Re: First line drug treatment for hypertension and reductions in blood pressure according to age and ethnicity: cohort study in UK primary care
(Source: BMJ Comments)
Source: BMJ Comments - December 8, 2020 Category: General Medicine Source Type: forums
Trials for ethnic pathophysiology based appropriate blood pressure treatments Re: First line drug treatment for hypertension and reductions in blood pressure according to age and ethnicity: cohort study in UK primary care
(Source: BMJ Comments)
Source: BMJ Comments - December 5, 2020 Category: General Medicine Source Type: forums
Idiopathic intracranial hypertension
Typical overweight female with classic symptoms. POCUS with large ONSD.
How many of you guys are doing the LP in the ER? Any evidence that this needs to be done emergently?
Do you admit for MRI/MRV?
Do you start them on acetazolamide before confirming dx? (Source: Student Doctor Network)
Source: Student Doctor Network - September 14, 2020 Category: Universities & Medical Training Authors: Bougiebuster Tags: Emergency Medicine Source Type: forums
Case discussion
Had a weird case about a month ago, curious to see what others would do, and differential diagnosis, investigative workup etc. Identifying details have been changed to protect confidentiality. I will start the post with all the details when I took over her care. I can post the autopsy results at the end.
This was a 77 year old woman, admitted with acute abdominal pain. PMHx of hypertension and gout, appy/chole. Living independently, married, non smoker, reasonably healthy lady. CT scan of...
Case discussion (Source: Student Doctor Network)
Source: Student Doctor Network - July 5, 2020 Category: Universities & Medical Training Authors: leviathan Tags: Critical Care Source Type: forums
High BAME COVID-19 Mortality - Ethnicity a Factor? – Yet: Cardiovascular Disease – Hypertension – Diabetes - were rare in 1920-60’s in Indigenous Africans – Vitamin D an underrated factor?
(Source: BMJ Comments)
Source: BMJ Comments - June 18, 2020 Category: General Medicine Source Type: forums
A curious case of chronic thromboembolic pulmonary hypertension, rheumatic heart disease, and nephropathy.
(Source: BMJ Comments)
Source: BMJ Comments - June 1, 2020 Category: General Medicine Source Type: forums
How did your aortic dissection cases present?
My mind is racing because I’ve seen two aortic dissections in the last week and I feel like I could have easily missed them had I been in a rush and not prodded during the history. Makes me cringe thinking about it.
First one was a 69 year old with hypertension. Sudden onset of chest pain when watching TV. With no other symptoms at all. The thing that tipped me off is he didn’t want to move. Moving hurt his chest. Breathing hurt his chest. Me pushing on his chest made him wince. Just didn’t...
How did your aortic dissection cases present? (Source: Student Doctor Network)
Source: Student Doctor Network - February 18, 2020 Category: Universities & Medical Training Authors: ERCAT Tags: Emergency Medicine Source Type: forums
Isolated Systolic Hypertension
Hello, there!
Our Therapeutics prof told us that "Isolated Systolic Hypertension" or ISH is somehow "more dangerous" than the Isolated Diastolic Hypertension and it is a more reliable predictor of the development of future cardio-vascular diseases.
Why's that?
Is it because during systole the heart is contracting and therefore it would "get tired" too much and too quickly if the blood pressure's high?
Thanks so much in advance! (Source: Student Doctor Network)
Source: Student Doctor Network - January 23, 2020 Category: Universities & Medical Training Authors: a_zed24 Tags: Medical Students - MD Source Type: forums
nodal relapse 9y after RP and PORT for prostatic carcinoma
75 years old patient, with controlled diabetes and hypertension, very fit.
he underwent in 2009, a radical prostatectomy followed 30 fractions of adjuvant 3D conformal radiation therapy to the prostatic bed only.
in 2018: PSA rise to 2.16
2019: PSA 2.16
Pet PSMA showed a 7 mm LN at the level of L4-5 secondary lesion, with no recurrence in the tumor bed, neither in bone or other LNs.
He was put on decapeptyl + casodex.
please vote the poll (Source: Student Doctor Network)
Source: Student Doctor Network - January 22, 2020 Category: Universities & Medical Training Authors: Kroll2013 Tags: Radiation Oncology Source Type: forums
Re: Hypertension in adults: summary of updated NICE guidance
(Source: BMJ Comments)
Source: BMJ Comments - November 20, 2019 Category: General Medicine Source Type: forums
Fever and undifferentiated abdominal pain - WWYD?
What would you do in this situation?
60 year old obese female with hypertension and hyperlipidemia comes in with a week of upper abdominal pain radiating into the chest and back, with lightheadedness, and today she developed a fever. No rash, cough, vomiting, diarrhea, blood in the stool or urinary symptoms. No recent travel or exposure to ill contacts with similar symptoms. History of a cholecystectomy and appendectomy years ago. No other surgeries. Initial vitals include a temperature of...
Fever and undifferentiated abdominal pain - WWYD? (Source: Student Doctor Network)
Source: Student Doctor Network - November 6, 2019 Category: Universities & Medical Training Authors: ERCAT Tags: Emergency Medicine Source Type: forums
Metabolic medicine?
I read that chemical pathologists can specialize in metabolic medicine. I just stumbled accross this yesterday and found it quite intriguing
My questions are:
What do you guys treat and do, typical work and patient contact?
All I hear its a relatively newer subspecialty and that they can treat any metabolic manifestations and are involved in parenteral nutrition. There's a fair amount of lab and patient contact which sounds cool.
Involved in treating diabetes, hypertension, obesity...
Metabolic medicine? (Source: Student Doctor Network)
Source: Student Doctor Network - October 11, 2019 Category: Universities & Medical Training Authors: Tman507 Tags: Pathology Source Type: forums
Re: Diagnosis and management of hypertension in pregnancy: summary of updated NICE guidance
(Source: BMJ Comments)
Source: BMJ Comments - September 25, 2019 Category: General Medicine Source Type: forums
Hypertension control in India
(Source: BMJ Comments)
Source: BMJ Comments - September 11, 2019 Category: General Medicine Source Type: forums
