Legally High
A 24-year-old is brought to the emergency department by EMS after being found altered outside a fast food restaurant talking to inanimate objects. Initial vital signs on arrival include a blood pressure of 145/92 mm Hg, heart rate of 126 bpm, respiratory rate of 22 bpm, temperature of 98.4°F, and pulse oximetry of 100% on room air.
The patient is awake, alert, but oriented x 0. He is tachycardic, dry, flushed, and his mydriatic pupils measure 5 mm in diameter. The patient repeatedly was asking to go to the bathroom, and after multiple attempts, ultrasound was used to scan his bladder. It was determined that he had 500 ...
Source: The Tox Cave - December 1, 2015 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Test your medicine knowledge: 28-year-old man with recurrent headaches
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.
A 28-year-old man is evaluated for a 5-year history of recurrent headache that occurs several times per month and lasts 12 to 24 hours. He describes the headache as a bilateral frontal pressure associated with nasal congestion and sensitivity to light, sound, and smell. The pain is generally moderate in intensity but worsens when he bends forward or exercises and has caused him to miss 3 days of work recently. He has no nausea or visual or neurologic symptoms. The patient has a history of nonseasonal allergic rh...
Source: Kevin, M.D. - Medical Weblog - June 13, 2015 Category: Journals (General) Authors: mksap Tags: Conditions Neurology Source Type: blogs
LITFL Review 181
Welcome to the 181st LITFL Review. Your regular and reliable source for the highest highlights, sneakiest sneak peeks and loudest shout-outs from the webbed world of emergency medicine and critical care. Each week the LITFL team casts the spotlight on the blogosphere’s best and brightest and deliver a bite-sized chuck of FOAM.The Most Fair Dinkum Ripper Beauts of the Week Mel Herbert discusses “Why We Do Emergency Medicine” from Essentials of Emergency Medicine 2014. Powerful talk about what we do every day. [AS]The Intensive Care Network has a must-listen update from the legendary John Myburgh on fluid resuscita...
Source: Life in the Fast Lane - May 10, 2015 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs
Seasonal allergies: Resources
For many, spring time brings seasonal allergies. MedlinePlus has resources on the diagnosis, prevention and control of seasonal allergy symptoms, including tips on how to determine if you have a cold or allergies.
MedlinePlus: Hay Fever http://1.usa.gov/1jqELhm (Source: BHIC)
Source: BHIC - April 21, 2014 Category: Databases & Libraries Authors: Kate Flewelling Tags: Children and Teens Environmental Health General Source Type: blogs
Pollen!
Yew Pollen
So I was sitting on my bed on Sunday afternoon (oh all right, I was taking a nap…) and happened to glance out the open door into the garden, where I saw that our Japanese Yew bushes seemed to be smoking.
Really. Several times a minute, at random intervals and from different locations, little puffs of smoke were emanating from between the branches.
I was sure there was a fire, but a closer inspection revealed that this was no smoke. This was pollen, fine as smoke, bursting out of the small flower buds that had cropped up all over the bush this season.
Yew Pollen
As the seed pods open, they let out a fin...
Source: The Blog That Ate Manhattan - April 8, 2014 Category: Primary Care Authors: Margaret Polaneczky, MD Tags: Gardening evergreen male pollen smoke Yew Source Type: blogs
FDA approves first sublingual allergen extract
for the treatment of certain grass pollen allergies.
“The U.S. Food and Drug Administration recently approved Oralair to treat allergic rhinitis (hay fever) with or without conjunctivitis (eye inflammation) that is induced by certain grass pollens in people ages 10 through 65 years. Oralair is the first sublingual (under the tongue) allergen extract approved in the United States. After administration of the first dose at the health care provider’s office, where the patient can be observed for potential adverse reactions, Oralair can be taken at home.
…
“While there is no cure for grass pollen allergies, they ...
Source: BHIC - April 3, 2014 Category: Databases & Libraries Authors: Monica Rogers Tags: Environmental Health Public Health Source Type: blogs
Allergia Phototherapy Device for Hayfever Showed Positive Results in Pilot Trial
Hay fever, clinically known as seasonal allergenic rhinitis, is normally treated with meds. But they all have potential side effects and their optimal effectiveness can be lacking for many people. A new device from a company just coming out of stealth mode hopes to change that completely.
