5 Causes Of Low Blood Pressure You Might Not Know About
Conclusion Low blood pressure, although often associated with a healthy cardiovascular system, can also indicate underlying health issues. It is crucial to recognize that low blood pressure should not be disregarded, particularly when accompanied by symptoms or fluctuations. This article explored the causes of low blood pressure, including cardiovascular conditions, hormonal imbalances, and neurological disorders. Smart heart care, including the use of blood pressure monitors and natural supplements, was emphasized as a proactive approach to maintaining a healthy life. Understanding the causes and implementi...
Source: The EMT Spot - June 8, 2023 Category: Emergency Medicine Authors: Michael Rotman, MD, FRCPC, PhD Tags: Blood Pressure Source Type: blogs

The Mountain Model of Hyponatremia
“The Mountain Model of Hyponatremia” is an educational project byJoel Topf and me.Imagine this is the clinical scenario of severe hyponatremia:You are driving in a car at the top of a mountain. (The top of the mountain is the low sodium level.) There is a forest fire behind you. (The fire represents brain swelling and seizures if the sodium level drops much lower.)Your goal is to drive safely to the bottom of the mountain. (The bottom of the mountain is a normal sodium level.)But, to be safe, you must follow the  “sodium speed limit”: a rise in sodium of 8 every 24 hours. (If you exceed this “sodiu...
Source: Kidney Notes - February 24, 2023 Category: Urology & Nephrology Authors: Test Source Type: blogs

How patient education can save lives
A patient undergoing chemotherapy for breast cancer was diagnosed on April 20th with profound secondary adrenal insufficiency (hypophysitis: ACTH undetectable, cortisol 0.2) caused by immunotherapy (pembrolizumab). She was started on corticosteroids and sent home from the hospital on April 24th with a prescription for only five days of prednisone. After completing the five days ofRead more …How patient education can save lives originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - June 4, 2022 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/post-author/david-m-mitchell" rel="tag" data-wpel-link="internal" > David M. Mitchell, MD, PhD < /a > < /span > Tags: Conditions Endocrinology Hospital-Based Medicine Source Type: blogs

Side effects of fludrocortisone – Cardiology MCQ – Answer
Side effects of fludrocortisone – Cardiology MCQ – Answer Side effects of fludrocortisone does not include – Correct answer: d) Postural hypotension Fludrocortisone is an important drug for the treatment of postural hypotension. It is a synthetic steroid with mineralocorticoid activity. It increases sodium reabsorption in the renal tubules. The drug in turn increases potassium excretion and cause hypokalemia. Sodium retention causes volume expansion decreases the chance of postural hypotension. For the same reason it may cause supine hypertension in these patients. Often supine hypertension is an importan...
Source: Cardiophile MD - April 18, 2020 Category: Cardiology Authors: Prof. Dr. Johnson Francis Tags: Cardiology MCQ DM / DNB Cardiology Entrance Source Type: blogs

Diabetes as the Trojan Horse of Digital Health
Originally, a Trojan horse referred to the wooden horse used to cunningly penetrate and conquer the city of Troy by the Greeks. In our era, the term has been adapted to describe disguised malwares that attack unsuspecting users’ computers and wreak havoc once inside. Judging by the title of this article, how then can a condition as serious as diabetes help move the digital health agenda forward? Computer generated 3D illustration with the Trojan Horse at Troy, source: http://codingtidbit.com/ Once upon a time, empowered patients started a revolution…  It all begins with a crippling speed of bureaucra...
Source: The Medical Futurist - January 7, 2020 Category: Information Technology Authors: Prans Tags: E-Patients Future of Medicine Healthcare Design diabetes digital health diabetes management patient design Source Type: blogs

Adrenal insufficiency due to chronic opiate use
(Source: Notes from Dr. RW)
Source: Notes from Dr. RW - October 10, 2018 Category: Internal Medicine Tags: endocrinology pharmacology toxicology Source Type: blogs

LITFL Review 328
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog Welcome to the 328th LITFL Review! Your regular and reliable source for the highest highlights, sneakiest sneak peeks and loudest shout-outs from the webbed world of emergency medicine and critical care. Each week the LITFL team casts the spotlight on the blogosphere’s best and brightest and deliver a bite-sized chunk of FOAM. Readers can subscribe to LITFL review RSS or LITFL review EMAIL subscription The Most Fair Dinkum Ripper Beauts of the Week Simon Carley re...
Source: Life in the Fast Lane - April 22, 2018 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: LITFL review LITFL R/V Source Type: blogs

#PatientCV Shows Doctors How Proactive Patients Are
The idea of a one-pager skill-set called “Patient CV” created by a chronic patient for her future doctors generated quite a buzz lately on Twitter. Listing of personal health skills could enable patients to show their doctors they are active participants in their care. That means being a patient is not a passive adjective, but a very active verb. How to present complex patient info easily to doctors? The Medical Futurist reached out to the idea initiator, @betabetic or Lindsay Fallow, a software developer turned science journalist; who is coping with multiple endocrine problems including adrenal insufficiency and a t...
Source: The Medical Futurist - March 29, 2018 Category: Information Technology Authors: nora Tags: Empowered Patients conversation future Health Health 2.0 Healthcare patient empowerment patient-doctor Source Type: blogs

