Tropical Travel Trouble 004 Bloody Diarrhoea
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog
aka Tropical Travel Trouble 004
A medical student who has just returned from their elective in Nepal presents with 1 week of bloody diarrhoea. He has been in the lowlands and stayed with a family in the local village he was helping at. It started three days before he left and he decided to get home on the plane in the hope it would settle. He is now opening his bowels 10x a day with associated cramps, fevers and has started feeling dizzy.
Questions:
Q1. What is dysentery ...
Source: Life in the Fast Lane - March 12, 2018 Category: Emergency Medicine Authors: Neil Long Tags: Clinical Cases Tropical Medicine amoebic dysentery bacillary dysentery e.histolytica entamoeba histolytica shigellosis Source Type: blogs
Got diarrhea? The latest trend in fashionable nonsense is “ raw water ”
In pseudoscience, appeals to nature are everywhere. It’s not surprising, then, that there is profit to be made selling “raw” (i.e., untreated) water at very high prices for its nonexistent health benefits, those benefits all claimed to be due to the “naturalness” of the water. I can’t help but note that cholera, Giardia, amoebic dysentery, and a wide variety of waterborne illnesses prevented by modern water treatment techniques are all very, very “natural."
The post Got diarrhea? The latest trend in fashionable nonsense is “raw water” appeared first on RESPECTFUL INSOLENCE. (Source: Respectful Insolence)
Source: Respectful Insolence - January 8, 2018 Category: Surgery Authors: Orac Tags: Medicine Pseudoscience Skepticism/critical thinking bacteria cholera diarrhea featured Giardia Live Water Mukhande Singh raw water Source Type: blogs
The Six Worst U.S. Health Disasters of the Last 50 Years
Up until the first half of the twentieth century, large-scale health disasters were mostly due to natural causes (earthquakes, volcanoes, hurricanes, etc.) or infections (e.g., smallpox, influenza epidemics, cholera). But something peculiar happened as we entered the second half of the century: Health disasters due to natural causes became dwarfed by large-scale health disasters that are man-made.
Here’s a list of the Six Worst U.S. Health Disasters of the Last 50 Years, mostly man-made phenomena that have exacted huge tolls: widespread disease, premature death, poorly managed (though nonetheless highly profitable fo...
Source: Wheat Belly Blog - December 2, 2017 Category: Cardiology Authors: Dr. Davis Tags: Undoctored Wheat Belly Lifestyle autoimmune gluten grain-free grains Inflammation low-carb Weight Loss Source Type: blogs
Intolerable Cruelty With No Security Rationale: U.S. Support of Saudi Arabia in Yemen
The United States is helping one of the most vicious authoritarian regimes in the world bomb and blockade one of the poorest and most defenseless countries in the world. Painful as it may be for Americans to hear, war crimesare being committed with America ’s support.Saudi Arabia launched its war on Yemen in 2015 onflimsy national security grounds and almost immediately garnered criticism from the United Nations and human rights groups for indiscriminate bombings, and in some cases deliberate targeting, of civilian areas. Saudi bombs havelanded onresidential homes,marketplaces,refugee camps,schools, hospitals, and at l...
Source: Cato-at-liberty - November 21, 2017 Category: American Health Authors: John Glaser Source Type: blogs
Digital Maps Help Fight Epidemics
Have you ever thought that it would be possible to monitor drug overdoses, Zika cases or the spread of the flu in real time? Have you ever imagined that satellites wouldbe able to tell how and where a malaria epidemic will happen months before the actual outbreak? It is mind-blowing how, in the last years, digital maps developed to a level where they serve as effective tools for evaluating, monitoring and even predicting health events. That’s why I decided to give a comprehensive overview of digital maps in healthcare.
John Snow, cholera and the revolution of maps in healthcare
Before Game of Thrones monopolized John Sn...
Source: The Medical Futurist - October 12, 2017 Category: Information Technology Authors: nora Tags: Future of Medicine Healthcare Design Mobile Health digital health digital technology epidemics epidemiology gc4 Innovation interactive maps Source Type: blogs
Emergency Access Initiative activated for libraries affected by recent disasters
NLM and Publishers Launch Emergency Access Initiative, Granting Free Access to Books and Journals for Libraries Impacted by Hurricanes Harvey and Irma. Expanded to Include Hurricane Maria and the Earthquakes in Mexico
The National Library of Medicine (NLM) activated the Emergency Access Initiative (EAI) on September 15th in response to Hurricanes Irma and Harvey which devastated Florida and several Caribbean islands, as well as parts of South Carolina, Texas, and Louisiana.
On September 20th, NLM extended the area of coverage to include areas impacted by Hurricane Maria, and those in Mexico impacted by the recent earthq...
Source: BHIC - September 22, 2017 Category: Databases & Libraries Authors: Annette Parde-Maass Tags: Emergency Preparedness National Library of Medicine News disaster response EAI Source Type: blogs
In this era of increased globalization, infectious diseases show no boundaries
Devastating. That alone cannot fully describe the extent of the destruction of property, the displacement of tens of thousands of residents, the injuries and loss of life in the wake of Hurricanes Harvey and Irma. As Americans, our hearts ache for those affected by the flooding. As a medical student, former international development worker in Afghanistan and EMT in South Africa, I also lay awake thinking about the many infectious diseases that take hold in disaster and flood settings.
In major floods and other natural disasters, rising water levels and damage to sewage treatment plants lead to contaminated water supplies, ...
