DM / DNB Cardiology Entrance Mock Test 20
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Congratulations - you have completed DM / DNB Cardiology Entrance Mock Test 20.
You scored %%SCORE%% out of %%TOTAL%%.
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Source: Cardiophile MD - February 26, 2016 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiology MCQ DM / DNB Cardiology Entrance Featured Source Type: blogs
DM / DNB Cardiology Entrance Mock Test 15
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Click on the 'Start' button to begin the mock test. After answering all questions, click on the 'Get Results' button to display your score and the explanations. There is no time limit for this mock test.
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Congratulations - you have completed DM / DNB Cardiology Entrance Mock Test 15.
You scored %%SCORE%% out of %%TOTAL%%.
Your performa...
Source: Cardiophile MD - February 9, 2016 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiology MCQ DM / DNB Cardiology Entrance Featured Source Type: blogs
DM / DNB Cardiology Entrance Mock Test 14
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Click on the 'Start' button to begin the mock test. After answering all questions, click on the 'Get Results' button to display your score and the explanations. There is no time limit for this mock test.
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Congratulations - you have completed DM / DNB Cardiology Entrance Mock Test 14.
You scored %%SCORE%% out of %%TOTAL%%.
Your performa...
Source: Cardiophile MD - February 7, 2016 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiology MCQ DM / DNB Cardiology Entrance Featured Source Type: blogs
Apparent Pseudo-STEMI patterns are not necessarily Pseudo. Beware.
This was contributed by an ECG enthusiast who wishes to remain anonymous.LVH is a well-described “mimic” of STEMI. However, a diagnosis of LVH does not exclude an acute coronary occlusion, and the clinical context, including symptoms and old ECGs, must be taken into account.A 50 year-old woman came to the ED with recent-onset chest pain.:She had a history of hypertension, as well as concentric LVH on a very recent echo. Furthermore, she had markedly elevated systolic BP > 200 mm Hg.Her initial ECG:There is STE in lead III, < 1 mm, as well as STD with inverted T waves in leads I and aVL. This pattern of STE an...
Source: Dr. Smith's ECG Blog - February 5, 2016 Category: Cardiology Authors: Steve Smith Source Type: blogs
The Electrocardiographically Circumflex Artery
A 39 yo otherwise healthy man with no risk factors was walking at the mall when he developed chest pressure. He presented to the ED after 30 minutes, now also feeling weak. He was diaphoretic. Here was his initial ECG:There is sinus rhythm. There is abnormal T-wave inversion in V2 which is abnormal and very suspicious There is minimal, nondiagnostic ST elevation in inferior leads with possibly a suggestion of reciprocal ST depression in aVL. There are thin and normal inferior Q-waves. Thus, there are some suspicious abnormalities, but no definite signs of ischemia. There is a...
Source: Dr. Smith's ECG Blog - January 31, 2016 Category: Cardiology Authors: Steve Smith Source Type: blogs
The Electrocardiographically Silent Circumflex Artery
A 39 yo otherwise healthy man with no risk factors was walking at the mall when he developed chest pressure. He presented to the ED after 30 minutes, now also feeling weak. He was diaphoretic. Here was his initial ECG:There is sinus rhythm. There is abnormal T-wave inversion in V2 which is abnormal and very suspicious There is minimal, nondiagnostic ST elevation in inferior leads with possibly a suggestion of reciprocal ST depression in aVL. There are thin and normal inferior Q-waves. Thus, there are some suspicious abnormalities, but no definite signs of ischemia. There is a...
Source: Dr. Smith's ECG Blog - January 31, 2016 Category: Cardiology Authors: Steve Smith Source Type: blogs
DM / DNB Cardiology Entrance Mock Test 9
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Click on the 'Start' button to begin the mock test. After answering all questions, click on the 'Get Results' button to display your score and the explanations. There is no time limit for this mock test.
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Congratulations - you have completed DM / DNB Cardiology Entrance Mock Test 9.
You scored %%SCORE%% out of %%TOTAL%%.
Your performan...
Source: Cardiophile MD - January 27, 2016 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiology MCQ DM / DNB Cardiology Entrance Featured Source Type: blogs
Prescription Drugs And The Slowdown In Health Care Spending
Several studies have examined the underlying sources for the recent slowdown in health care spending. These analyses have focused largely on the role of the 2007-2009 recession, the increasing prevalence of high deductible health insurance plans, and other structural changes in the payment and delivery of care. However, the studies examining these factors do not account for the full decline in spending, or raise questions about the pattern and timing of the slowdown.
Role Of Prescription Drugs In The Health Spending Slowdown
Certainly the recession accounted for a component of the post 2007 slowdown in spending. However, t...
