Contents Cardiovascular pearls -- Musculoskeletal, trauma and orthopedic pearls -- Eyes, ears, nose, and throat (EENT) pearls -- Pulmonary pearls -- Gastrointestinal pearls -- Homeostastasis, metabolic and endocrine pearls -- Neurology pearls -- Infectious disease/rheumatology/immunology pearls -- Genitourinary/renal pearls -- Resuscitation and shock pearls -- Hematology/oncology pearls -- Reproductive system pearls -- Dermatology pearls -- Patient care management pearls -- Organization and personnel management pearls -- Legal issues and quality improvement pearls -- Wound care pearls -- Perioperative pearls.