Coronary artery disease: Primary care and prevention – 2
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Check for differential diagnosis
Some of the important differential diagnosis in the case of acute coronary syndrome are acute pulmonary embolism, aortic dissection, pneumothorax, esophageal disease, perforated peptic ulcer, cholecystitis, gastritis and sometimes even Herpes Zoster of left thoracic region in pre-eruptive phase. A good history, physical findings and sometimes time are needed for an accurate differential diagnosis. Checking for asymmetry of peripheral pulses is often resorted to for excluding aortic dissection, though it may still miss an aortic dissection sparing the branches as in descending thora...
Source: Cardiophile MD - December 18, 2016 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiology Source Type: blogs
Lynn’s facial redness gone in 3 days on the Wheat Belly Detox!
Lynn shared her “before” and “during” photos, just 3 days into her Wheat Belly 10-Day Detox experience.
“This is how much my skin redness has calmed since starting my Wheat Belly Detox 3 days ago. I was always getting asked if my blood pressure was up. I have always had great blood pressure, so that was never the issue. However, I never understood why my face would get red like this. Then I noticed it was especially after I ate.
“The ‘before’ pic was taken during Christmas time, therefore the redness isn’t from sun but from the wheat and grains. Also both pics are witho...
Source: Wheat Belly Blog - April 8, 2016 Category: Cardiology Authors: Dr. Davis Tags: Wheat Belly Lifestyle facial change gluten grains Inflammation redness skin Source Type: blogs
Primary care doctors are specialists in diagnostics
Every primary care physician has had this experience: We refer a patient to a cardiologist, pulmonologist or gastroenterologist and get a note back that says our patient’s symptoms are not cardiac, pulmonary or GI related. “Not my department,” in essence.
Medical specialties are organized by organ or organ system, and not by symptom. This really leaves primary care doctors in the default role of being specialists in diagnostics. I often say to patients with poorly localized symptoms: “Once we know what body part is causing your symptoms, we can get help from a specialist in that organ system, but until then, it’s...
Source: Kevin, M.D. - Medical Weblog - January 17, 2016 Category: Journals (General) Authors: A Country Doctor, MD Tags: Physician Primary care Source Type: blogs
A drug to treat a drug to treat a drug . . .
Stacy shared her story of wheat- and grain-free success after experiencing the all-too-common disaster called modern healthcare.
“I had been having gastrointestinal problems off and on for quite a while (a year or so). I would have days where I could barely function. Since I am a middle-aged woman, I kept thinking it was a combination of hormonal issues and ‘something I ate’–turns out it was! On June 22nd, everything came to a head and I was absolutely miserable. Long story short, the EGD showed I had gastritis and my scans and colonoscopy confirmed I had ileitis. The gastroenterologist put me on N...
Source: Wheat Belly Blog - October 3, 2015 Category: Cardiology Authors: Dr. Davis Tags: Wheat Belly Lifestyle colitis gastritis gluten grains ileitis Source Type: blogs
Point of view, November 26, 2004
What ever happened to being responsible for yourself...owning up to your actions and mistakes, and holding yourself accountable for the circumstances of your own life? Sometimes I wonder, would people think I'm the most insensitive, uncompassionate, heartless doctor if they were privy to the ramblings of my internal monologue?At King we have lots of traveling nurses. Mostly I welcome their presence because they bring "new insight" that lots of the native King nurses lack. Yesterday RN Wendell told me that I was one of the best doctors he'd come across in his travels. Other staff frequently gives me similar compliments...an...
Source: EM Physician - Backstage Pass - September 8, 2015 Category: Emergency Medicine Authors: Taylor Source Type: blogs
Funtabulously Frivolous Friday Five 115
Just when you thought your brain could unwind on a Friday, you realise that it would rather be challenged with some good old-fashioned medical trivia…introducing Funtabulously Frivolous Friday Five 115
Question 1
Dr Jerri Nielsen FitzGerald ran into trouble when she was stationed in Antarctica in 1999. What condition did she face and had to treat herself for?
+ Reveal the Funtabulous Answer
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Breast cancer.
Dr Fitzgerald had to perform a biopsy with the help of non-medical staff, and treated herself with chemothera...
Source: Life in the Fast Lane - September 4, 2015 Category: Emergency Medicine Authors: Niall Hamilton Tags: Frivolous Friday Five appendicitis breast cancer dr Beecher Dr Jerri Nielsen FitzGerald FFFF Forssman morphine pink lady placebo saline vibrations Source Type: blogs
How NOT to have irritable bowel syndrome (IBS)
Irritable bowel syndrome, or IBS, affects 10-20% of the population. People struggle with unexplained bloating, abdominal discomfort, and inconvenient and embarrassing bowel urgency, having to empty their bowels unexpectedly. Some also struggle with intermittent constipation, as well. It turns something that should be subconscious, predictable, and serene into a nightmare.
The typical medical evaluation involves endoscopy and colonoscopy, since procedures, whether necessary or not, pay gastroenterologists well, performed under the guise of ruling out cancer. When they find nothing or only minor findings, such as mild gast...
