Revenge of the Giant Hogweed
If the day of the triffids were ever to come, then Heracleum mantegazzianum, would be the henchmen. The giant hogweed, also known as the cartwheel-flower, the giant cow parsnip, hogsbane, or giant cow parsley, is a nasty plant. It is called hogweed because the flowers smell of pigs. But, that is not the worst thing about it. You may have read in the news recently of the crippling effects it had on an unwitting Welsh gardener. His bare legs brushing against the plant developed nasty and deep blisters in the coming days and awful pain. He is apparently still unable to walk because of the damage done by the plant. The plan...
Source: David Bradley Sciencebase - Songs, Snaps, Science - June 6, 2018 Category: Science Authors: David Bradley Tags: Science Source Type: blogs

Level 2 vs. Level 3 H & P Coding Comparison.
This lecture will assist physicians and other non-physician practitioners (NPPs) determine if their initial hospital admission note documentation meets criteria for a level 2 (mid level H&P) or a level 3 (high level H&P)evaluation and management (E/M) code.  Recovery Audit Contractors will likely continue to target high level initial hospital encounters for improper payments.  Physicians and other NPPs must continue to pursue documentation education to prevent accusations of overbilling and to prevent under billing for work provided.  I am an internal medicine physician with over 10 years experience ...
Source: The Happy Hospitalist - April 10, 2014 Category: Internal Medicine Authors: The Happy Hospitalist Source Type: blogs

Level 2 vs. Level 3 H&P Coding Comparison.
This lecture will assist physicians and other non-physician practitioners (NPPs) determine if their initial hospital admission note documentation meets criteria for a level 2 (mid level H&P) or a level 3 (high level H&P) evaluation and management (E/M) code.  Recovery Audit Contractors will likely continue to target high level initial hospital encounters for improper payments.  Physicians and other NPPs must continue to pursue documentation education to prevent accusations of over billing and to prevent under billing for work provided.  I am an internal medicine physician with over 10 years experienc...
Source: The Happy Hospitalist - April 10, 2014 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs

Alzheimer's Miracle Drug Bexarotene Doesn't Work as Reported
“We all went back to our labs and tried to confirm these promising findings” ... “We repeated the initial experiments — a standard process in science. Combined results are really important in this field. None of us found anything like what they described in the 2012 paper.” By +Bob DeMarco +Alzheimer's Reading Room  Co-authors Karthikeyan Veeraraghavalu and Sangram Sisodia of the University of Chicago Three teams of highly respected Alzheimer’s researchers failed to replicate what appeared to be breakthrough results for the treatment of Alzheimer's disease using existing cancer drug Targretin® (br...
Source: Alzheimer's Reading Room, The - May 23, 2013 Category: Dementia Authors: Bob DeMarco Source Type: blogs

USMLE Questions – Characteristic Disease Findings
The United States Medical Licensing Examination (USMLE) is designed to emphasize knowledge of clinical scenarios and clinical pearls, even on Step I. Listed below are some commonly encountered disease findings and characteristics. Feature Disease 45, X chromosome Turner’s syndrome 5-HIAA increased in urine Carcinoid syndrome Aganglionic rectum Hirschsrpung’s disease Apple-core sign on barium enema Colon cancer Arched back (opisthotonos) Tetanus Argyll-Robertson pupil Syphilis Ash leaf on forehead Tuberous sclerosis Auer rods  Acute myelogenous leukemia Austin Flint murmur Aortic regurgitation...
Source: Inside Surgery - January 18, 2013 Category: Surgeons Authors: Editor Tags: Surgpedia USMLE diseases findings VMA water hammer pulse Source Type: blogs