Is this a model for pain medicine to emulate? An E.R. That Treats You Like a V.I.P. "The facility, Priority Private Care, administered a CT scan and read the results on the spot. Mr. Wilson’s wife was fine, and they went home. “I was out of there in 40 minutes,” he said. For such service, he pays $10,000 a year. The fee covers concierge emergency... Concierge ED's... (Source: Student Doctor Network)
Source: Student Doctor Network - April 25, 2018 Category: Universities & Medical Training Authors: drusso Source Type: forums
Another "My Worst Airway Case"
56 year old presented to the OR this week for a PEG and IV infusion port and the surgeon asked for sedation. She had a squamous cell tumor from the mandible to the base of the neck on the left side protruding 4" off the side of the neck and was 4 inches wide and 5 1/2 inches long. CT scan showed tumor protruding into the oral pharynx, involving the tongue, lingual and palatine tonsils on the left side and extending more than half way across the pharynx at the level just superior to the... Another "My Worst Airway Case" (Source: Student Doctor Network)
Source: Student Doctor Network - April 1, 2018 Category: Universities & Medical Training Authors: algosdoc Source Type: forums
90yo AAF for nailing of femur fx. 80kg. 5'4. Severe dementia. Very Combative and pulls out IVs on the floor. She also has a very large goiter on the left side of her neck the size of a large grapefruit. CT scan says this mass displaces the trachea to the right significantly and causes "moderate" airway narrowing. It is thought to be a benign thyroid mass. She is currently breathing on room air without difficulty satting 98. She has a working IV. This is a person who has not had this... Interesting Case (Source: Student Doctor Network)
Source: Student Doctor Network - March 16, 2018 Category: Universities & Medical Training Authors: Hoya11 Source Type: forums
Does this patient have pancreatitis?
Have a patient who had N/V, diarrhea and epigastric pain. CT scan with contrast showed diffuse mild thickening of colon and small bowel representing enterocolitis; pancreas had no abnormality. Lipase 7000s and patient did have epigastric tenderness on exam. Is this consistent with pancreatitis or does the ct scan rule it out? (Source: Student Doctor Network)
Source: Student Doctor Network - February 4, 2018 Category: Universities & Medical Training Authors: naseeha Source Type: forums
Jumping the gun? The search for evidence of cost effectiveness in lung cancer screening using low-dose computed tomography
(Source: BMJ Comments)
Source: BMJ Comments - November 27, 2017 Category: General Medicine Source Type: forums
questions for current medical students!
Thread Starter questions for current medical students! Follow 5 hours ago 5h ago Quote: Originally Posted by Rits21 Hi! I applied for medical school but I still have doubts and I would really appreciate if someone studying medicine could answer a few questions: -...
Source: The Student Room - November 18, 2017 Category: Universities & Medical Training Authors: ecolier Tags: Medicine Source Type: forums
How to learn reading CT A/P for interns?
I'm a GS intern, and I have been trying to look at all the CT scans that I can. I seriously lack decent foundations, so honestly I have no idea what I'm looking at 90% of the time. The advice I keep getting is "look at more CTs", but I seem to lack basic understanding, so there's essentially nothing to build on. Anyone experiencing/has experienced this? Is there a website/resource where I can learn the most basic tips for reading CT abd? Thank you (Source: Student Doctor Network)
Source: Student Doctor Network - August 4, 2017 Category: Universities & Medical Training Authors: drranjit Source Type: forums
Re: Exposure to low dose computed tomography for lung cancer screening and risk of cancer: secondary analysis of trial data and risk-benefit analysis-Letter
(Source: BMJ Comments)
Source: BMJ Comments - July 31, 2017 Category: General Medicine Source Type: forums
Re: Coroner calls for GPs to be allowed to order urgent CT scans after patient death
(Source: BMJ Comments)
Source: BMJ Comments - June 19, 2017 Category: General Medicine Source Type: forums
When you suspect kidney stones
When do you get a CT scan? I've heard and seen everything from: always, first time they've had stone, systemically ill, hydronephrosis on bedside ultrasound. I've also seen people with mild hydro and suspected stone go home. The practice pattern varies wildly and I'm trying to gain a better understanding of what is important and what is not. What do you look for, what are your red flags, when do you scan? (Source: Student Doctor Network)
Source: Student Doctor Network - May 22, 2017 Category: Universities & Medical Training Authors: iaskdumbquestions Source Type: forums
CT abdomen IV contrast vs IV & oral contrast
THis is a question I had been wondering about... When do you guys order IV and oral contrast for a abdominal CT scan? In other words, when would you definitely add oral contrast? From what I understand IV contrast is sufficient for things like diverticulitis, colitis. At my shop, IV contrast ONLY is sufficient for the following: BMI> 20 Age> 25 No history of GI tract altering surgery (e.g. gastric bypass) No history or suspicion of inflammatory bowel disease No abdominal or pelvic surgery... CT abdomen IV contrast vs IV & oral contrast (Source: Student Doctor Network)
Source: Student Doctor Network - May 21, 2017 Category: Universities & Medical Training Authors: woodhorse22 Source Type: forums
Bridging the gap: cta and ivus of the heart
CTA or IVUS – which is better? CTA (computed tomography angiography) is currently the gold standard for evaluating myocardial bridging, because it‘s highly accurate. However, recent research has shown that CTA is not all-seeing and all-knowing. IVUS (intravascular ultrasound) may be the better choice. The study included 64 patients with symptoms of ischemia who underwent both CTA and IVUS. CTA earned its gold star, but surprisingly missed the majority of septal branches and soft plaques that could potentially cause serious complications. Interesting? Read more just clicking on ...
