Ultrasound Case 089
A woman of 40 presents with intermittent RUQ pain and nausea. You try to find her gallbladder. Wall-echo-shadow (WES) sign
The post Ultrasound Case 089 appeared first on Life in the Fast Lane • LITFL • Medical Blog. (Source: Life in the Fast Lane)
Source: Life in the Fast Lane - April 14, 2019 Category: Emergency Medicine Authors: Dr James Rippey Tags: General Surgery TOP 100 Ultrasound Biliary Ultrasound cholelithiasis Gallstones wall echo shadow WES WES sign Source Type: blogs
Five Fabulous Fats
Happy Fat Tuesday!
On this day, celebrated in many countries with lavish parties and high-fat foods, we’re recognizing the importance of fats in the body.
You’ve probably heard about different types of fat, such as saturated, trans, monounsaturated, omega-3, and omega-6. But fats aren’t just ingredients in food. Along with similar molecules, they fall under the broad term lipids and serve critical roles in the body. Lipids protect your vital organs. They help cells communicate. They launch chemical reactions needed for growth, immune function, and reproduction. They serve as the building blocks of your ...
Source: Biomedical Beat Blog - National Institute of General Medical Sciences - March 5, 2019 Category: Research Authors: Susanne Hiller-Sturmhoefel and Alisa Zapp Machalek Tags: Cell Biology Chemistry and Biochemistry Pharmacology Cellular Processes Diseases Lipids Source Type: blogs
Is wheat really THAT bad?
Because it has become such a frequent item in everyday meals, suggesting that something so commonplace must be fine, people often ask: Is wheat really that bad?
Let’s therefore catalog the health conditions that are associated with wheat consumption.
Health conditions we know with 100% certainty are caused by consumption of wheat and related grains:
Celiac disease, dermatitis herpetiformis, cerebellar ataxia, “idiopathic” peripheral neuropathy, temporal lobe seizures, gluten encephalopathy, type 1 diabetes, rheumatoid arthritis, autoimmune hepatitis, autoimmune pancreatitis, tooth decay
Health conditions ...
Source: Wheat Belly Blog - March 2, 2019 Category: Cardiology Authors: Dr. Davis Tags: News & Updates autoimmune diabetes gluten-free grain-free grains wheat wheat belly Source Type: blogs
Ultrasound Case 078
A 48 year old woman presents with RUQ pain of 3 days duration. She has had several similar briefer episodes but on this occasion it has not settled and she has developed jaundice.
The post Ultrasound Case 078 appeared first on Life in the Fast Lane • LITFL • Medical Blog. (Source: Life in the Fast Lane)
Source: Life in the Fast Lane - February 20, 2019 Category: Emergency Medicine Authors: Dr James Rippey Tags: TOP 100 Ultrasound biliary system Biliary Ultrasound Choledocholithiasis Common bile duct common bile duct stone Finding the CBD Gallstones Source Type: blogs
Cracker Bowel: Why Grains are Toxic to the Human Gastrointestinal Tract
We are told to eat “healthy whole grains” to boost fiber intake, maintain bowel regularity and intestinal health–but the exact OPPOSITE is true. Wheat and grains, especially modern wheat and grains, contain an entire collection of bowel toxins.
Banish wheat and grains from your diet and you are on the path to recovering gastrointestinal health and freedom from dozens of common gastrointestinal conditions.
Transcript:
Hi everybody, Doctor William Davis here. I call this video “cracker bowel”, because wheat and grains are a collection of very potent bowel toxins. You know, it’s ironic is...
Source: Wheat Belly Blog - January 28, 2019 Category: Cardiology Authors: Dr. Davis Tags: News & Updates colitis constipation gallstones Gliadin grain-free grains IBS Inflammation irritable bowel lectins obstipation wheat belly Wheat Germ Agglutinin Source Type: blogs
Is glyphosate the REAL problem in wheat?
There’s an argument that has been batted around in online conversations, one that I thought that, because it was so patently absurd and so readily disproven, it would simply disappear into the blogosphere . . . but it hasn’t. So let’s talk about this idea.
The idea goes like this: Because glyphosate is liberally applied to wheat, including its application as a desiccant and for weed control pre-planting, during maturation, and pre-harvest, the high concentrations of this herbicide in wheat products are the cause for all the problems that emerge with wheat consumption. It means that, minus glyphosate, whea...
Source: Wheat Belly Blog - October 20, 2018 Category: Cardiology Authors: Dr. Davis Tags: News & Updates gluten-free glyphosate grain-free grains Inflammation roundup undoctored wheat belly Source Type: blogs
“ I don ’ t have a gallbladder – can I still follow the Wheat Belly high-fat lifestyle? ”
This question comes up with some regularity, so I thought I’d finally post a response here on the Wheat Belly Blog. It doesn’t help that general surgeons who perform cholecystectomies are among the most desperately ignorant on diet and health and commonly tell their patients that, after removing the gallbladder, they must adhere to a low-fat diet—yes, the diet that pushes you closer to type 2 diabetes, contributes to high triglyceride levels and fatty liver, heart disease, dementia and other health problems.
So can you include plenty of fats and oils in your diet after you’ve lost your gallbladder? ...
