MKSAP: 30-year-old man with ongoing symptoms of dysphagia
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 30-year-old man is evaluated for ongoing symptoms of dysphagia. He was previously diagnosed with eosinophilic esophagitis on upper endoscopy and has completed an 8-week course of swallowed aerosolized fluticasone, which di d not alleviate his symptoms. He takes no other medications. […]Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 12, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/mksap" rel="tag" > mksap < /a > < /span > Tags: Conditions Gastroenterology Source Type: blogs
Keep your seasonal allergies in check
Seasonal allergies can be frustrating. When spring crawls in, many people begin to experience all-too-familiar itchy and watery eyes, runny nose, and congestion. Symptoms of seasonal allergies are the result of an immune system in overdrive in response to pollen and other allergens. Those bothersome symptoms are intended to protect you from unwanted foreign particles, but in this situation they end up causing misery. There are quite a few options when it comes to controlling allergy symptoms, but we want to watch out for a few that can be quite dangerous when used incorrectly.
Nasal steroids
The first-line treatment for se...
Source: Harvard Health Blog - May 1, 2017 Category: Consumer Health News Authors: Dominic Wu, MD Tags: Asthma and Allergies Ear, nose, and throat Health Source Type: blogs
Don ’t let allergy season catch you off guard
The woman next to me in the checkout line looked upset. Her eyes were red and her nose was running. My first thought was to give her privacy, until I saw her shopping basket filled with supplies to fight allergy symptoms, and then our eyes met. “I can’t believe how bad my allergies are this year!” she said, exasperated.
My fellow shopper isn’t the only one suffering. “Warm weather and a mild winter, as we’ve experienced this year, can stimulate trees to pollinate. The southern U.S., which has a warmer climate, is particularly susceptible to earlier allergy seasons. Other climate factors — such as cool evening...
Source: Harvard Health Blog - April 6, 2017 Category: Consumer Health News Authors: Heidi Godman Tags: Asthma and Allergies Source Type: blogs
MKSAP: 67-year-old man with worsening exertional dyspnea
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.
A 67-year-old man is evaluated for a 6-month history of worsening exertional dyspnea. He has a history of severe COPD diagnosed 4 years ago and previously had minimal exertional symptoms. However, he now notes shortness of breath when walking short distances that is limiting his activity level. He does not have chest pain, gastrointestinal symptoms, or sleep-related symptoms. Medical history is otherwise unremarkable. Medications are a twice-daily fluticasone/salmeterol inhaler and an as-needed albuterol/ipratro...
Source: Kevin, M.D. - Medical Weblog - February 11, 2017 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/mksap" rel="tag" > mksap < /a > Tags: Conditions Pulmonology Source Type: blogs
What Do We Know About Medical Errors Associated With Electronic Medical Records?
By ROSS KOPPEL
Recently, the Journal of Patient Safety published a powerful and important article on the role of EHRs in patient harm, errors and malpractice claims. The article is open access. Electronic Health Record–Related Events in Medical Malpractice Claims by Mark L. Graber, Dana Siegal, Heather Riah, Doug Johnston, and Kathy Kenyon.
The article is remarkable for several reasons:
Considerably over 80% of the reported errors involve horrific patient harm: many deaths, strokes, missed and significantly delayed cancer diagnoses, massive hemorrhage, 10-fold overdoses, ignored or lost critical lab results, ...
Source: The Health Care Blog - January 11, 2016 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs
Telehealth under alternative payment models
The post below originally ran on Milliman, Inc. on November 23.
Telehealth, as a modality of delivering healthcare services, is growing in terms of acceptance and adoption. There are a few key drivers for this dynamic: (1) consumer demand for convenient access to care; (2) availability of lower-cost telehealth technologies; (3) clinician comfort and willingness to provide certain services remotely; and (4) evolving payment models that seek to incentivize value and better population health.
Evolving payment models reflect the need to mitigate perverse incentives for the unnecessary healthcare utilization, waste, and ineffic...
Source: Disruptive Women in Health Care - November 25, 2015 Category: Consumer Health News Authors: dw at disruptivewomen.net Tags: Innovation Technology Source Type: blogs
Just how much “healthcare” do you need minus grains?
Jamilyn shared her early experience with this lifestyle:
“I started Wheat Belly February 9th, 2015. I have lost 20 pounds in just over 2 months and 10 on my own in the 9 months prior to WB–30 pounds difference from the first picture to the 3rd picture.
“I have eliminated all of the many medications I was taking for migraines, IBS, gastroparesis, chronic sinusitis, and joint pain. I haven’t taken Allegra or Flonase (which I have taken everyday since I was in my 20’s) since the second day of Wheat Belly. I no longer need my Protonix, Reglan, Carafate, or Zofran for my gastroparesis either. No m...
