Tuesday, October 13, 2015

WILTIMS #364: Hanging with the big boss

Today was my first day on clinic and... not much happened. For some reason, there just weren't many patients, so we spent most of our time hanging out with the clerkship director and talking about life, med school, and administration drama. Not a bad day, overall.

TIL: A nabothian cyst is a benign, mucous-filled cyst that grows on the cervix. As a medical provider, you get nervous whenever you see something on a cervix that it might be cancerous. One simple way of determining that the cyst is not a tumor during your physical exam is to visualize it using a speculum and look at the blood vessels. The blood vessels should look normal if it's a cyst, whereas tumor vasculature often shows strange patterns like blood vessels coming straight out towards the skin or crossing each other or branching at acute angles. A pelvic sonogram is usually pretty conclusive, showing that the mass is fluid-filled and not solid.

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