65-yo patient received a standard-dose flu shot already this season. Should she get the high-dose shot too? Or get a second regular flu shot?
A 65-yo female patient received a standard-dose flu shot already this season. Should he get the high-dose shot too? Or try to get a second regular flu shot?The simple answer is no. The patients should consider herself immunized. Studies show that getting a delayed second dose doesn't necessarily increase antibody response, and there's some concern that it might actually have a negative effect on the immunity. If you've already had the regular seasonal dose, wait until next year for another dose.Image of the H1N1 Influenza Virus, CDC.From CDC's Immunize.org website:Sometimes patients age 65 years and older who have received...
Source: Clinical Cases and Images - Blog - October 15, 2014 Category: Universities & Medical Training Tags: Infectious Diseases Vaccines Source Type: blogs
How to get your research published: The BMJ's tips (video)
In this video, the BMJ's research team discuss what they look for in a paper submitted for publication.They discuss some of the pitfalls authors fall into when writing up their research, and how to present some of the information that all journals will require.More BMJ-specific info here: http://www.bmj.com/about-bmj/resources-authors
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Source: Clinical Cases and Images - Blog - October 14, 2014 Category: Universities & Medical Training Tags: BMJ Research Source Type: blogs
What Causes Bad Breath (Halitosis)?
Halitosis is a generic term used to describe unpleasant odor emanating from the mouth air and breath, independent of the source where the odor substances originate. It affects between 50 and 65% of the population, but despite its frequency, this problem is often unaccepted and declared as taboo. 90% of patients suffering from halitosis have oral causes. A small, but important percentage, of oral malodor cases have an extra-oral etiology, very often falling into the category of "blood-borne halitosis". Several systemic diseases have been found to provoke malodor or to be a cofactor; bad breath may be an early sign of a seri...
Source: Clinical Cases and Images - Blog - October 6, 2014 Category: Universities & Medical Training Tags: Dentistry Oral Medicine WSJ Source Type: blogs
How to diagnose Ebola? Lab tests are similar for most viral diseases - ELISA and PCR
Diagnosing Ebola in an person who has been infected for only a few days is difficult, because the early symptoms, such as fever, are nonspecific to Ebola infection and are seen often in patients with more commonly occurring diseases.However, if a person has the early symptoms of Ebola and has had contact with the blood or body fluids of a person sick with Ebola, contact with objects that have been contaminated with the blood or body fluids of a person sick with Ebola, or contact with infected animals, or suggestive travel history, they should be isolated and public health professionals notified. Samples from the patient ca...
Source: Clinical Cases and Images - Blog - October 3, 2014 Category: Universities & Medical Training Tags: CDC Infectious Diseases Source Type: blogs
Irritable Bowel Syndrome (IBS) - DW video
Professor Hubert Mönnikes talks about why people with IBS are often mislabeled as hypochondriacs, and how to best treat the symptoms.Are Dietary FODMAPs a Cause of Irritable Bowel Syndrome? (Fermentable, Oligo-, Di-, Monosaccharides, And Polyols). IBS symptoms improved with a diet low in short-chain carbohydrates (FODMAPs - fructose, lactose, polyol sweeteners) http://buff.ly/1fdzBWJ
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Source: Clinical Cases and Images - Blog - October 1, 2014 Category: Universities & Medical Training Tags: Gastroenterology Source Type: blogs
Best of Medical Blogs - monthly review
The “Best of Medical Blogs - monthly review” is a monthly summary of the best posts from medical blogs. Please email your suggestions for inclusion to clinicalcases AT gmail DOT com. Best of Medical Blogs (BMB) is meant to continue the tradition of the Grand Rounds carnival (discontinued in 2008).The Last Reprogramming No one writes quite like @doctorwes - it's a must read... http://buff.ly/1qzv6I95 lessons learned by a successful physician bloggerFamily comes first - the online community is virtual - it is not real. The cost of free is immense. Learn to say NO. Multi-tasking is a myth. Value your time – no...
Source: Clinical Cases and Images - Blog - September 26, 2014 Category: Universities & Medical Training Tags: Best of Medical Blogs Source Type: blogs
Healthcare social media #HCSM - top articles
Here are my suggestions for some of the top articles related to healthcare social media (#HCSM) in the past 2-4 weeks:5 lessons learned by a successful physician blogger: Family comes first - the online community is virtual - it is not real. The cost of free is immense. Learn to say NO. Multi-tasking is a myth. Value your time – not in monetary terms – but in terms of self-preservation. Learn who to trust. Accept assistance - You are not a one man show http://buff.ly/1pGpEsDWikipedia contains errors in 9 out of 10 of its health entries - Wikipedia is the main source for many med students. Scientists compared disease in...
Source: Clinical Cases and Images - Blog - September 24, 2014 Category: Universities & Medical Training Tags: #HCSM Source Type: blogs
Pendulum Wave Demonstration (video)
This is a large-scale demonstration of the interaction between period and pendulum length, using 16 bowling balls hung from a wooden frame.Here are answers to some common questions: What am I seeing? How does this work?The length of time it takes a ball to swing back and forth one time to return to its starting position is dependent on the length of the pendulum, not the mass of the ball. A longer pendulum will take longer to complete one cycle than a shorter pendulum. The lengths of the pendula in this demonstration are all different and were calculated so that in about 2:40, the balls all return to the same position at t...
