Reduce the chance that you will be harmed by an incidentaloma
Mrs. Smith (not her real name) fidgeted in her chair in my examination room as I scanned the radiology report she had given me. She had visited the emergency room the previous evening with severe abdominal pain that had eventually been diagnosed as gastritis, or swelling of the stomach lining due to a virus. During her evaluation, the ER physician had ordered a CT scan of her abdomen and pelvis. Although Mrs. Smith’s liver and intestines appeared normal, the radiologist had noted a tiny mass on one of her kidneys.
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Source: Kevin, M.D. - Medical Weblog - April 18, 2013 Category: Family Physicians Tags: Physician Emergency Radiology Source Type: blogs
Diagnosed with Hiatus Hernia, Acid Reflux, and Gastritis, Where Do I Go from Here, and What Does All This Mean?
I am twenty seven years old and have recently had problems with bloating, constipation, blood in my stool, and belching.Contributor: Jessica BroussardPublished: Apr 17, 2013 (Source: Most Recent Health Wellness - Associated Content)
Source: Most Recent Health Wellness - Associated Content - April 17, 2013 Category: Other Conditions Source Type: blogs
Peptic Ulcer Disease
Pathophysiology of Peptic Ulcer Disease
1) peptic ulcer disease is marked by a break in mucosal lining of stomach and duodenum
2) main causes are infection with Helicobacter pylori and use of NSAIDs
Signs and Symptoms
1) burning epigastric pain relieved by antacids and eating
2) epigastric pain causing patient to wake up in the middle of the night
3) chest pain mimicking angina
4) epigastric tenderness
5) gastrointestinal bleeding (15%) with coffee-ground emesis or vomiting bright red blood or lower gastrointestinal bleeding
6) perforation (8%) with peritonitis and rigid abdomen
7) duodenal obstruction (3%) with nausea and...
Source: Inside Surgery - February 24, 2013 Category: Surgeons Authors: Editor Tags: Gastroenterology Source Type: blogs
Doctors Prescribe, Pharmacists Dispense, Patients Suffer
Spotted in LKS’ blog
by Product Of The System
Real Life Scenario
Madam Ong is a 52-year-old lady with a twelve-year-history of hypertension and diabetes. She complained of generalised lethargy, lower limb weakness, swelling and pain. She brought along her cocktail of medications for my scrutiny. Her regular medications included the oral antidiabetics metformin and glicazide and the antihypertensives amlodipine and irbesatan. Madam Ong also had a few episodes of joint pains three months ago for which she had seen two other different doctors. The first doctor suspected rheumatoid arthritis and started her on a short co...
Source: Malaysian Medical Resources - January 4, 2013 Category: Health Medicine and Bioethics Commentators Authors: palmdoc Tags: - Ethics - Guest - Nation Dispensing doctors MOH Pharmacists Source Type: blogs
Tincture of time
No one chooses emergency medicine for continuity of care. It's undoubtedly rewarding for most doctors to help manage patients through growth or disease, but the emergency physician doesn't get the chance to appreciate a patient's development over time.Until now.Electronic health records at my institution now give us over 9 years of continuity. Even when I'm just meeting a patient for the first time, I can look back and see their first visit to the pediatric ED for asthma, the appendectomy from a few years ago, the gastritis visit during college break that may or may not have been related to alcohol.For older patients, I ca...
Source: Blogborygmi - December 31, 2012 Category: Emergency Medicine Doctors Authors: Nick Genes Source Type: blogs
Minimal Reporting Guidelines for the Treatment of Cancer Patients
Minimal Reporting Guidelines for the Treatment of Cancer Patients As laboratory physicians, our contribution to patient care is knowledge: this is the starting point from which all informed therapeutic intervention proceeds. How that knowledge is obtained and communicated is the art and science of our profession. These minimal diagnostic guidelines are designed to be used as an aid, not a constraint, in that process. The guidelines are presented in a specific format out of necessity, but any format that effectively communicates the necessary information in a given patho...
Source: Oncopathology - September 5, 2011 Category: Cancer & Oncology Source Type: blogs
Fourth time's a charm? It better be.
About 2 weeks ago (June 8th) I had my first formal visit with the spine surgeon, along with a medical resident on the surgical team. The conversation was sobering. They admitted that it could be possible to improve my quality of life with another spinal fusion surgery. But, they said, the procedure would be a true challenge for them and the risks would be great for me. There are many factors to consider before surgery even begins, but first… what would they do in the actual surgery?
Step 1: Make an incision on my (most likely) right side, across the ribs and under the arm.
Step 2: Crack a rib or two open (to make roo...
Source: Cancer, life, and me - June 22, 2011 Category: Cancer & Oncology Authors: Chris Tags: General Source Type: blogs
