<?xml version="1.0" encoding="UTF-8"?><rss xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:content="http://purl.org/rss/1.0/modules/content/" xmlns:atom="http://www.w3.org/2005/Atom" version="2.0"><channel><title><![CDATA[RSS Feed]]></title><description><![CDATA[RSS Feed]]></description><link>http://direct.ecency.com</link><image><url>http://direct.ecency.com/logo512.png</url><title>RSS Feed</title><link>http://direct.ecency.com</link></image><generator>RSS for Node</generator><lastBuildDate>Fri, 24 Apr 2026 00:05:53 GMT</lastBuildDate><atom:link href="http://direct.ecency.com/created/comlex/rss.xml" rel="self" type="application/rss+xml"/><item><title><![CDATA[A 59-year-old male presents to the emergency department complaining of fever, chills and dysuria for the past 24 hours....]]></title><description><![CDATA[A 59-year-old male presents to the emergency department complaining of fever, chills and dysuria for the past 24 hours. Past medical history is significant for hypothyroidism, hypertension and obesity.]]></description><link>http://direct.ecency.com/medical/@shaktalks/59-year-old-male-presents-to-the-emergency-department</link><guid isPermaLink="true">http://direct.ecency.com/medical/@shaktalks/59-year-old-male-presents-to-the-emergency-department</guid><category><![CDATA[medical]]></category><dc:creator><![CDATA[shaktalks]]></dc:creator><pubDate>Mon, 27 Nov 2017 07:19:09 GMT</pubDate><enclosure url="https://images.ecency.com/p/FxX5cZUEw6DD9wPwfcCBAUKsigaEysdtERugqvLUcTJh62k2P3vyzkxmwR3dLKfqsSUQaXyCeidg5jUkQPgJbMtYkvZU3aUkWs7oFSNKmZCA?format=match&amp;mode=fit" length="0" type="false"/></item><item><title><![CDATA[21-year-old G3P0 female patient presents to the emergency room at 8 weeks' gestation with vaginal bleeding...]]></title><description><![CDATA[A 21-year-old G3P0 female patient presents to the emergency room at 8 weeks' gestation with vaginal bleeding. History reveals she does not believe she has passed any products of conception. Physical]]></description><link>http://direct.ecency.com/medical/@shaktalks/21-year-old-g3p0-female-patient-presents-to-the-emergency-room</link><guid isPermaLink="true">http://direct.ecency.com/medical/@shaktalks/21-year-old-g3p0-female-patient-presents-to-the-emergency-room</guid><category><![CDATA[medical]]></category><dc:creator><![CDATA[shaktalks]]></dc:creator><pubDate>Mon, 27 Nov 2017 07:12:09 GMT</pubDate><enclosure url="https://images.ecency.com/p/B69zEhWZA8UCHxjagwibdXCLMYNxrPY6YRrJip9MJrywpxVsiEE4SHu9yQ4uHKVoagGqZFsFG2c6kgYJGAyPY1X2fKpnT7BYhQSZ2DrN?format=match&amp;mode=fit" length="0" type="false"/></item><item><title><![CDATA[29-year-old male presents to the office with the complaint of bilateral knee pain...]]></title><description><![CDATA[A 29-year-old male presents to the office with the complaint of bilateral knee pain. History reveals the patient is a park ranger at Niagara Falls and noticed a small target-like rash in his armpit a few]]></description><link>http://direct.ecency.com/medical/@shaktalks/29-year-old-male-presents-to-the-office</link><guid isPermaLink="true">http://direct.ecency.com/medical/@shaktalks/29-year-old-male-presents-to-the-office</guid><category><![CDATA[medical]]></category><dc:creator><![CDATA[shaktalks]]></dc:creator><pubDate>Mon, 27 Nov 2017 06:58:21 GMT</pubDate><enclosure url="https://images.ecency.com/p/2HeX3Zi2vTf1wTj8iFd9YAoSdKX1CEQct2YDhcqSj4cKzEDFCBS4voiaweQbDubs649HY?format=match&amp;mode=fit" length="0" type="false"/></item><item><title><![CDATA[71-year-old male presents to the emergency department with the complaint of progressive shortness of breath and peripheral edema for one weeks' duration...]]