions for the Medicine Shelf Exam? Go with <a name="evtst|a|1930513623" href="http://www.amazon.com/gp/product/1930513623?ie=UTF8&tag=medsourc-20&link_code=as3&camp=211189&creative=373489&creativeASIN=1930513623" target="_blank">MKSAP for Students 3 </a><img src="http://www.assoc-amazon.com/e/ir?t=medsourc-20&l=as2&o=1&a=1930513623" alt="" style="border: medium none ! important; margin: 0px ! important;" border="0" height="1" width="1" />Med-Sourcehttp://www.blogger.com/profile/01012731834301555074noreply@blogger.com3tag:blogger.com,1999:blog-1199911481772060227.post-63927675871415479092007-10-31T22:26:00.000-05:002007-10-31T21:05:19.574-05:00CardiologyCardiology was a great course at Penn. With a well organized course and some helpful resources, you can master the ECG (EKG), understand the electrical and mechanical physiology and gain a basic understanding of the pathophysiology of cardiac disease.<br /><ul style="margin-left: 0px; padding-left: 15px;"><li>Cardiology Downloads<br /></li><ul><li>Cardiology Drug Guide (cost $2) - An 8 pg. outline of 50 commonly used cardiac drugs w. main effects, clinical utility, contraindications and side effects.</li><ul><li><a href="http://www2.blogger.com/post-edit.g?blogID=1199911481772060227&postID=5375948226046870443#" onclick="MyWindow=window.open('http://img242.imageshack.us/img242/3320/cardsdrugspreviewtk4.jpg','MyWindow','toolbar=no,location=no,directories=no,status=yes,menubar=no,scrollbars=yes,resizable=yes,width=605,height=410'); return false;">preview</a><br /></li><li>purchase*: <a href="http://payloadz.com/go/sip?id=291476" target="paypal"><img src="https://www.paypal.com/images/x-click-but23.gif" align="middle" border="0" /></a><br /></li></ul><li>Cardiology Q&A Study Guide (cost $5) - A 25 pg. study guide (Cornell Notes Style) w. topics on the left hand side and pertinent facts on the right.</li><ul><li><a href="http://www2.blogger.com/post-edit.g?blogID=1199911481772060227&postID=5375948226046870443#" onclick="MyWindow=window.open('http://img242.imageshack.us/img242/8646/cardsstudyguide1jf6.jpg','MyWindow','toolbar=no,location=no,directories=no,status=yes,menubar=no,scrollbars=yes,resizable=yes,width=725,height=535'); return false;">preview 1</a> <a href="http://www2.blogger.com/post-edit.g?blogID=1199911481772060227&postID=5375948226046870443#" onclick="MyWindow=window.open('http://img157.imageshack.us/img157/4936/cardsstudyguide2zb3.jpg','MyWindow','toolbar=no,location=no,directories=no,status=yes,menubar=no,scrollbars=yes,resizable=yes,width=730,height=520'); return false;">preview 2</a> <a href="http://www2.blogger.com/post-edit.g?blogID=1199911481772060227&postID=5375948226046870443#" onclick="MyWindow=window.open('http://img84.imageshack.us/img84/8416/cardsstudyguide3gq5.jpg','MyWindow','toolbar=no,location=no,directories=no,status=yes,menubar=no,scrollbars=yes,resizable=yes,width=730,height=530'); return false;">preview 3</a></li><li>purchase*: <a href="http://payloadz.com/go/sip?id=291515" target="paypal"><img src="https://www.paypal.com/images/x-click-but23.gif" align="middle" border="0" /></a></li></ul><li>Boards style Cardiology questions from the ACP - <span style="text-decoration: underline;"></span><a href="http://www.box.net/shared/jj9x5alp4k" target="_blank">download the .pdf</a></li></ul></ul><ul style="margin-left: 0px; padding-left: 15px;"><li>Online Cardiology Resources<br /></li><ul><li><a href="http://library.med.utah.edu/kw/ecg/ecg_outline/index.html" target="_blank">The ECG (EKG) Learning Center</a> - An 12 lesson interactive guide to the ECG with self quizzes at the end of each section.</li><li><a href="http://library.med.utah.edu/kw/pharm/hyper_heart1.html" target="_blank">Hyper Heart</a> - an interactive module that shows pressure curves and electrophysiology of the normal heart and various arrhythmias.</li><li><a href="http://www.visibleheart.com/index.html" target="_blank">The Visible Heart</a> - An educational tool for observing how a real heart works from within. You can see a beating heart, all the valve actions, the contractions of atria and ventricles, and the architecture of the heart as it beats. Great live video of the beating heart.</li><li>Cardiac Auscultation sites with sound files so you can listen to murmurs, gallops, rubs etc...