Source: Health Affairs Blog - November 18, 2015 Category: Health Management Authors: Kenneth Thorpe and Jason Hockenberry Tags: Costs and Spending Drugs and Medical Technology Featured Quality generic drugs medication adherence Prescription Drugs Source Type: blogs
STE in aVR and diffuse ST depression: It can be ACS or demand ischemia. If ACS, either posterior STEMI or subendocardial ischemia!
A middle-aged male with a history of 2-vessel coronary bypass called 911 because of the relatively sudden onset of severe SOB. He had had more mild SOB for the past 2 days. The medics found him in respiratory distress with coarse breath sounds, a BP of 196/132, oxygen saturations of 90%, and a pulse of 130. They put him on CPAP for respiratory support. He denied chest pain.Here is his prehospital ECG:There is diffuse ST depression, with ST elevation in lead aVRThe patient arrived in the ED and was put on Noninvasive ventilation (BiPAP). Blood Pressure was 200/110. A nitroglycerin drip wa...
Source: Dr. Smith's ECG Blog - November 16, 2015 Category: Cardiology Authors: Steve Smith Source Type: blogs
"How could I convince my interventionalist to come do a cath in the middle of the night?"
I just received this email today. I receive these fairly frequently:Dear Dr. Smith:I am an Emergency physician working in an outlying hospital in _________. We have an interventional hospital to which we refer cath lab patients. I had a 31 year old with typical chest pain and vomiting and the attached ECG. I was sure he was infarcting but couldn’t convince the interventionalist to take him (after emailing him the ECG).I treated the patient aggressively with medical management and transfered him to the tertiary center. They did not take him to the cath lab emergently. When he went to the cath lab t...
Source: Dr. Smith's ECG Blog - August 27, 2015 Category: Cardiology Authors: Steve Smith Source Type: blogs
Do proton pump inhibitors cause heart attacks?
This study used a technique called “data-mining” to extract information from years of electronic medical records (EMRs) and included about 70 thousand patients in their primary analysis. They describe the data-mining technique in the article, which seems to boil down to assigning a mathematical function to certain defined variables (patients taking PPIs) and an outcome (heart attack) to see if the two events are associated.
Continue reading ...
Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - July 18, 2015 Category: Journals (General) Authors: Frederick Gandolfo, MD Tags: Meds GI Heart Source Type: blogs
The Digital Doctor: Is Natural Language Processing the Breakthrough We’ve Been Waiting For?
By BOB WACHTER, MD
Natural language processing might seem a bit arcane andtechnical – the type of thing that software engineers talk about deep into the night, but of limited usefulness for practicing docs and their patients.
Yet software that can “read” physicians’ and nurses’ notes may prove to be one of the seminal breakthroughs in digital medicine. Exhibit A, from the world of medical research: a recent studylinked the use of proton pump inhibitors to subsequent heart attacks. It did this by plowing through 16 million notes in electronic health records. While legitimate epidemiologic questions can be raised a...
Source: The Health Care Blog - June 23, 2015 Category: Consumer Health News Authors: John Irvine Tags: THCB Source Type: blogs
The Hugest of the Huge Hematomas
Welcome to our new series, “Guts and Gore.” That title should serve as a warning that some of the videos we will use as teaching tools may be controversial and not for weak stomachs. We hope, however, that part of why you became an emergency provider was to handle sticky situations like the ones we will present. People like us have the ability to ignore blood and copious discharge, and instead focus on saving and improving the lives of our patients. Rarely are you thanked for this ability, and we hope this series on guts and gore will improve your technique, even when the going gets tough.
The Approach
n Proper i...
Source: The Procedural Pause - June 1, 2015 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
A Forty-Year Struggle for Openness
In 1977, while I was busy with Star Wars and action figures, Andreas Gruentzig was using his kitchen-made balloon catheter to dilate and open a highly stenotic LAD coronary artery. Fixing atherosclerotic disease of the coronary arteries had previously required open heart bypass surgery, a procedure only 10 years old at the time. He had taken coronary catheterization, which until then had only been used for diagnostics and surgical planning, and became the first to perform transluminal interventional therapy. Unfortunately, it turned out that the coronary artery would often close either immediately or over the following day...
Source: Spontaneous Circulation - June 1, 2015 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
A Forty-Year Struggle for Openness
In 1977, while I was busy with Star Wars and action figures, Andreas Gruentzig was using his kitchen-made balloon catheter to dilate and open a highly stenotic LAD coronary artery. Fixing atherosclerotic disease of the coronary arteries had previously required open heart bypass surgery, a procedure only 10 years old at the time. He had taken coronary catheterization, which until then had only been used for diagnostics and surgical planning, and became the first to perform transluminal interventional therapy. Unfortunately, it turned out that the coronary artery would often close either immediately or over the following day...
Source: Spontaneous Circulation - June 1, 2015 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