></title><description><![CDATA[A 71-year-old male presents to the emergency department with the complaint of progressive shortness of breath and peripheral edema for one weeks' duration. He is admitted to the hospital and an echocardiogram]]></description><link>http://direct.ecency.com/medical/@shaktalks/71-year-old-male-presents-to-the-emergency-department</link><guid isPermaLink="true">http://direct.ecency.com/medical/@shaktalks/71-year-old-male-presents-to-the-emergency-department</guid><category><![CDATA[medical]]></category><dc:creator><![CDATA[shaktalks]]></dc:creator><pubDate>Mon, 27 Nov 2017 06:35:54 GMT</pubDate><enclosure url="https://images.ecency.com/p/7258xSVeJbKnZQ6uFagKZTHtcTSFCNi2VUsbSd2WannAu91vBDuZL53ahfaditfshtTEsw8CMEQbmBy27HhP5h2U1tQ8g3w79cLz7nQNHSNQCZXbNFPqyV2HQNMibmzQMyq4MRTPHcru4?format=match&amp;mode=fit" length="0" type="false"/></item><item><title><![CDATA[22-year-old female presents to the office with questions concerning contraceptive options...]]></title><description><![CDATA[A 22-year-old female presents to the office with questions concerning contraceptive options. History reveals she has just started a new relationship and they are planning to be sexually active in the near]]></description><link>http://direct.ecency.com/medical/@shaktalks/22-year-old-female-presents-to-the-office</link><guid isPermaLink="true">http://direct.ecency.com/medical/@shaktalks/22-year-old-female-presents-to-the-office</guid><category><![CDATA[medical]]></category><dc:creator><![CDATA[shaktalks]]></dc:creator><pubDate>Mon, 27 Nov 2017 06:28:27 GMT</pubDate><enclosure url="https://images.ecency.com/p/JvFFVmatwWHWLTenLqgspyCC9xvPHyNUsAW7bkmxgS4qyVZQe4GMr4Mf5npA1EXfrmN32tTVzKyUBYmXbXr2qqbExYnH7xNYP8u8eGPJ7o8AUzft3ph3x3bEgTjVw6xMp8hhsDN9gi?format=match&amp;mode=fit" length="0" type="false"/></item><item><title><![CDATA[68-year-old male with a history of chronic lymphocytic leukemia presents for follow-up with his oncologist...]]></title><description><![CDATA[A 68-year-old male with a history of chronic lymphocytic leukemia presents for follow-up with his oncologist. On review of symptoms the patient reports worsening fatigue and a recent fever that has persisted]]></description><link>http://direct.ecency.com/medical/@shaktalks/68-year-old-male-with-a-history-of-chronic-lymphocytic-leukemia-presents</link><guid isPermaLink="true">http://direct.ecency.com/medical/@shaktalks/68-year-old-male-with-a-history-of-chronic-lymphocytic-leukemia-presents</guid><category><![CDATA[medical]]></category><dc:creator><![CDATA[shaktalks]]></dc:creator><pubDate>Mon, 27 Nov 2017 06:15:24 GMT</pubDate><enclosure url="https://images.ecency.com/p/HNWT6CKZBgsptL765Rr6xWVNaBsQ9kwdpMHPhbY9BAsDyu2cJLuSTQJHLjsud8A891GV4t2X43sYwhTGVAmNPheorq4gUrt46AZxE7VWpsmU9vrYhyBsfABV77L?format=match&amp;mode=fit" length="0" type="false"/></item><item><title><![CDATA[16-year-old male presents with lateral knee pain...]]></title><description><![CDATA[A 16-year-old male presents with lateral knee pain. Structural examination reveals an anterior fibular head somatic dysfunction. Which of the following physical exam findings are consistent with this]]></description><link>http://direct.ecency.com/medical/@shaktalks/16-year-old-male-presents</link><guid isPermaLink="true">http://direct.ecency.com/medical/@shaktalks/16-year-old-male-presents</guid><category><![CDATA[medical]]></category><dc:creator><![CDATA[shaktalks]]></dc:creator><pubDate>Mon, 27 Nov 2017 06:01:27 GMT</pubDate><enclosure url="https://images.ecency.com/p/3HaJVw3AYyXB6DfixgRPBYxS8jWjZonj61CYhhjZbXi8to3ReokQZCk7khJpzdBo8ZRhJBt1EoDUCfqQAkTKA8kEftBfDD4MKoXMR8r?format=match&amp;mode=fit" length="0" type="false"/></item><item><title><![CDATA[52-year-old male presents to the family medicine office for follow-up in regards to a blister that was treated on his right arm two weeks ago...]]