When My Preceptor Gave Me 4 Hours to Do An H&P On A Stroke Patient:
Actually Doing The History & Physical:
When Trying to Figure Out the Neuroanatomy of a Lesion that causes Vertical Diplopia and Nystagmus with Maybe Some Weird Disconjugate Gaze Shit As Well, And God Only Knows If I Actually Assessed Any of The Visual Field Correctly:
When My Preceptor Asks Me To Present My Findings:
And When He Asks For My Plan:
(Here’s to tomorrow, when I will bring a very thick neurology book and MY GAME FACE.
Grrrrr.)
Action Potential 
Brainstem
I totally spent 3 of those 4 hours trying to justify localizing the lesion to a specific branch. I was panicking to find the right textbooks to re-memorize the arterial supply of the MLF and the PPRF
Turned out my preceptor was looking for “posterior circulation” vs. “anterior circulation” with a side of “cortical” vs “sub-cortical”.
… I felt silly.
I am well impressed that you American folk watch Peep Show! 😀
David Mitchell would definitely be a pathologist hiding away and making witty quips about his findings.
Scary. I’m doing neuro – my last rotation of med school EVER – in March. I’m going to look SO stupid, and care SO little (I’ll be matched by then!), that I’m sure I’m going to be the dumbest member of the team. Oh well
Just order the damn MRI. Done.
You’ll be amazed at how much more you know by the end of your neuro rotation (I’m just finishing mine now!). 🙂
I can’t wait! Neuro is super cool. I just wish it liked me as much as I liked it… :(tried to rememorize horizontal and vertical saccade pathways this morning and I nearly hung myself. But I like the idea of being the kind of person who knows these things. CONFLICT.)
poor baby! poor, poor baby! Hang in there (to use and ‘overused’ term)