Source: Clinical Cases and Images - Blog - September 17, 2014 Category: Universities & Medical Training Source Type: blogs
How playing an instrument benefits your brain - TED-Ed video
When you listen to music, multiple areas of your brain become engaged and active. But when you actually play an instrument, that activity becomes more like a full-body brain workout. What's going on? Anita Collins explains the fireworks that go off in musicians' brains when they play, and examines some of the long-term positive effects of this mental workout. View full lesson: http://ed.ted.com/lessons/how-playing-an-instrument-benefits-your-brain-anita-collins
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Source: Clinical Cases and Images - Blog - September 15, 2014 Category: Universities & Medical Training Tags: Neurology Psychology TED Talks Source Type: blogs
The Science of Depression - moving from neurotransmitters to neurogenesis and synaptogenesis
From ASAP Science: What's going on inside the brain of a depressed person?Recent thinking suggests that rather than a shortage of serotonin, a lack of synaptogenesis (the growth of new synapses, or nerve contacts) and neurogenesis (the generation and migration of new neurons) could cause depression.The main group of medications to treat depression, SSRIs, might promote synaptogenesis and neurogenesis by turning on genes that make ITGB3 as well as other proteins that are involved in these processes. ITGB3 stands for integrin beta-3.If the neurogenesis and synaptogenesis hypothesis holds, a drug that specifically targeted mi...
Source: Clinical Cases and Images - Blog - September 10, 2014 Category: Universities & Medical Training Tags: Depression Psychiatry Source Type: blogs
Chronic Daily Headache: What is the cause? (2014 Am Fam Physician review)
What is the definition of chronic daily headache?Chronic daily headache is defined as the presence of a headache on 15 days or more per month for at least 3 months. What are the causes?The most common types of chronic daily headache are chronic migraines and chronic tension-type headaches. If a red flag for a secondary cause of headache is present, magnetic resonance imaging (MRI) of the head should be performed. All patients should be asked about medication overuse, which can increase the frequency of headaches. Patients who overuse medications for abortive therapy for headache should be encouraged to stop the medications...
Source: Clinical Cases and Images - Blog - September 9, 2014 Category: Universities & Medical Training Tags: Neurology Source Type: blogs
How to learn to swim as an adult and overcome "Liquid Fear"
37% American adults can’t swim the length of a poolAccording to CDC, 37% American adults can’t swim the length of a pool, which puts them at risk of being one of the 10 people who drown every day in the United States. Adults — including those who are able to swim — make up more than 70% of drowning deaths in the U.S. each year.How to overcome "Liquid Fear"Two childhood experiences with water left a professional drummer with a phobia that lasted for decades, until another major life event inspired him to face his fears:Read the full story here: http://nyti.ms/1n4NsRhA growing number of swim clinics are speciali...
Source: Clinical Cases and Images - Blog - September 3, 2014 Category: Universities & Medical Training Tags: Exercise Swim Source Type: blogs
National Library of Medicine, world's largest medical library, was a shelf of books in Surgeon General office in 1818
National Library of Medicine, the largest medical library in the world, started in 1818 as a shelf of books the office of the Surgeon General The National Library of Medicine, the largest medical library in the world, began in 1818 as the US Army Medical Library, in Washington, DC, essentially a shelf of books in the office of Joseph Lovell, then Surgeon General and the head of the Army Medical Department. By the time of the Civil War the book collection consisted of about 2000 volumes and, no longer fitting in the office, was moved to a bank building.The library, then as now, was constantly running out of space.In 1962, ...
Source: Clinical Cases and Images - Blog - July 29, 2014 Category: Universities & Medical Training Source Type: blogs
Top medicine articles for July 2014
A collection of some interesting medical articles published recently:Migraines Linked to Increased Risk of 'Silent Strokes' http://buff.ly/1hTE5RuDoctor’s Salaries Are Not the Big Cost - NYTimes http://buff.ly/QWe2lx -- "There is a startling secret behind America’s health care hierarchy: Physicians, the most highly trained members in the industry’s work force, are on average right in the middle of the compensation pack. That is because the biggest bucks are currently earned not through the delivery of care, but from overseeing the business of medicine.The base pay of insurance executives, hospital executives and...
Source: Clinical Cases and Images - Blog - July 23, 2014 Category: Universities & Medical Training Tags: Health News of the Day Source Type: blogs
Exercise may keep you young - how exactly? (DW video)
How exercise keeps us young | In Good Shape - DW Interview - YouTube http://buff.ly/1hNElr1 -- The sports medicine expert Dr. Fernando Dimeo explains why.
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Source: Clinical Cases and Images - Blog - July 17, 2014 Category: Universities & Medical Training Tags: Deutsche Welle Exercise Source Type: blogs