></title><description><![CDATA[A 52-year-old male presents to the family medicine office for follow-up in regards to a blister that was treated on his right arm two weeks ago. He has completed his course of ciprofloxacin, as prescribed,]]></description><link>http://direct.ecency.com/medical/@shaktalks/52-year-old-male-presents-to-the-family-medicine-office</link><guid isPermaLink="true">http://direct.ecency.com/medical/@shaktalks/52-year-old-male-presents-to-the-family-medicine-office</guid><category><![CDATA[medical]]></category><dc:creator><![CDATA[shaktalks]]></dc:creator><pubDate>Mon, 27 Nov 2017 05:53:09 GMT</pubDate><enclosure url="https://images.ecency.com/p/3LxrHFUF5NKfSi5E22ZqWhy4AFtPuvuS79yXQ9GtybfgnmpL6qP27DdBYSHfaJBTVD6foDPFzcn5wYaojmr2r7viby5TGKk8d7oc6WLhwEucADAuiKVQKQHrm9v9rUMENg3THareuoqoChadf1ub3J2ePUbdpAgcYhVejLtBkhzeUxMxrRkRVnjWPyBxyNkGdQ1ovkJoxRkJ8DRNt8wzyJyxgz3wVcDe9fgAeA?format=match&amp;mode=fit" length="0" type="false"/></item><item><title><![CDATA[38-year-old female presents to the emergency department with the complaints of shortness of breath and fatigue...]]></title><description><![CDATA[A 38-year-old female presents to the emergency department with the complaints of shortness of breath and fatigue. History reveals the symptoms have been present for several months but have worsened within]]></description><link>http://direct.ecency.com/medical/@shaktalks/38-year-old-female-presents-to-the-emergency-department</link><guid isPermaLink="true">http://direct.ecency.com/medical/@shaktalks/38-year-old-female-presents-to-the-emergency-department</guid><category><![CDATA[medical]]></category><dc:creator><![CDATA[shaktalks]]></dc:creator><pubDate>Mon, 27 Nov 2017 05:06:30 GMT</pubDate><enclosure url="https://images.ecency.com/p/82kPqomaPXmNsjpEo1JmFDEUfLkC6tCQVz5DxHHw6vwG?format=match&amp;mode=fit" length="0" type="false"/></item><item><title><![CDATA[47-year-old male presents to the office with the complaint of lesions on his skin and in his mouth for one month...]]></title><description><![CDATA[A 47-year-old male presents to the office with the complaint of lesions on his skin and in his mouth for one month. History reveals the patient is HIV positive and has never taken anti-retroviral medications]]></description><link>http://direct.ecency.com/medical/@shaktalks/47-year-old-male-presents-to-the-office</link><guid isPermaLink="true">http://direct.ecency.com/medical/@shaktalks/47-year-old-male-presents-to-the-office</guid><category><![CDATA[medical]]></category><dc:creator><![CDATA[shaktalks]]></dc:creator><pubDate>Mon, 27 Nov 2017 04:52:57 GMT</pubDate><enclosure url="https://images.ecency.com/p/FUkUE5bzkAZSUkWX5hZhEqdag8fgyo4tZ6xyrgPYW7fZoeMj3KS93mVN3mSQLPcuNRbGE7KnYeULk4h1L3XMQWc6C7obLPdCiE9wmiPVUcWKRcb9hhqrEXGG6MDL9EtoUxULyobZDEythC97Hs3qPWaE5ovQYuz9WcZL?format=match&amp;mode=fit" length="0" type="false"/></item><item><title><![CDATA[34-year-old male presents to the office with the complaint of lower back pain...]]></title><description><![CDATA[A 34-year-old male presents to the office with the complaint of lower back pain. History reveals that he recently began training for his first 5K race. The pain has been present for approximately two weeks,]]></description><link>http://direct.ecency.com/medical/@shaktalks/76x9fs-a-34-year-old-male-presents-to-the-office</link><guid isPermaLink="true">http://direct.ecency.com/medical/@shaktalks/76x9fs-a-34-year-old-male-presents-to-the-office</guid><category><![CDATA[medical]]></category><dc:creator><![CDATA[shaktalks]]></dc:creator><pubDate>Mon, 27 Nov 2017 04:31:03 GMT</pubDate><enclosure url="https://images.ecency.com/p/7DceLftyMssxXinTFXvMCorcZKkzvvcsSsmdzC45cE5gTDQyAPGTqxf5JDLCUYKTacYzXe7253d9SFKh1AA6S?format=match&amp;mode=fit" length="0" type="false"/></item><item><title><![CDATA[34-year-old male presents to the office with the complaint of lower back pain...]]></title><description><![CDATA[A 34-year-old male presents to the office with the complaint of lower back pain. History reveals that he recently began training for his first 5K race. The pain has been present for approximately two weeks,]]></description><link>http://direct.ecency.com/medical/@shaktalks/a-34-year-old-male-presents-to-the-office</link><guid isPermaLink="true">http://direct.ecency.com/medical/@shaktalks/a-34-year-old-male-presents-to-the-office</guid><category><![CDATA[medical]]></category><dc:creator><![CDATA[shaktalks]]></dc:creator><pubDate>Mon, 27 Nov 2017 04:03:12 GMT</pubDate><enclosure url="https://images.ecency.com/p/7DceLftyMssxXinTFXvMCorcZKkzvvcsSsmdzC45cE5gTDQyAPGTqxf5JDLCUYKTacYzXe7253d9SFKh1AA6S?format=match&amp;mode=fit" length="0" type="false"/></item><item><title><![CDATA[17-year-old male presents to the emergency department with the complaint of left ankle pain...]]