</li><ul><li><a href="http://www.blogger.com/post-edit.g?blogID=1199911481772060227&postID=6392767587141547909#" onclick="MyWindow=window.open('http://www.rnweb.com/rnweb/data/articlestandard/rnweb/342004/114145/r8a024ac101.jpg','MyWindow','toolbar=no,location=no,directories=no,status=no,menubar=no,scrollbars=yes,resizable=no,width=405,height=550'); return false;">Stethoscope placement for optimal auscultation</a><br /></li><li><a href="http://www.blaufuss.org/" target="_blank">Blaufuss Multimedia</a> - Awesome site with heart sounds and tutorials, be sure to check out the SVT tutorial.<br /></li><li><a href="http://filer.case.edu/%7Edck3/heart/listen.html" target="_blank">The Cardiac Exam: Auscultation (Case)</a><br /></li><li><a href="http://www.med.ucla.edu/wilkes/inex.htm" target="_blank">The Auscultation Assistant (UCLA) </a><br /></li></ul><li>TIMI scores for evaluating risk of cardiac events.<br /></li><ul><li><a href="http://www.timi.org/files/riskscore/risk_ua_files/image002.jpg" target="_blank">TIMI Score for UA / NSTEMI</a></li></ul><ul><li><a href="http://www.timi.org/files/riskscore/risk_mi_files/image002.jpg" target="_blank">TIMI Score for STEMI</a><br /></li></ul></ul></ul> <ul style="margin-left: 0px; padding-left: 15px;"><li>Recommended Cardiology Textbooks</li><ul><li><a href="http://www.amazon.com/gp/product/0781763215?ie=UTF8&tag=medsourc-20&linkCode=as2&camp=1789&creative=9325&creativeASIN=0781763215" target="_blank">Pathophysiology of Heart Disease (Lilly)</a><img src="http://www.assoc-amazon.com/e/ir?t=medsourc-20&l=as2&o=1&a=0781763215" alt="" style="border: medium none ! important; margin: 0px ! important;" border="0" height="1" width="1" /> - An excellent readable compliment to your course.</li><li><a href="http://www.amazon.com/gp/product/0781773156?ie=UTF8&tag=medsourc-20&linkCode=as2&camp=1789&creative=9325&creativeASIN=0781773156" target="_blank">The The Only EKG Book You'll Ever Need</a><img src="http://www.assoc-amazon.com/e/ir?t=medsourc-20&l=as2&o=1&a=0781773156" alt="" style="border: medium none ! important; margin: 0px ! important;" border="0" height="1" width="1" /> - Basically the title says it all.</li><li><a href="http://www.amazon.com/gp/product/0912912065?ie=UTF8&tag=medsourc-20&linkCode=as2&camp=1789&creative=9325&creativeASIN=0912912065" target="_blank">Rapid Interpretation of EKG's, 6th Ed.</a><img src="http://www.assoc-amazon.com/e/ir?t=medsourc-20&l=as2&o=1&a=0912912065" alt="" style="border: medium none ! important; margin: 0px ! important;" border="0" height="1" width="1" /> - Another great EKG source, take your pick.<br /></li></ul></ul>Med-Sourcehttp://www.blogger.com/profile/01012731834301555074noreply@blogger.com0tag:blogger.com,1999:blog-1199911481772060227.post-8970171971113214532007-10-31T20:52:00.000-05:002007-10-31T21:01:51.100-05:00SHELF / USMLE Step 2 Practice Questions > Internal Medicine > CardiologySHELF / USMLE Step 2 Practice Questions > Internal Medicine > Cardiology<br /><br />85 Case based vignette style practice questions from the American College of Physicians (ACP) with answers & thorough explanations - <a style="font-weight: bold;" href="http://www.box.net/shared/jj9x5alp4k" target="_blank">DOWNLOAD the .pdf</a><br /><br />Want more great practice questions for the Medicine Shelf Exam? Go with <a href="http://www.amazon.com/gp/product/1930513623?ie=UTF8&tag=medsourc-20&linkCode=as2&camp=1789&creative=9325&creativeASIN=1930513623" target="_blank">MKSAP for Students 3 </a><img src="http://www.assoc-amazon.com/e/ir?t=medsourc-20&l=as2&o=1&a=1930513623" alt="" style="border: medium none ! important; margin: 0px ! important;" border="0" height="1" width="1" />Med-Sourcehttp://www.blogger.com/profile/01012731834301555074noreply@blogger.com0tag:blogger.com,1999:blog-1199911481772060227.post-64885752131811283832007-10-29T20:13:00.000-05:002007-10-29T20:17:57.381-05:00Family Medicine Shelf / USMLE Step 2 Practice Questions<span style="font-weight: bold;">SHELF / USMLE Step 2 Practice Questions</span><span style="font-weight: bold;"> > Family Medicine</span><br /><br /><a href="http://www.box.net/shared/l0210rsd96"target="_blank">Case Based Vignette Style Questions from Medscape & the ACP with Answers & Explanations (.pdf)</a><br /><br />Recommended family medicine text: <a href="http://www.amazon.com/gp/product/078173391X?ie=UTF8&tag=medsourc-20&linkCode=as2&camp=1789&creative=9325&creativeASIN=078173391X" target="_blank">Essentials of Family Medicine (Sloane)</a><img src="http://www.assoc-amazon.com/e/ir?t=medsourc-20&l=as2&o=1&a=078173391X" alt="" style="border: medium none ! important; margin: 0px ! important;" border="0" height="1" width="1" />Med-Sourcehttp://www.blogger.com/profile/01012731834301555074noreply@blogger.com0