The Allergia device from Allergia Medical delivers bright light into the nostril with the hope of stopping the sneezing, congestion, and runny nose that plaques allergy sufferers. So far the device has been tested in a pilot study with 14 patients at the Asthma and Allergy Center of Chicago. The device was used for only six seconds per ...
Source: Medgadget - March 24, 2014 Category: Technology Consultants Authors: Editors Tags: Medicine Pediatrics Source Type: blogs
Studies Prove Without Doubt That Unvaccinated Children Are Far Healthier Than Their Vaccinated Peers
Conclusion
I find it amazing that despite mainstream media and leading government agencies stressing repeatedly that studies comparing vaccinated children to unvaccinated children cannot take place for ethical reasons, groups around the world are taking it upon themselves to do these studies anyway.
While surveys of this kind are often dismissed as being purely epidemiological and passed off as little more than stamp collecting, I believe that studies of this nature should not be dismissed out of hand. After all, many stamp collections contain just one stamp that is worth far more than its weight in gold.
These studies sho...
Source: vactruth.com - February 26, 2014 Category: Health Medicine and Bioethics Commentators Authors: Christina England Tags: Christina England Top Stories truth about vaccines vaccinated vs. unvaccinated Vaccine Safety Source Type: blogs
Vaccines, Depression, and Type-1 Diabetes—Going Beyond Your Doctor
CONCLUSIONS
As per doctor recommendation, I would receive flu shots, my children would continue to be vaccinated, I would live through the nightmare of antidepressants, and our daughter would receive uncontrollable amounts of insulin that caused frequent and potentially life-threatening side effects. Doctors can be dead wrong, partially right, and completely right in their diagnosis, analysis, and treatment recommendations. As per my own research and in consulting with experts, I will never receive a flu shot again, and my children will not be vaccinated again until independent studies proof safety and effectiveness of vac...
Source: vactruth.com - July 22, 2013 Category: Health Medicine and Bioethics Commentators Authors: Markus Heinze Tags: Markus Heinze Top Stories 5-hydroxytryptophan (5-HTP) Adverse Reaction Depression type-1 diabetes Source Type: blogs
Asthma drug Singulair linked to suicidality
Monday, 6 May 2013, 12:58 pm
Article: Martha Rosenberg
Asthma drug Singulair linked to suicidality
by Martha Rosenberg
May 6, 2013
World sales of Merck's blockbuster asthma drug, Singulair, were about $5 billion a year until last year when its patent expired in the United States. But the drug also has a darkening cloud over it. The Australian medicine watchdog has received 58 reports of adverse psychiatric events in children and teenagers taking Singulair since 2000 and reports have also surfaced in the US.
Singulair, a leukotriene receptor antagonist or LTRA, is one of several "add-on" asthma drugs that were debuted ...
Source: PharmaGossip - May 6, 2013 Category: Pharma Commentators Authors: insider Source Type: blogs
Does Having Allergies Reduce the Risk of Brain Cancer?
As anyone with seasonal allergies to tree pollen knows, allergy season has begun. Aside from the sneezing, itchy eyes, nasal congestion, and general sense of being ill, is there anything good about this springtime immune system dysfunction? I came across some evidence that might slightly relieve that annual sense of “suffering” – having allergies of any kind seems to reduce the risk of glioma, including malignant brain tumors, by up to 40%.
Asthma, eczema, and hay fever seem to all have this “protective” effect. Multiple observational, case-control studies have shown that allergic conditions a...
Source: The Examining Room of Dr. Charles - April 7, 2013 Category: Primary Care Authors: drcharles Tags: Uncategorized Source Type: blogs
Relief for Seasonal Allergies
Allergic rhinitis (often called hay fever) occurs when your immune system overreacts to particles in the air that you breathe—you are allergic to them. Your immune system attacks the particles, causing symptoms such as sneezing and a runny nose. Chronic sinusitis, which recurs or lasts longer than 12 weeks, can be caused by upper respiratory tract infection, allergies, deviated septum or other anatomical conditions, and fungi. Symptoms may include trouble breathing through the nose, headache, aching behind the eye area, tenderness in the cheeks, sinus congestion, nasal...
Source: Dr. Donna, MedicineWoman - February 23, 2009 Category: Medical Scientists Authors: Dr. Donna Tags: Integrative medicine Personal Health air pollution allergies allergy hay fever sinusitis Source Type: blogs