></title><description><![CDATA[A 17-year-old male presents to the emergency department with the complaint of left ankle pain. History reveals the pain began after landing from a jump on an inverted foot during a basketball game. The]]></description><link>http://direct.ecency.com/omm/@shaktalks/a-17-year-old-male-presents-to-the-emergency-department</link><guid isPermaLink="true">http://direct.ecency.com/omm/@shaktalks/a-17-year-old-male-presents-to-the-emergency-department</guid><category><![CDATA[omm]]></category><dc:creator><![CDATA[shaktalks]]></dc:creator><pubDate>Mon, 27 Nov 2017 03:52:33 GMT</pubDate><enclosure url="https://images.ecency.com/p/AmRc67RgYaWVk3GBziNKqZQ1MB9pzHWc9QkBghuQ6msrpADqw9FTdtnC3rxnw4JqW5N8daCDpRn8JXjKH8cN5Q5PYhuiv3fafJ7Cp2trwQk3FuMWkPq9RsC1EVsyY8YeZCmkjfcGw7hVUF5mw9kPT4CKPRMdTq98?format=match&amp;mode=fit" length="0" type="false"/></item><item><title><![CDATA[25 year-old-female with a chief complaint of back pain...]]></title><description><![CDATA[You are seeing a 25 year-old-female with a chief complaint of back pain. The patient was involved in a minor car accident this morning, and is experiencing severe, sharp pain in her low back. The pain]]></description><link>http://direct.ecency.com/omm/@shaktalks/25-year-old-female-with-a-chief-complaint-of-back-pain</link><guid isPermaLink="true">http://direct.ecency.com/omm/@shaktalks/25-year-old-female-with-a-chief-complaint-of-back-pain</guid><category><![CDATA[omm]]></category><dc:creator><![CDATA[shaktalks]]></dc:creator><pubDate>Mon, 27 Nov 2017 03:41:00 GMT</pubDate><enclosure url="https://images.ecency.com/p/HNWT6CKZBh2KpfQuhQwz9Vb89CVZ9eJbDp8DKTBXm9GfzN7PTfyKZyivmNCNqHQdUtHVEq8gqx2ShuBNeskRatztSHC33pxJJEZvbsxBVddpBQViLgWd4Y4LUFg?format=match&amp;mode=fit" length="0" type="false"/></item><item><title><![CDATA[17-year-old female presents to the office with concerns of possible pregnancy...]]></title><description><![CDATA[A 17-year-old female presents to the office with concerns of possible pregnancy. History reveals she had unprotected intercourse with multiple partners over the past six months. Physical examination of]]></description><link>http://direct.ecency.com/medical/@shaktalks/a-17-year-old-female-presents-to-the-office</link><guid isPermaLink="true">http://direct.ecency.com/medical/@shaktalks/a-17-year-old-female-presents-to-the-office</guid><category><![CDATA[medical]]></category><dc:creator><![CDATA[shaktalks]]></dc:creator><pubDate>Mon, 27 Nov 2017 03:30:36 GMT</pubDate><enclosure url="https://images.ecency.com/p/X37EMMe7x1dBWU9wwXkQD7LsMaxyGHj39P8MewJmXdHBYf5pJvWmgWbMTW4cHTrjenV8iBo3bxeB19yXzGDUPV97Ti2VeByULS9i6?format=match&amp;mode=fit" length="0" type="false"/></item><item><title><![CDATA[32-year-old male presents to the urgent care with the complaint of acute onset mid low back pain...]]></title><description><![CDATA[A 32-year-old male presents to the urgent care with the complaint of acute onset mid low back pain. History reveals his symptoms began three hours ago when he was cleaning out his garage and felt an immediate]]></description><link>http://direct.ecency.com/vacation/@shaktalks/hotel-vista-punta-cana-near-the-pool</link><guid isPermaLink="true">http://direct.ecency.com/vacation/@shaktalks/hotel-vista-punta-cana-near-the-pool</guid><category><![CDATA[vacation]]></category><dc:creator><![CDATA[shaktalks]]></dc:creator><pubDate>Sun, 26 Nov 2017 20:59:54 GMT</pubDate><enclosure url="https://images.ecency.com/p/7DceLftyMssxXinTFXvMCorcZKkzvvcsSsmdzC45cE5gTDQyAPGTqxf5JDLCUYKTacYzXe7253d9SFKh1AA6S?format=match&amp;mode=fit" length="0" type="false"/></item></channel></rss>