Research and Reviews in the Fastlane 139
This study is a reanalysis of the data, attempting to identify the threshold where the benefit in functionality is produced, using ranges of <160, 160–169, 170–179, 180–189, and ≥190 mm Hg. The outcome was Rankin Scale at 90 days. Although the ranges proposed by the authors only include a <160 as the lowest, the linear analysis of SBP and Rankin Score shows a direct correlation going as low as 130-139mmHg, therefore the authors conclude that 130-139mmHg for SBP is the optimal range for management of patients with ICH. The study is a post-hoc analysis of a previous large study (open and unblinded) making no ...
Source: Life in the Fast Lane - June 23, 2016 Category: Emergency Medicine Authors: Soren Rudolph Tags: Clinical Research Education Emergency Medicine R&R in the FASTLANE Resuscitation Trauma Clinical Case critical care research and reviews Source Type: blogs

Funtabulously Frivolous Friday Five 122
Just when you thought your brain could unwind on a Friday, you realise that it would rather be challenged with some good old fashioned medical trivia…introducing Funtabulously Frivolous Friday Five 122 Question 1 What is a Clay-shoveler’s fracture and how do you get one? + Reveal the Funtabulous Answer expand(document.getElementById('ddet1948481060'));expand(document.getElementById('ddetlink1948481060')) Fracture through the spinous process of a vertebra occurring at any of the lower cervical or upper thoracic vertebrae, classically at C6 or C7. Originally described in Australia associated with (no prizes for...
Source: Life in the Fast Lane - October 23, 2015 Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five adrenal crisis adrenal insufficiency botulism clay shoveler's fracture erythema multiforme rhabdomyolysis Source Type: blogs

Hyponatremia, he fell, the answer
To recap: 78-year-old man admitted after a fall – no fractures. His labs on admission 125 89 33 128 5.2 22 2.1 He has a history of B-cell lymphoma. His serum osm are 273 and urine osm 263. Clinically he is euvolemic (i.e., not orthostatic).  He is bradycardic (we stopped his beta blocker given for previous CABG). He is new to our hospital, we do not know his previous renal function. Your question – what further tests do you want?  Can you speculate on his diagnosis? Cory had the proper instincts.  The patient had a random cortisol of ~4 (normal 8 or greater).  His stimulation test had a peak cortis...
Source: DB's Medical Rants - October 13, 2015 Category: Internal Medicine Authors: rcentor Tags: Acid-Base & Lytes Source Type: blogs

Almost Alike: A Medical Cautionary Tale
Medical bracelet that says “Adrenal Insufficiency”. I’ve been thinking about medical stuff a lot lately, so apologies if my posts tend towards the medical for a little while.  It’s what happens when you suddenly realize how lucky you are to be alive, and how close you came to death.  My father’s cancer has me thinking about life and death and medical care a lot, too. In my dealings with doctors, I have found that they like the solutions to their problems to be neat and tidy.  In particular, they want there to be one diagnosis that explains all the symptoms they’re observing.  They want their patient...
Source: Ballastexistenz - August 26, 2014 Category: Autism Authors: Mel Baggs Tags: Adrenal insufficiency Aspiration pneumonia Bronchiectasis Communication Death Developmental disability Family Feeding tube Gastroparesis Genetics Long & detailed Medical Medical stuff Neglect Pain Perception Physical disabi Source Type: blogs

Gastroparesis Awareness Month: A Day In The Life
This is my second post for Gastroparesis Awareness Month.  Read my first post, Tube Love, here.  My first post was a love poem to my feeding tube.  :-)  My second one is a little more serious and a lot longer.  I apologize for the length.  I have trouble reading lengthy posts myself.  But sometimes I’m incapable of summarizing myself, so I have to write posts that are too long for even me to read.  I hope you’ll at least be able to skim through the important parts.  I’ve tried to break up the text with lots of photos, to see if that helps any. A DAY IN THE LIFE My day starts when my morning careg...
Source: Ballastexistenz - August 23, 2014 Category: Autism Authors: Mel Baggs Tags: Adrenal insufficiency Aspiration pneumonia Bronchiectasis Education Feeding tube Food Gastroparesis Life Skills Medical Medical stuff Personal history Treatment adult tubie adult tubies awareness awareness months bipap ce Source Type: blogs

Fat people and feeding tubes.
This isn’t a post I like to write.  The idea to write it always comes after someone, who is not communicating with me in good faith, approaches me and makes snide remarks about how I can possibly need a feeding tube if I’m fat.  Except they usually go beyond calling me fat.  They usually make some reference to my weight that makes it sound like I’m unusually fat, just to make things worse.  In one case, a known repeat cyber-bully (he has made threatening phone calls to a friend of mine — if I’d recognized him on sight I’d have deleted his comment unread) even told me he’d lost...
Source: Ballastexistenz - May 15, 2014 Category: Autism Authors: Mel Baggs Tags: Abuse Bullying Death Ethics Ethics, justice, etc. Food Medical Medical stuff Prejudice Rumors Stereotypes Treatment Trolls Discrimination fat fat and health fat health fatphobia feeding tube feeding tubes gastropare Source Type: blogs

MKSAP: 74-year-old woman with fatigue, anorexia, and weight loss
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 74-year-old woman is evaluated for a 2-month history of fatigue, anorexia, and a 6-kg (13.2-lb) weight loss. She was treated with chemotherapy for ovarian cancer 6 months ago. She also has hypertension managed with hydrochlorothiazide. On physical examination, temperature is 36.2 °C (97.2 °F), blood pressure is 132/75 mm Hg without postural changes, pulse rate is 86/min without postural changes, and respiration rate is 14/min. BMI is 23. There are no neurologic findings. Estimated central venous pressure is ...
Source: Kevin, M.D. - Medical Weblog - December 7, 2013 Category: Family Physicians Tags: Conditions Nephrology Source Type: blogs