The Three Ps of Pyloric Stenosis
​The back story of pyloric stenosis is fascinating. It is a relatively minor surgical condition today, but the disease had a mortality of 100 percent before 1904, when only five operative cases were known to have been performed in the United States. The dying process was slow and painful, and parents watched their infants slowly starve to death.The pyloromyotomy procedure currently used to treat pyloric stenosis was introduced by Conrad Ramstedt, MD, in 1911 at the Children's Hospital of Munster, and is still called the Ramstedt procedure. Before surgical management was introduced for this gastric outlet obstruction, mul...
Source: M2E Too! Mellick's Multimedia EduBlog - October 1, 2019 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs

CTs, MRIs, Ultrasounds: Differences, Risk & Benefits
What is a CT Scan? A machine whirs in an arc around a patient, snapping a rapid-fire series of x-rays from different angles. These x-ray snapshots are combined by a computer to produce virtual cross-section images of the body. These are called CT scans, which stands for computed tomography (computer-generated cross-sectional images). CT Scans Compared to Ultrasounds and MRIs When the CT scan was first introduced in the 1970s it caused something of a revolution in medicine, allowing doctors to see the inner structure of the body in a way that had been previously hidden – without surgery. Parents often wonder which is more...
Source: Conversations with Dr Greene - June 18, 2019 Category: Child Development Authors: Alan Greene MD Tags: Dr. Greene's Blog CT Scan Safety Top Children's Safety Source Type: blogs

Barium enema increases the risk of appendicitis
(Source: Notes from Dr. RW)
Source: Notes from Dr. RW - July 14, 2017 Category: Internal Medicine Tags: gastroenterology Source Type: blogs

The general radiologist is still valued. Here’s why.
In times of shortage, we find out what we value most. And in these times of relative penury in the job market for radiologists, it appears that employers value — above and beyond anything else — the general radiologist. Yes, the general radiologist. The radiologist who is able and willing in one shift to perform a barium enema, follow the intricate anatomy of the inner ear on an MRI of the internal auditory canal (IAC), roll off the causes of intracardiac echogenic focus on second-trimester ultrasound, and perform a thyroid biopsy during his lunch break before batch reporting 20 bone densitometry scans in a bli...
Source: Kevin, M.D. - Medical Weblog - December 5, 2015 Category: Journals (General) Authors: Tags: Physician Radiology Source Type: blogs

Is the crusade against pill mills turning into a witch hunt?
I care for a 65-year-old woman suffering from sarcoidosis affecting her lungs, her skin, her bones, her nerves, her blood chemistries, her kidneys, her colon and her mind. She has gone from an active spouse, mother, grandmother, tearing up the dance floors with her husband, to a home recluse calling friends to drive her to medical and care appointments while ambulating with assistance of another strong individual supported by a 4 wheel walker with a seat. She describes her foot pain as feet burning on fire. An evaluation with the Cleveland Clinic and ultimate biopsies of her skin and nerves led to a diagnosis of severe sma...
Source: Kevin, M.D. - Medical Weblog - August 16, 2015 Category: Journals (General) Authors: Tags: Meds Pain management Source Type: blogs

Avoiding the Doctor? It’s Time to Man Up and Get a Checked Out
Do you know someone who should have seen a doctor years ago? Maybe it’s your husband, or your father, or your brother, even your son? They complain about the shortness of breath, the nagging cough, or the stomach pain. But they never take action. For some men, so decisive at work or within the family circle, the lack of motivation to get an illness or symptom checked out is surprising. In fact, men are 24% less likely to have visited a doctor in the past year than women. Seeing a doctor is scary and it makes them feel weak and out of control. Roald Bradstock was one of those men. An Olympic athlete who trained 3 to 4...
Source: Disruptive Women in Health Care - June 15, 2015 Category: Consumer Health News Authors: dw at disruptivewomen.net Tags: Men's Health Source Type: blogs

Avoiding the Doctor? It’s Time to Man Up and Get Checked Out
Do you know someone who should have seen a doctor years ago? Maybe it’s your husband, or your father, or your brother, even your son? They complain about the shortness of breath, the nagging cough, or the stomach pain. But they never take action. For some men, so decisive at work or within the family circle, the lack of motivation to get an illness or symptom checked out is surprising. In fact, men are 24% less likely to have visited a doctor in the past year than women. Seeing a doctor is scary and it makes them feel weak and out of control. Roald Bradstock was one of those men. An Olympic athlete who trained 3 to 4...
Source: Disruptive Women in Health Care - June 15, 2015 Category: Consumer Health News Authors: dw at disruptivewomen.net Tags: Men's Health Source Type: blogs

USMLE Questions – Characteristic Disease Findings
The United States Medical Licensing Examination (USMLE) is designed to emphasize knowledge of clinical scenarios and clinical pearls, even on Step I. Listed below are some commonly encountered disease findings and characteristics. Feature Disease 45, X chromosome Turner’s syndrome 5-HIAA increased in urine Carcinoid syndrome Aganglionic rectum Hirschsrpung’s disease Apple-core sign on barium enema Colon cancer Arched back (opisthotonos) Tetanus Argyll-Robertson pupil Syphilis Ash leaf on forehead Tuberous sclerosis Auer rods  Acute myelogenous leukemia Austin Flint murmur Aortic regurgitation...
Source: Inside Surgery - January 18, 2013 Category: Surgeons Authors: Editor Tags: Surgpedia USMLE diseases findings VMA water hammer pulse Source Type: blogs