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Hey Figure 1 Community!

MIT Hacking Medicine is bringing the ultimate healthcare hackathon to New York City! From this Friday, 11/16, to Sunday, 11/18, we'll be hosting 200 participants from around the world to solve some of healthcare's toughest challenges. We'll be posting some of their ideas here, and we would appreciate any feedback you may have to help them with their projects!

The three tracks (themes) for our event are: Reimagining Lung Cancer, Mental & Public Health, and Rehabilitation & Human Performance. Stay tuned if you're interested in helping with the cool ideas that come out from our event!

Why you should join Figure 1

• Share your knowledge with our global community of healthcare professionals
• Get help from experts in your field
• Learn from our library of real-world cases and quizzes

Case Contributions

This was found in our Outpatient Surgery Department. No one has any idea what it might be. I have some off the wall ideas that we threw around but for the most part-everyone is completely stumped! Thanks in advance for any help provided! I'm just naturally a very curious and inquisitive individual that likes to have answers-no matter how irrelevant they may seem.
Link: View Case

Medical student who needs some help. Taking this patient's history. Healthy 24 year old female with no medical history. EKG done but looks abnormal to me. It's irregularily irregular and there's possibly some p wave inversion in some leads (aVF, maybe V5, V6, I, II). No idea what the cause could be. Any help?
Link: View Case

In a new blog, Charlotte Squires, Specialist Trainee in Geriatric Medicine and General Internal Medicine, reflects on the importance of communication skills for healthcare professionals working with people who have cancer, from her perspective both as a doctor and a patient with advanced Hodgkin Lymphoma.
"A recent Cochrane Review Communication skills training for healthcare professionals working with people who have cancer looked at whether communication skills training had a positive effect on how healthcare professionals embark on conversations that often prove to be pivotal in the life of the person before them. Interestingly, we know that communication skills do not always automatically get better with experience, but this review implies that some aspects such as asking open ended questions, and showing empathy, may improve with training, if only for a short period of time.
Analysing this sort of research is always going to be wrought with difficulty. This review considered the effect of communication training on patient satisfaction, for example, but as a patient receiving bad news, I am unsure whether anyone has ever walked out of a clinic room, and felt ‘satisfied’ with the outcome. It’s a strange choice of wording, yet remains a yardstick we use regularly when gathering feedback in health care, and what we mean in this context, is whether they were treated well enough that the conversation itself did not add to the trauma of the content. As a clinician who has also been a cancer patient, I sometimes feel that there is an assumption amongst healthcare workers that if you break bad news well, with all the recommended structures and stock phrases, that the patient on the end of it will be OK...."
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Trending now

A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis. He had a history of hypertension, long-term smoking, and a sedentary lifestyle. On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.
Link: View Case

A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets. Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.
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A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.
Link: View Case

Patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this EKG that would warrant further work-up or is this just a pediatric EKG?
Link: View Case