Source: Wheat Belly Blog - April 15, 2015 Category: Cardiology Authors: Dr. Davis Tags: Wheat Belly Success Stories gastroparesis grains IBS joint pain sinusitis Source Type: blogs
Painkillers? Prozac? Brazilian Blowout? Hotline Counsels Pregnant Women On Risks
By Carey Goldberg
Reprinted from Common Health
Joy Shapiro of Framingham, Mass., was the sort of hyper-cautious expectant mother who doesn’t just cut out alcohol and caffeine. She worried about the ingredients in everything she consumed or put on her body, from fitness drinks to sunscreen.
But thanks to a referral from her obstetrician, she had a secret weapon against her anxiety: Patricia Cole, the program coordinator for MotherToBaby Massachusetts — also known as the Pregnancy Exposure Infoline — whom she “bombarded” with queries.
“At one point, I emailed her like 20 ingredients that were in ...
Source: Cord Blood News - March 2, 2015 Category: Perinatology & Neonatology Authors: joyce at mazelabs.com Tags: babies blood disorder brain development Cord Blood medical research parents pregnancy affordable cord blood banking bone marrow breast feeding cerebral palsy cord blood banking cost comparison cord blood banking information cord Source Type: blogs
MKSAP: 72-year-old man with dyspnea at rest
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.
A 72-year-old man is evaluated for dyspnea at rest. He has end-stage COPD and is on a home hospice program. He has weight loss, reduced functional capacity, and muscle atrophy. His medications are ipratropium, salmeterol, fluticasone, albuterol as needed, and prednisone. He is uncomfortable, with chronic air hunger that has gradually increased over the past 2 weeks. Otherwise, his symptoms have been stable without change in cough, sputum production, or fever. Following a physical exam, what is the most appropria...
Source: Kevin, M.D. - Medical Weblog - February 7, 2015 Category: Journals (General) Authors: mksap Tags: Conditions Pulmonology Source Type: blogs
MKSAP: 50-year-old man with cirrhosis
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.
A 50-year-old man is evaluated in follow-up for a recent diagnosis of cirrhosis secondary to nonalcoholic steatohepatitis. He has a history of asthma, type 2 diabetes mellitus, hyperlipidemia, and obesity. His current medications are inhaled fluticasone, montelukast, insulin glargine, insulin lispro, simvastatin, and lisinopril.
On physical examination, temperature is 37.5 °C (99.5 °F), blood pressure is 120/70 mm Hg, pulse rate is 80/min, and respiration rate is 16/min; BMI is 31. Abdominal examination reveal...
Source: Kevin, M.D. - Medical Weblog - December 13, 2014 Category: Journals (General) Authors: mksap Tags: Conditions GI Source Type: blogs
Reuters Exclusive: Bayer, Novartis, others eye Merck's consumer health
unit - sources
By Olivia Oran, Soyoung Kim and Anjuli DaviesNEW YORK/LONDON (Reuters) - A handful of consumer and healthcare companies including Bayer AG and Novartis are exploring a deal for Merck & Co Inc's consumer healthcare business, as they seek to gain scale in a fragmented industry, according to several people familiar with the matter.Reckitt Benckiser Group PLC and Procter & Gamble Co are also among the parties that have held discussions with Merck about buying the unit, best known for Coppertone sunscreen and Claritin allergy medicine, the sources said this week.The Merck business, which also includes Dr. Scholl's ...
Source: PharmaGossip - February 20, 2014 Category: Pharma Commentators Authors: insider Source Type: blogs
MKSAP: 33-year-old woman with whitish spots in the mouth and throat
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.
A 33-year-old woman is evaluated for a 5-week history of whitish spots in the mouth and the back of the throat and discomfort with swallowing solid foods. This is her first episode of these symptoms. She has had no mouth pain, trouble ingesting liquids or pills, nausea, vomiting, diarrhea, fever, chills, sweats, or skin problems. She has a 3-year history of HIV infection and also has moderately severe asthma, which is now well controlled with inhaled medications that were recently prescribed. Her medications are...
Source: Kevin, M.D. - Medical Weblog - December 1, 2013 Category: Family Physicians Tags: Conditions Infectious disease Source Type: blogs
Pharmalot... Pharmalittle... The Weekend Nears
Once again, another working week will soon come to a close. As always, celebration is near, especially since this kicks off the start to summer. Our weekend plans, however, are rather modest. We intent to forage for treasures, tend to the official Pharmalot corporate campus grounds and catch up on some reading. A few naps are also in order. But what about you? As noted, summer is here, so why not enjoy the great outdoors? Or touch base with someone special? If you find yourself stuck for something to do, perhaps you could contemplate the rest of your life. Whatever you fancy, have a wonderful time. But be safe. See you soo...
Source: Pharmalot - June 21, 2013 Category: Pharma Commentators Authors: esilverman Source Type: blogs
In Which We Finally Get All the Medications
Nolan was prescribed Augmentin (a really common antibiotic) and Flonase compounded with Bactroban. Our ENT sent the prescriptions to Rite Aid, the pharmacy we've been using. They've been notoriously horrible at filling Nolan's prescriptions, and I keep... (Source: Deaf Village)
Source: Deaf Village - February 28, 2013 Category: Other Conditions Authors: Say What? Tags: AVT Hard-of-Hearing vm Source Type: blogs