Source: Wheat Belly Blog - January 11, 2015 Category: Cardiology Authors: Dr. Davis Tags: Wheat Belly Lifestyle gluten grains irritable bowel syndrome Source Type: blogs
A Trek through Nepal
By Chris Stodard, MD, and Steve Tanner, MD
April 5: Today is the first day of camp and clinic. We started the day off with a lecture for the local health care workers, and then set our sights on taking care of patients. They were already lining up two hours before we opened our doors. The villagers have not had access to this type of health care for more than a year. The most rewarding experience we had today was with a patient who had a febrile seizure. The patient’s mother was panicking but felt much better and thanked us after we were done. Multiple patients had musculoskeletal complaints and upper respiratory sy...
Source: Going Global - October 2, 2014 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
A Trek through Nepal
By Chris Stodard, MD, and Steve Tanner, MD
April 5: Today is the first day of camp and clinic. We started the day off with a lecture for the local health care workers, and then set our sights on taking care of patients. They were already lining up two hours before we opened our doors. The villagers have not had access to this type of health care for more than a year. The most rewarding experience we had today was with a patient who had a febrile seizure. The patient’s mother was panicking but felt much better and thanked us after we were done. Multiple patients had musculoskeletal complaints and upper respiratory symp...
Source: Going Global - October 2, 2014 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Father Jailed For Life Without Parole After His 12 Week-Old Daughter Died After Receiving 8 Vaccinations!
Conclusion
Despite Marrie’s obvious concerns that her daughter may have suffered from possible vaccine injuries, vaccines were the last things on anyone’s mind when it came to charging and sentencing Mr. Sanders. In fact, absolutely no expert witnesses from any field of medicine was asked to give evidence in Mr. Sanders’ defense. This case was completely one-sided, hinging on weak, flimsy evidence, all of which was completely circumstantial.
The only way that this prosecution team could know for sure that Mr. Sanders shook his baby daughter to death would have been video evidence or a credible eyewitness ...
Source: vactruth.com - January 16, 2014 Category: Health Medicine and Bioethics Commentators Authors: Christina England Tags: Christina England Top Stories multiple vaccinations Shaken Baby Syndrome (SBS) Vaccine Death vaccine injury vitamin C deficiency Source Type: blogs
Another STEMI in a Young Person with no CP or SOB: Why We Should Record an ECG for Unexplained Nonspecific Symptoms
There are many interesting facets to this case. I have highlighted the clinical factors over the ECGs, but the ECGs are very instructive as well: even after successful PCI with good (TIMI-3) in the epicardial coronary artery, there are ECG signs of poor microvascular perfusion. CaseA 31 year old male. No known past medical history. No cardiac risk factors.Here is a great medical student history:The patient presents to the ED with a complaint (through an interpreter) of a sore and itchy throat which led to feelings of generalized body pains that the patient describes as "cold pains" and feeling ...
Source: Dr. Smith's ECG Blog - November 18, 2013 Category: Cardiology Authors: Steve Smith Source Type: blogs
Take Me Out to the Ballgame
A 31-year-old man presented to the ED with syncope. He was previously healthy, takes no medications, and had run a marathon the day before. He was riding the light rail home from a baseball game when he developed vague 4/10 epigastric abdominal pain associated with nausea and diaphoresis. He remembers feeling lightheaded and flushed before momentarily passing out.
His wife said he became quite pale immediately beforehand. He did not have any headache, chest pain, or shortness of breath before or after the syncopal episode. He has a significant family history of premature coronary artery disease. He had normal vital signs...
Source: Spontaneous Circulation - October 11, 2013 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Take Me Out to the Ballgame
A 31-year-old man presented to the ED with syncope. He was previously healthy, takes no medications, and had run a marathon the day before. He was riding the light rail home from a baseball game when he developed vague 4/10 epigastric abdominal pain associated with nausea and diaphoresis. He remembers feeling lightheaded and flushed before momentarily passing out.
His wife said he became quite pale immediately beforehand. He did not have any headache, chest pain, or shortness of breath before or after the syncopal episode. He has a significant family history of premature coronary artery disease. He had normal vital signs ...
Source: Spontaneous Circulation - October 11, 2013 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Gastritis + Cervical spondylosis = Classical Angina
Spinal cord is a busy neurological highway to brain .It runs 24/7 non stop with unlimited horizontal and vertical lanes .It is such a compact structure , it can easily get confounded when multiple signals converge, diverge, summate , deduct , reflect back, or cancel out .
A 64 year old women came to me for second opinion regarding chest pain . A cardiologist had just adviced her an emergency coronary angiogram and also suggested she may require an urgent PCI as well .
I listened to her history in my office . . . In her own words .
Doctor , I am getting...
Source: Dr.S.Venkatesan MD - June 27, 2013 Category: Cardiology Authors: dr s venkatesan Tags: cardaic physiology cardiac physiology Cardiology - Clinical Clinical cardiology atypical chest pain angina classical angina differential diagnosis for chest pain gastrits and cervical spondylosis equals angian Source Type: blogs
