Test your medicine knowledge: 28-year-old man with recurrent headaches
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.
A 28-year-old man is evaluated for a 5-year history of recurrent headache that occurs several times per month and lasts 12 to 24 hours. He describes the headache as a bilateral frontal pressure associated with nasal congestion and sensitivity to light, sound, and smell. The pain is generally moderate in intensity but worsens when he bends forward or exercises and has caused him to miss 3 days of work recently. He has no nausea or visual or neurologic symptoms. The patient has a history of nonseasonal allergic rh...
Source: Kevin, M.D. - Medical Weblog - June 13, 2015 Category: Journals (General) Authors: mksap Tags: Conditions Neurology Source Type: blogs
Tenosynovitis: Two-Touch Diagnosis
Today you are the fast-track provider, and you are on the hunt for procedures. You notice a 35-year-old woman signing into triage with a chief complaint of wrist pain.
This patient looks otherwise healthy, is pushing a stroller with her right hand, and is carrying a second child on her left. What’s the emergency? There isn’t one, but it is an emergency to this patient because she cannot push that stroller another day! If she cannot push the stroller, then she cannot get the kids to day care. And, if she cannot get the kids to day care, then she cannot go to work. Ask anyone with children, it is an emergency.
...
Source: The Procedural Pause - May 1, 2015 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Tenosynovitis: Two-Touch Diagnosis
Today you are the fast-track provider, and you are on the hunt for procedures. You notice a 35-year-old woman signing into triage with a chief complaint of wrist pain.
This patient looks otherwise healthy, is pushing a stroller with her right hand, and is carrying a second child on her left. What’s the emergency? There isn’t one, but it is an emergency to this patient because she cannot push that stroller another day! If she cannot push the stroller, then she cannot get the kids to day care. And, if she cannot get the kids to day care, then she cannot go to work. Ask anyone with children, it is an emergency.
This...
Source: The Procedural Pause - May 1, 2015 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Research and Reviews in the Fastlane 077
This article sheds some light on the issue. In this study of ICU patients in Australia and New Zealand, the standard SIRS criteria missed 1 in 8 patients who went on to severe sepsis. These results call into question the reliability of the SIRS criteria.Recommended by: Anand SwaminathanThe R&R iconoclastic sneak peek icon keyThe list of contributorsThe R&R ARCHIVER&R Hall of famer You simply MUST READ this!R&R Hot stuff! Everyone’s going to be talking about thisR&R Landmark paper A paper that made a differenceR&R Game Changer? Might change your clinical practiceR&R Eureka! Revolutionary i...
Source: Life in the Fast Lane - April 2, 2015 Category: Emergency Medicine Authors: Jeremy Fried Tags: Cardiology Emergency Medicine Haematology Immunology Infectious Disease Intensive Care R&R in the FASTLANE critical care Education literature recommendations research and reviews Source Type: blogs
Are corticosteroids beneficial for cardiac sarcoidosis?
(Source: Notes from Dr. RW)
Source: Notes from Dr. RW - January 25, 2015 Category: Internists and Doctors of Medicine Tags: cardiovascular Source Type: blogs
On The Pulse - 23rd January 2015
Corticosteroids for community-acquired pneumonia (Source: OnMedica Blogs)
Source: OnMedica Blogs - January 24, 2015 Category: Journals (General) Source Type: blogs
Feedback : Beware of Suspect Medicines
LV writes in
Dear MMR,
I am a medical student studying at The University of Sydney, Australia. My brother is using the medicinal product made in Malaysia called Kian Pee Wan, until we read on your site that Kian Pee Wan is
adulterated with scheduled poison. We are currently very confused and worried about this… Could you please indicate the name of the poisonous substance in Kian Pee Wan, please? Thank you so much.
Hi LV
I believe you are referring to this 2007 article Beware of suspect medicines which mentioned:
The official also warned the public against taking several herbal preparations that had been adulterated...
Source: Malaysian Medical Resources - January 21, 2015 Category: Global & Universal Authors: palmdoc Tags: - CAM watch - Feedback Chinese Herbs TCM Source Type: blogs
Top stories in health and medicine, January 9, 2015
From MedPage Today:
Should FDA Change Metformin’s Black Box Warning? Diabetes experts are building a case to lift restrictions on using metformin in patients with moderate chronic kidney disease.
Tacrolimus for Induction in Lupus Nephritis? Tacrolimus was found to be noninferior to mycophenolate mofetil (Cellcept) for lupus nephritis induction therapy when given with corticosteroids.
Stroke Risk Spikes After Cancer Diagnosis. A new diagnosis of cancer could signal elevated stroke risk.
Suicide and Hastening Death Are Different. In recent weeks, all of America was captivated by the story of Brittany Maynard, the 29-...
Source: Kevin, M.D. - Medical Weblog - January 9, 2015 Category: Journals (General) Authors: MedPage Today Tags: News Cancer Nephrology Neurology Source Type: blogs
Samsung’s Newest US System Designed for Portable Market
By Alissa Katz
The U.S. Food and Drug Administration granted Samsung Medison 510(k) clearance for the UGEO PT60A in August 2013, and the company released its tablet-based ultrasound system two months later.
