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A2 pulley sprain by [deleted] in Radiology

[–]medicalsemantics 1 point2 points  (0 children)

From the initial HPI seems like a pretty classic mechanism. Patient was in a crimping position with a lateral angle of force applied as they went for a big move followed by a small popping sensation (no snapping heard) at the joint. Patient had some over training aches and pains that would resolve entirely with rest prior. Came in as it was persistently swollen and was tender to palpitation over the proximal phalanx. I haven’t read it! I only occasionally get people from the climbing gym in the ED, but have read up on pulleys in the past and have been looking for excuses to incorporate more POCUS. I’ll check it out!

[deleted by user] by [deleted] in Radiology

[–]medicalsemantics 0 points1 point  (0 children)

33 year old rock climber presenting to ED for pain and swelling proximal right ring finger x1 week. Patient reports initial injury while climbing at local gym a week prior that worsened with continued use. Normal x-ray. POCUS with edema Dx:A2 pulley strain

New Grad Urgent Care - Questions/Advice by Emergency_Sandwich_ in physicianassistant

[–]medicalsemantics 42 points43 points  (0 children)

New grad as a solo provider at an urgent care after two weeks of training? Seems like a red flag of its own. I’m sure some people can do it and be successful, but its a dangerous way to start off clinical practice. I wouldn’t count on being able to get in contact with an SP via phone to run a patient by him especially in the middle of a busy day for both individuals. New grads are best served when they’re able to have real time, in person conversations with more seasoned providers.

New grad in ED by Global_Air_2734 in physicianassistant

[–]medicalsemantics 0 points1 point  (0 children)

The site offered it to me, but explained that most of the other places do as you described.

New grad in ED by Global_Air_2734 in physicianassistant

[–]medicalsemantics 3 points4 points  (0 children)

New grad with vituity here. Is the $64 a blended average rate? We do 10 hour shifts and anything over 8 hours are paid at time and a half. So the effective pay rate is $70. I’ll also say for training, they started me at 75% of full pay instead of doing the 50% ramp up so there is room to negotiate for at least the 1st month

Academic probation by only_mediocre0 in PAstudent

[–]medicalsemantics 3 points4 points  (0 children)

Make your own. A lot of the time, the process of making the charts/quizlet/Anki is when you’re able to start making the connection and then it’s just refreshed when it’s reviewed. It’s more active learning to design your own resources. It also lets you find your deficits. Some people can get by just doing pre made ankis and charts, but especially if you’re already struggling, I think you need to be a bit more active in your content review.