Source: Doc2Doc BMJ Cardiology - April 28, 2016 Category: Cardiology Authors: irene357 Source Type: forums
I am not sure where to ask these types of questions. I am starting medical school next semester and I know what the different scans look like but I get confused when you would use a CT scan vs an MRI vs ultrasound. I am just curious if someone could direct me to a website or tell me. For example, you would use this type of scan for cancer, this type of scan for crohns disease. I just see all these diseases and they each have their own way of Diagnosing it with scans but is there a way to... Different scans (Source: Student Doctor Network)
Source: Student Doctor Network - March 11, 2016 Category: Universities & Medical Training Authors: Drew2128 Source Type: forums
Can someone help with next steps...scared mom here
Hi All, Please forgive my frequent posting lately. My 8yr old just came home from the hospital this afternoon. Here is a timeline of events up to this point. PFTs have slowly declined over the last few months. Culture shows an abundance of staph and she is put on Augmentin. Does nothing and PFTs do not go up. CT scan shows infection, loss of elasticity, and mucus build up in the lung tissue. I am told the CT scan actually looks better than PFTs would indicate. Last Friday she goes in for a PICC and bronch. Bronch shows normal lungs. The doctor who did it said her lungs look great. No inflammation, no mucus. Pretty normal...
Source: Cystic Fibrosis Families Forum - December 15, 2015 Category: Respiratory Medicine Authors: humphrey711 Tags: Families Source Type: forums
Educate me about Pseudonomas please
Hi All, My daughter is preparing to go to the hospital next week for a PICC line and IV antibiotics. She is 8 and has never cultures pseudomonas. However, her CT scan shows some infection and blockage deep down in her lungs. While she is getting the PICC she will have a bronchioscope and they will suck out some of the gunk that is way down deep and they will culture it. I will be shocked if it is not growing pseudonamas. This scares me as I have heard that it is really hard to get rid of and always comes back. I feel like her culturing it is the beginning of a very long losing battle. She will receive antibiotics but wha...
Source: Cystic Fibrosis Families Forum - December 3, 2015 Category: Respiratory Medicine Authors: humphrey711 Tags: Families Source Type: forums
Need advice from more experienced parents
Hi All, My daughter has been doing really well up until a couple of months ago. Her PFTs started dropping. She just finished a course of Augmentin as she was culturing an abundance of staph. PFTs stayed the same. Had a CT scan which shows loss of elasticity and some scarring in the lower lobes. Is going in next week for a PICC and IV antibiotics and intense chest therapy. She is in the Orkambi trial and, thankfully, I believe it has helped her maintain a healthy weight. She was in hospital two years ago at this time and she looked very sick. Today she is pink, active, has a healthy BMI, o2 at 98%. My fear is that she is ...
Source: Cystic Fibrosis Families Forum - December 2, 2015 Category: Respiratory Medicine Authors: humphrey711 Tags: Families Source Type: forums
so frustrated...major drop in lung function so fast
Has this happened to anyone else? I was always quite healthy with CF..the occasional exacerbation, but oral antibiotics took care of it. FEV always around 60-70. Then, two months ago, I got pretty sick. Fevers, the whole bit. The fevers and chills went away after two weeks of IV antibiotics, but now I still feel like crap (lung wise)! I never really did feel better. My lung function went down to 34% and is staying there. I was put on prednisone for 16 days. That is done now, and it did nothing. I started symbicort at the time I started prednisone too, and I'm still on that. I went in today and the lung function only went u...