Designed for the portable market, the UGEO PT60A ultrasound system features a 10.1-inch LED full touch screen and Needle Mate technology, which delineates the needle’s location during procedures like nerve blocking, corticosteroid injections, and PIC line insertions. Its SDMR and Spatial Compounding Image technology eliminates unwanted speckle noise and incorporates beam steering and compounding of scan line...
Source: Technology & Inventions - January 8, 2015 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Samsung’s Newest US System Designed for Portable Market
The U.S. Food and Drug Administration granted Samsung Medison 510(k) clearance for the UGEO PT60A in August 2013, and the company released its tablet-based ultrasound system two months later.
Designed for the portable market, the UGEO PT60A ultrasound system features a 10.1-inch LED full touch screen and Needle Mate technology, which delineates the needle’s location during procedures like nerve blocking, corticosteroid injections, and PIC line insertions. Its SDMR and Spatial Compounding Image technology eliminates unwanted speckle noise and incorporates beam steering and compounding of scan lines to provide spatial a...
Source: Technology & Inventions - January 8, 2015 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Knee Arthritis Treatments Ranked By Relative Effectiveness
In conclusion, the elephant in the room is that weight loss and exercise are still the very best treatments for knee osteoarthritis. Check out the American Academy of Orthopedic Surgery’s recent list of evidence-based recommendations for the treatment of knee arthritis for more information about the full spectrum of treatment options. (Source: Better Health)
Source: Better Health - January 5, 2015 Category: American Health Authors: Dr. Val Jones Tags: Health Tips Research Acetaminophen Annals Of Internal Medicine Celecoxib Comparative Effectiveness Corticosteroids Diclofenac hyaluronic acid Ibuprofen Knee OA Osteoarthritis What Works For Knee Pain? Source Type: blogs
Amiodarone and thyroid dysfunction
Brief Review
Amiodarone is one of the most widely used anti arrhythmic drug. It is well known that amiodarone can induce both hypothyroidism and hyperthyroidism due to the iodine content of the drug. 200 milligrams of amiodarone daily would deliver twenty to forty times the usual daily iodine intake. Amiodarone reduces 5-deiodinase activity and thereby the monodeiodination of T4 to T3. There is decreased generation of T3 and reduced clearance of rT3 (reverse T3), which accumulates. Destructive thyroiditis is due to the direct toxic effect of amiodarone and its metabolite on the thyroid follicular cells.1
It has been menti...
Source: Cardiophile MD - December 21, 2014 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: General Cardiology Source Type: blogs
Cardiology MCQ: Hypothermia for post op arrhythmia
Hypothermia for post op arrhythmia is used in case of:
a) Complete heart block
b) Atrial fibrillation
c) Junctional ectopic tachycardia
d) None of the above
Correct answer: c) Junctional ectopic tachycardia
Hypothermia for post op arrhythmia is used in case of junctional ectopic tachycardia (JET). JET is a unique postoperative arrhythmia, especially seen in children after surgery for congenital heart disease and it is often difficult to treat. It is likely to recur after cardioversion as it is due to enhanced automaticity. Sedation and cooling (hypothermia) are helpful.
Postoperative cardiac arrhythmias are a major cause o...
Source: Cardiophile MD - November 23, 2014 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiology MCQ DM / DNB Cardiology Entrance ECG / Electrophysiology Source Type: blogs
Top stories in health and medicine, November 4, 2014
From MedPage Today:
Stopping Inhaled Steroids in COPD Feasible. Withdrawing inhaled corticosteroids (ICS) from patients with severe chronic obstructive pulmonary disease (COPD) did not lead to an increased rate of exacerbations.
Weight Loss Surgery May Cut T2D Risk. Obese individuals who underwent bariatric surgery had an 80% decrease in risk for developing type 2 diabetes.
NPs in the Primary Care Movement. On my first day of a clinical rotation at a community health clinic in Phoenix, Ariz., nursing students, med students, interpreters, and primary care providers huddle in the back room to present history and physical e...
Source: Kevin, M.D. - Medical Weblog - November 4, 2014 Category: Journals (General) Authors: MedPage Today Tags: News Diabetes Endocrinology Mobile health Obesity Source Type: blogs
Research and Reviews in the Fastlane 051
Welcome to the 51st edition of Research and Reviews in the Fastlane. R&R in the Fastlane is a free resource that harnesses the power of social media to allow some of the best and brightest emergency medicine and critical care clinicians from all over the world tell us what they think is worth reading from the published literature.
This edition contains 10 recommended reads. The R&R Editorial Team includes Jeremy Fried, Nudrat Rashid, Soren Rudolph, Anand Swaminathan and, of course, Chris Nickson. Find more R&R in the Fastlane reviews in the R&R Archive, read more about the R&R project or check out...
Source: Life in the Fast Lane - October 6, 2014 Category: Emergency Medicine Authors: Nudrat Rashid Tags: Anaesthetics Cardiology Education Emergency Medicine Gastroenterology Infectious Disease Intensive Care Pre-hospital / Retrieval Respiratory Resuscitation critical care literature R&R in the FASTLANE recommendations Research an Source Type: blogs