Source: Wheat Belly Blog - September 10, 2018 Category: Cardiology Authors: Dr. Davis Tags: News & Updates bowel flora dysbiosis grain-free prebiotic probiotic sibo small intestinal Source Type: blogs
Sorting out the health effects of alcohol
When it comes to your beverage of choice, alcoholic beverages are unique. For millions, they are a regular part of the dining experience. They’re often an important component of social events, celebrations, and milestones; we toast people, events, and memories with alcohol. They play a key role in many religious traditions. And, of course, the alcoholic beverage industry is a major economic force, responsible for more than $220 billion in sales annually in the US.
And all of this is true despite the well-known and well-publicized risks of drinking too much alcohol.
The negative effects of alcohol
It should be a surprise ...
Source: Harvard Health Blog - August 6, 2018 Category: Consumer Health News Authors: Robert H. Shmerling, MD Tags: Alcohol Health Source Type: blogs
The Most Expensive Drugs in America: Interview with GoodRx Co-Founder/Co-CEO Doug Hirsch
United States healthcare policy is currently in the spotlight as the Trump administration seeks to weaken Obamacare with actions such as the Tax Cuts and Jobs Act, which removes the individual mandate that required individuals to carry health insurance. Another focus of the current administration’s plan is to lower drug prices with strategies like preventing brand-name drug manufacturers from blocking the entry of cheaper generics and creating incentives for cheaper drugs. While the results of this strategy have yet to play out, they do beg the question, how expensive are medications in the United States?
For that an...
Source: Medgadget - June 27, 2018 Category: Medical Devices Authors: Michael Batista Tags: Exclusive Medicine Net News Public Health Society Source Type: blogs
Chest pain, Ventricular Paced Rhythm, and a Completely Normal Angiogram 3 Months Prior.
One of our graduates, Rochelle Zarzar, who is now an education fellow, sent me this from one of the hospitals she works at now:An elderly woman presented with chest pain. She had been nauseous the night before and did not feel well, then awoke 2 hours prior with chest pain.She had had a completely normal angiogram 3 months prior.Here is that angiogram report:The left main coronary artery is normal.Left anterior descending is a type 3 vessel and is normal.Left circumflex is nondominant and normal.The right coronary artery is dominant and normal.The nurses immediately recorded an ECG. This was 2 hours after the o...
Source: Dr. Smith's ECG Blog - May 29, 2018 Category: Cardiology Authors: Steve Smith Source Type: blogs
MKSAP: 41-year-old woman with burning epigastric and chest pain
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.
A 41-year-old woman is evaluated in follow-up after presenting to the emergency department 1 week ago for burning epigastric and chest pain. In the emergency department, a complete blood count and liver chemistry studies were normal, but a radiograph of the chest and upper abdomen demonstrated calcified gallstones. The pain resolved with administration of a liquid antacid, and omeprazole was started. The pain had been present intermittently for approximately 6 months prior to the emergency department visit. It o...
Source: Kevin, M.D. - Medical Weblog - April 7, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/mksap" rel="tag" > mksap < /a > Tags: Conditions Gastroenterology Source Type: blogs
“ Rice ” Pudding
Every once in a while, I missing having some rice pudding.
Even though rice does not contain a damaging prolamin protein like the gliadin protein in wheat or the zein in corn, it still contains a mixture of unhealthy components. Wheat germ agglutinin, for instance, the very same protein in wheat, is also in rice, ready to exert its gastrointestinal toxic effects such as direct inflammatory injury to the intestinal lining, blocking the hormone cholecystokinin and thereby causing bile stasis that leads to gallstones, and blocking release of pancreatic enzymes and thereby disrupting the process of normal digestion. Rice also ...
Source: Wheat Belly Blog - March 30, 2018 Category: Cardiology Authors: Dr. Davis Tags: Recipes Wheat Belly Lifestyle Cauliflower gluten-free grain-free low-carb Source Type: blogs
Uncontrollable itching – the denouement
The emergency department ordered a CT scan that showed a dilated common bile duct, no pancreatic masses, a mass in the duct – stone versus other.
Twelve hours after admission, he developed a temperature of 101 and a repeat CBC showed an elevated WBC with left shift.
Therefore, GI did an ERCP the next day – revealing a large gallstone – not easily removable. The placed a stent and drained pus.
So this man had painless jaundice from a common duct stone.
As an intern in 1976 I had a patient with ascending cholangitis. His internist told me that he had pancreatic cancer, but had declined surgery. In 197...
Source: DB's Medical Rants - March 21, 2018 Category: Internal Medicine Authors: rcentor Tags: Medical Rants Source Type: blogs
Uncontrollable itching – part II
As we heard the history we stopped, prior to hearing the exam and labs, and developed a differential diagnosis. With the combination of itching, probable jaundice and pale stools we assume either intrahepatic or extrahepatic obstruction. Our differential diagnosis with commentary:
Primary biliary cirrhosis – much more common in women then men – but does often present at this age with uncontrollable itching
Primary sclerosing cholangitis – no history of ulcerative colitis or diarrhea symptoms, but still possible
Gallstone – not all common duct stones cause pain
Cholangiocarcinoma – ...
Source: DB's Medical Rants - March 20, 2018 Category: Internal Medicine Authors: rcentor Tags: Medical Rants Source Type: blogs