Source: Cystic Fibrosis Adults Forum - July 30, 2015 Category: Respiratory Medicine Authors: sasha Tags: Adults Source Type: forums
xray showing even more nodules in my lungs and mucus plug still there and more
I went to doctors the other day cause I was really not breathing good rember I just got out of hospital bout maybe 2 months so did pft was low at 52 usually my base is 58 so I was worried then he argued with me over having pluracy I told him it was ur staff in the hospital that said I had it then I went to er they said I had it and je said I have mucus in there but not a plug agian I told him it was his team who told me and showed me on the xray the plug. This is a new adult cf doctor they have now my first time goin cause they just made a adult cf dept but I have seen theae guys before while in hospital anyway he didnt th...
Source: Cystic Fibrosis Adults Forum - July 20, 2015 Category: Respiratory Medicine Authors: cam Tags: Adults Source Type: forums
Just found out daughter has Mycobacterium Abscessus
We just found out my daughter 11 has mycobacterium Abscesses (not MAC which she has also cultured in past but now apparently clear) and will start the treatment process soon. right now they r recommending IV Amikacin, IV imipenem, and azithromycin for at least 5 weeks (up to 3months) until cultures clear. Her pfts are still in the 80s/ low 90s, but it's still a drop from her baseline of over 100 last year. Do you have any advice as we start this journey? We are thinking of doing a port instead of PICC due to the potential length of time. I am starting my research on treatments and these medicines.... Seems like they want ...
Source: Cystic Fibrosis Families Forum - July 16, 2015 Category: Respiratory Medicine Authors: mep65 Tags: Families Source Type: forums
So a few months back i posted about my daughter and these sweat test. Finally got in to see the CF doctor personally. He looked at my daughters results ans told me flat out he was very baffled on every thing. He said that he has never seen someone have 2 sweat test done at different times and come back with exactly same results both times. He checked her out. Told me by looking at her that he doesn't think she has CF. But because of her sweat test and symptoms he did a lot of testing. First test he did was he swabbed her throat. He said that the culture did grow staph but that was normal in a non cf patient. Second test he...
Source: Cystic Fibrosis Newly Diagnosed Forum - March 21, 2015 Category: Respiratory Medicine Authors: jabug8 Tags: Newly Diagnosed Source Type: forums
Sinus Surgery in 4 Year Old- Looking for Information
Hi everyone! My son is 4 years old (DDF508) and it looks like sinus surgery might be happenning in the next few months. From Sept-December he was on sick plan almost non stop (3 weeks to get rid of the illness, 1 week off, repeat)-- no huge illnesses but a very insistent cough that kept coming back. He also had sinusitis that whole time as well. He's been healthy since the end of December after a round of bactrim, luckily, but they had him do a CT scan to get a better idea of why he had a hard time staying healthy. Not surprisingly the CT scan showed his sinuses completely blocked up with mucus. They said he's too young to...
Source: Cystic Fibrosis Families Forum - February 5, 2015 Category: Respiratory Medicine Authors: CCyr Tags: Families Source Type: forums
What else could go wrong
Hello my fellow cfers. Im just going to jump right in, I'm 25 and I just finished my evaluation for transplant and found out I will be getting listed for both lung and liver. However, when I got a ct scan of my abdomen they saw some of the nodules on my liver do something called "washing out" which they said could be a sign of cancer. So about a week ago I had an MRI of my liver done and it is a small cancer. They said this wouldn't stop me from being listed but they want me to have a procedure to, the doctor I talked to, said "burn away the tumor". Im not really scared about the cancer part because I k...
Source: Cystic Fibrosis Transplants Forum - August 8, 2013 Category: Respiratory Medicine Authors: Kyrav Tags: Transplants Source Type: forums
Allergies with low IGE
My scratch are positive for a large number of allergies, but my bloodwork shows my IGE level is very low. My daughter has the same allergy and blood test results. My sinus CT scan shows lots of mucus from allergies too. So does anyone else have this? I have been reading about non-iGE mediated allergies and that they are treated with mast cell stabilizers such as Zyrtec and Chromolyn Sodium. I found Nasalcrom nose sprey over the counter with Chromolyn Sodium as the active ingredient. I tried the Nasalcrom nose spray and Zyrtec and they seem to be working. I am not a medical person, so if anyone has experience with these me...
Source: Cystic Fibrosis Asthma, Allergies and Green Forum - March 21, 2013 Category: Respiratory Medicine Authors: Beccamom Tags: Asthma, Allergies and Green Source Type: forums
8 yo Recurring low grade fever persistent headache
Source: MD Health Forum - Medical Discussion Boards - January 18, 2013 Category: Consumer Health Advice Authors: MinnMom Tags: Children's Health Source Type: forums