Inconceivable!

Inconceivable: Urinary Tract Infection

Chapter 11 – “Urinary Tract Infection” Welcome to the eleventh installment of “Inconceivable: medical terms that don’t mean what you think they mean.” You are taking care of an alert and oriented 80-year-old woman who presented to your ED from an assisted living facility. She reports a few days of weakness and poor appetite, but

Inconceivable!

Inconceivable: Rule Out

Chapter 10 – “Rule Out” Welcome to the tenth installment of “Inconceivable: medical terms that don’t mean what you think they mean.” You are evaluating a young, healthy woman on OCP who presents to the ED for pleuritic chest pain. Her chest x-ray, EKG, and labs are all normal. You document that her d-dimer was

Inconceivable!

Inconceivable: Liver Function Tests

Chapter 9 – “Liver Function Tests” Welcome to the ninth installment of “Inconceivable: medical terms that don’t mean what you think they mean.” You are evaluating a patient presenting to the ED with right upper quadrant pain. Her laboratory testing reveals an elevated AST and ALT and her focused ultrasound shows shadowing gallstones and a

Inconceivable!

Inconceivable: Dehydration

  Chapter 8 – “Dehydration” Welcome to the eighth installment of “Inconceivable: medical terms that don’t mean what you think they mean.” You are evaluating a patient with vomiting and diarrhea. She reports that she’s been unable to keep down solids or liquids for over 72 hours. On exam you note a normotensive but slightly tachycardic

Inconceivable!

Inconceivable: Romberg Test

Chapter 7 – Romberg Test Welcome to the seventh installment of “Inconceivable: medical terms that don’t mean what you think they mean.” You are evaluating a patient with ataxia. As part of your physical exam, you have the patient ambulate and you notice that she is very unsteady on her feet. You then have the patient

Inconceivable!

Inconceivable: Cardiac Enzymes

  Welcome to the sixth installment of “Inconceivable: medical terms that don’t mean what you think they mean.” You are admitting a patient with chest pain. His EKG is unchanged from his prior and his Troponin is within normal limits, but he has multiple medical problems and a history concerning for acute coronary syndrome. When

Inconceivable!

Inconceivable: Diarrhea

Chapter 5 – “Diarrhea” Welcome to the fifth installment of “Inconceivable: medical terms that don’t mean what you think they mean.” Your patient has had 24 hours of vomiting and abdominal cramping. He tells you that he became concerned when in addition to the vomiting he began to have diarrhea, which he describes as a

Inconceivable!

Inconceivable: Fever of Unknown Origin

Chapter 4 – “Fever of Unknown Origin” Welcome to the fourth installment of “Inconceivable: medical terms that don’t mean what you think they mean.” You are taking care of a patient sent in from his PCP to be admitted for an intermittent fever for the past two weeks. He has no localizing infectious symptoms, he is

Inconceivable!

Inconceivable: Pseudohyponatremia

Chapter 3 – “Pseudohyponatremia” Welcome to the third installment of “Inconceivable: medical terms that don’t mean what you think they mean.” For an introduction to this series, check out Chapter 1. You have a patient with IDDM managed with an insulin pump that malfunctioned overnight. She presents with signs and symptoms of DKA. You’ve already started

Inconceivable!

Inconceivable: The Positive Straight Leg Raise

Chapter 2 – “Positive Straight Leg Raise” Welcome to the second installment of “Inconceivable: medical terms that don’t mean what you think they mean.” For an introduction to this series, check out last month’s post.  (h/t Dr. Faust of FOAMcast for pointing out the correct spelling of Mr. Montoya’s name) This month we’re going to