Source: Kevin, M.D. - Medical Weblog - September 21, 2017 Category: General Medicine Authors: < a href="http://www.kevinmd.com/blog/post-author/sarah-lawrence" rel="tag" > Sarah Lawrence < /a > Tags: Conditions Infectious Disease Primary Care Public Health & Policy Source Type: blogs
back in the saddle again
So here ' s the thing about going back to school when you really haven ' t been in the classroom for the past...oh, let ' s say 16 years. (I am lopping off the last two years of med school in this calculation, since that was really more clinical than didactic, and really more indentured servitude than clinical.)First of all, I can ' t remember the last time I ' ve had to sit still for as long as I was in class over the course of the last weekend. And I ' mold! Sitting still should be my default state at this point, and as I get older I expect I ' ll get increasingly horizontal until finally, I ' m dead. (Meanwhile, also be...
Source: the underwear drawer - September 20, 2017 Category: Anesthesiology Authors: Michelle Au Source Type: blogs
Doctors Should Play Board Games to Get Better At Teamwork
The objective of the game is to remove jargon from explaining conditions, diseases, treatments. For example, you pick a card for example with the word migraine on it, while on the back of the card you also get 5 words to avoid. A brilliant way to force out jargon from the language of medicine!
4) Healing Blade: the (board) Game of Thrones for learning antibiotics
As a medical student, you have to memorize plenty of information, which takes a lot of time and energy. And most of the times, there is no rational or logical explanation behind the labels, titles or a huge bulk of the material in general. Nerdcore Medical’s b...
Source: The Medical Futurist - August 15, 2017 Category: Information Technology Authors: nora Tags: Healthcare Design Medical Education board games future gamification gc4 Health 2.0 Hospital Innovation Medicine Source Type: blogs
Stopping Epidemics At The Source: Applying Lessons From Cholera To The Opioid Crisis
On September 8, 1854, acting on the advice of Dr. John Snow, London municipal authorities removed the pump handle from the Broad Street well in an effort to halt a major outbreak of cholera. Although an anesthesiologist by profession, Snow had methodically mapped the homes of new cases of cholera. He found that many clustered around the Broad Street pump.
Snow’s findings, still regarded as a classic example of epidemiology, established the principle: “that the most important information to have about any communicable disease is its mode of communication.” Dr. Snow did not establish the biologic mechanism of cholera o...
Source: Health Affairs Blog - August 4, 2017 Category: Health Management Authors: Chester Buckenmaier III and Eric Schoomaker Tags: Featured Public Health Quality Department of Veterans Affairs military health care Opioid Addiction opioid epidemic Source Type: blogs
New Leader, New Era: Five Building Blocks For A Reinvigorated World Health Organization
The World Health Assembly’s election of Tedros Adhanom Ghebreyesus to serve as its 9th Director-General may be the most momentous in the Organization’s 70 years for reasons far beyond electing the first African. The World Health Organization (WHO) faces a crisis in confidence following its anemic response to Ebola. It remains caught in an unvirtuous cycle: Member State loss of trust results in a paucity of funding and the continual inability to perform. This is a moment to take stock of the new Director-General’s record and vision, as well as the reforms needed to transform WHO into the 21st century institution the ...
Source: Health Affairs Blog - June 19, 2017 Category: Health Management Authors: Lawrence O. Gostin Tags: Featured Global Health Policy Millennium Development Goals UNAIDS World Health Organization Source Type: blogs
Our planet, ourselves: Climate change and health
Follow me on Twitter @Peter_Grinspoon
At first glance, climate change and personal health may not seem related. One is a global political and environmental concern, while the other deals ultimately with an individual’s well-being. However, climate change is already directly affecting human health in many parts of our world, including many areas of the United States. We are just beginning to understand, and to witness, the health effects of climate change.
The problem with a warmer planet
As human-made carbon dioxide levels in our atmosphere increase, we create a “greenhouse effect,” and our world warms. T...
Source: Harvard Health Blog - March 29, 2017 Category: Consumer Health News Authors: Peter Grinspoon, M.D. Tags: Health Health care Source Type: blogs
How the Other Half Lives in Haiti
BY TIM DEPP, MDArriving in Port-au-Prince was like walking into another world. It was hot. The roads were dusty. In spite of reports of aid money being siphoned off and how little progress was being made in rebuilding, the parts of the city we drove through appeared improved since the earthquake. My first impressions of the city were positive, especially considering what I was expecting.Despite Haiti's long and difficult history of slavery, revolution, poverty, violent dictators, overwhelming debt, failed development projects, deforestation, and natural disasters, including the earthquake of 2010 and the cholera epid...
Source: Going Global - March 3, 2017 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Could Grains Cause Autoimmunity?
The prolamin proteins of grains— the gliadin of wheat, secalin of rye, hordein of barley, and zein of corn— initiate the small intestinal process that cause a perfect storm in our bodies. And they do so in more than one way. You could even argue that prolamin proteins are perfectly crafted to create autoimmunity.
Prolamin proteins of grains are masters at molecular mimicry. The prolamin proteins have been found to trigger immune responses to a number of human proteins, including the synapsin protein of the nervous system; the transglutaminase enzyme found in the liver, muscle, brain, and other organs; the endomysium of...
Source: Wheat Belly Blog - March 1, 2017 Category: Cardiology Authors: Dr. Davis Tags: Autoimmunity Dr. Davis Grain Free Lifestyle Grains Grains and Grasses Wheat Belly Lifestyle Wheat Belly Success Stories Wheat Belly Total Health Wheat-Free Lifestyle Inflammation low-carb Weight Loss Source Type: blogs
