Okay, welcome. My name is Devine. This is episode 412 of the Devine Intervention

Podcast and this is going to be a continuation of our rapid review series.

This is going to be series 82. If you're taking your step two or step three or complex level two or three exams,

anytime over the next few days I have a review course taking place tomorrow and

Friday. The 20 hour course is going to be spread over two days instead of five days.

It's going to be for 10 hours on each of those days from 7 to noon and 1 to 6 PM a Pacific Standard

time. We'll also take some measured breaks in between just to give people some time to

call off. But if you're interested or review more than a thousand concepts from PEDs, from internal

medicine, surgery, OBGY, Psych, neurology, surgery, OBGYNs, psych, neurology, ethics, communications, biostatistics,

multi-systems, processes and disorders.

So if that's something you're interested in, just shoot me an email and I'll give you some more information and you can sign up

we start tomorrow morning at 7 a.m. Pacific Standard time which will be 10 a.m. Eastern Standard time.

So let's jump right into it. So what if they give you a question about a 61 year old male and they tell you that he's been a smoker for the last 30 years he smoked two packs per day and that he has noticed some blood in his

urine and he has also been having like some mild flank pain. Well if you notice

this and they can even tell you that, oh, that they show, they tell you that he has also been having some bone pain, right?

And then they can tell you that X-rays or bones can show like leadic lesions in certain bones or

or whatever, right?

Or they can even say just imaging in general.

And if you see that, what should you be thinking about?

I really hope you're thinking about rhinoma.

Now, I know some people may be thinking bladder

cancer but I just added certain qualifiers here that should tell you that it's no

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