A deep dive into the complex intersection between chronic physical illness, somatization, factitious disorder, and malingering. The discussion includes Munchausen by Internet (MBI) and Mass Social Media Induced Illness (MSMI). Strong Medicine video on Robin Niceta (an extreme case of malingering): https://www.youtube.com/watch?v=ELT7f2o1Pt0 Selected References (sorry, some of these are behind paywalls): Original post by reddit user Anonymous1011: https://www.reddit.com/r/medicine/comments/1egr7j9/goodbye_medicine_i_have_loved_every_second_of_it/?share_id=KrWbSnRlOeHEtBNNdzCSU DSM5 Criteria for ..read more

A recommendation for medical professionals and students to migrate from Twitter to Bluesky. My Bluesky profile: https://bsky.app/profile/ericstrong.bsky.social ..read more

Kamala Harris is the only rational choice for president. To my American conservative viewers, vote blue once and you'll finally be rid of him and can reclaim your party! Electing someone with differing policy views can lead to healthy debate and compromise, and even in the worst case scenario, can be changed in 4 years with the next presidential election. But electing someone who has repeatedly and clearly stated they will dismantle democracy in favor of a Russian-style autocratic oligarchy led by a Hitler-admiring fascist...that will take a generation to reverse, if it can be reversed at all ..read more

An overview of the steps to giving (and receiving) effective feedback, with a focus on contexts in academic medicine such as a faculty member giving feedback to a medical, nursing, or PA student. #medicalschool ..read more

An overview of working with interpreters in medical context, including how to decide to use an interpret in the first place, advantages and disadvantages of various options for interpreters, and tips for making the interpretation as smooth as possible. #osce #medicalschool ..read more

Examples of the EAP format for oral presentations on hospital rounds - an alternative to SOAP. Overview of the EAP format: https://youtu.be/truPutrM-hU Examples of the SOAP format: https://youtu.be/FKmjCQ_W-pA ..read more

A medical doctor discusses what can and can't be gleaned from Trump's unusual use of language, including his paraphasic errors, his limited vocabulary and grammatical structures, and his apparent thought disorder ..read more

This is an overview of the more recently described EAP (Events, Assessment, Problem List) format for progress notes and oral presentations for hospitalized patients. It is a more streamlined and logical alternative to the classic SOAP format that has been the standard for decades. #OSCE #medicalschool ..read more

A discussion of some special maneuvers in the abdominal exam that would only be performed in specific circumstances. 0:14 Introduction 0:42 Assessment for Ascites (e.g. shifting dullness, fluid wave) 5:09 Liver Palpation 7:00 Assessment for Peritonitis (e.g. rebound tenderness) 9:33 Assessment of the Gallbladder (e.g. Murphy sign) 11:16 Assessment for Appendicitis 12:10 Abdominal Wall Tenderness Test (i.e. Carnett Test/Sign) 13:56 Abdominal Bruits for Renovascular Hypertension References: McGee S. Evidence Based Physical Diagnosis. 5th Ed. Elsevier; 2021. Williams JW, Simel DL. Does This Patie ..read more

A demonstration of the core, evidence-based exam of the abdomen. For an explanation of these maneuvers, including the evidence behind them, please see: https://youtu.be/501SHIKGDbo #abdomen #physicalexam #osce ..read more