Anorectal varices and hemorrhoids difference
Hey,
In portal hypertension, blood is shunted from the superior hemorrhoidal vein to the middle and inferior rectal veins.
However, Pathoma claims that the portosystemic shunts include hemorrhoids. Is this correct?
I mean, definition of hemorrhoids is dilated veins either above or below the dentate line. So it seems that anorectal varices just fall into this broad general category that is hemorrhoids. Can I reason this way or is this wrong? (Source: Student Doctor Network)
Source: Student Doctor Network - March 8, 2018 Category: Universities & Medical Training Authors: Lothric Source Type: forums
two resp questions
Hi -
1) Why does destruction of "lung parenchyma" in COPD lead to pulmonary hypertension? The way I am envisioning it, is that there is simply less tissue so the blood vessels have less resistance and should therefore NOT lead to hypertension. Perhaps you can paint a better picture for me.
2) Shunting increases the A-a gradient as mentioned in First Aid. I wanted to clarify and confirm with yall that they are talking about BLOOD SHUNTING (aka R to L shunt, specifically as seen in the...
two resp questions (Source: Student Doctor Network)
Source: Student Doctor Network - February 17, 2018 Category: Universities & Medical Training Authors: aashkab Source Type: forums
The seminal study: No enhanced risk of cancers with hypertension, reduced risk of cancers with higher cholesterol. Increased risk of cancer with Congestive cardiac failure needs to be added.
(Source: BMJ Comments)
Source: BMJ Comments - February 3, 2018 Category: General Medicine Source Type: forums
Magnesium C section
hi folks. had a patient with gestational hypertension (no evidence of proteinuria) who had Mg running as per OB service. pt was brought to the OR for fetal intolerance/decels. spinal was placed and by this time i had stopped the Mg infusion since i didn't think pt had preeclampsia and there was no need for seizure prophylaxis. anyways the OB was not happy i had stopped the infusion and told me that the patient was still high risk for seizures. i know this is true for pre-eclamptics but...
Magnesium C section (Source: Student Doctor Network)
Source: Student Doctor Network - January 18, 2018 Category: Universities & Medical Training Authors: jeesapeesa Source Type: forums
Prescription Pad Writing Software: Safety Measures
Prescription Pad Writing Software developed by CompuRx Infotech Pvt. Ltd. is having the ability to check for drug or brand safety in common conditions like pregnancy, lactation, children, elderly as well as in condition of liver insufficiency, renal insufficiency & pulmonary insufficiency. Safety check at individual disease level like in case of G6PD(40 drugs contraindicated), PORPHYRIA ( 223 drugs contraindicated ), HYPERTENSION, COPD etc. is also possible with this software....
Prescription Pad Writing Software: Safety Measures (Source: Student Doctor Network)
Source: Student Doctor Network - January 12, 2018 Category: Universities & Medical Training Authors: Compurx Source Type: forums
Pulmonary Hypertension Devices
So for pHTN we have:
inhaled NO
inhaled milrinone
inhaled Ilioprost (carbacyclin deriv of Pg I2)
inhlaed flolan (also PgI2 )
Does anyone have experience with the devices used to nebulise these in the OR. What do they look like? How to set up/troubleshoot?
The IV formulations are just on a regular pump - any other wisdom on these?
Thanks! (Source: Student Doctor Network)
Source: Student Doctor Network - November 18, 2017 Category: Universities & Medical Training Authors: Newtwo Source Type: forums
New 2017 HTN Guidelines
Link to PDF: 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults
Info/quick summary via APhA:
"High blood pressure is now defined as a reading of 130/80 mm Hg, according to the first new comprehensive...
New 2017 HTN Guidelines (Source: Student Doctor Network)
Source: Student Doctor Network - November 15, 2017 Category: Universities & Medical Training Authors: PharmDBro2017 Source Type: forums
Manage uncontrolled hypertension as ‘treatment failure’ before labelling patients with resistant hypertension
(Source: BMJ Comments)
Source: BMJ Comments - November 11, 2017 Category: General Medicine Source Type: forums
Re: Trends for prevalence and incidence of resistant hypertension: population based cohort study in the UK 1995-2015
(Source: BMJ Comments)
Source: BMJ Comments - October 5, 2017 Category: General Medicine Source Type: forums
Adjuvant RT for SCC of the vulva
Dear friends,
I have a 68 yo lady (diabetic and has hypertension) that was diagnosed of right vulvar SCC grade 1, pT1bpN0.
4cm lesion, 1cm Depth of invasion, no LVSI, all margins are negative > 8 mm except for urethral margin which is at 7 mm.
What do you do next:
1- observation
2- adjuvant RT to vulvar tumor bed only
3- adjuvant RT to pelvis only
4- adjuvant RT to pelvis and vulvar tumor bed
Ty
Sent from my iPhone using...
Adjuvant RT for SCC of the vulva (Source: Student Doctor Network)
Source: Student Doctor Network - August 31, 2017 Category: Universities & Medical Training Authors: Kroll2013 Source Type: forums
Re: The Dietary Approaches to Stop Hypertension (DASH) diet, Western diet, and risk of gout in men: prospective cohort study
(Source: BMJ Comments)
Source: BMJ Comments - July 6, 2017 Category: General Medicine Source Type: forums
Which is first: HF or HTN?
How to differentiate between:
1. Hypertension causing hypertrophy and eventual heart failure and congestion
and
2. congestive heart failure for another reason causing decreased renal blood flow and increased RAAS leading to HTN?
I came by a Q in UW (qid: 1532) where they show a patient presenting with CHF and HTN and ask about angiotensin II levels in his pulmonary veins.
The answer was increased, because the patient has scenario number 2.
What if it was scenario...
Which is first: HF or HTN? (Source: Student Doctor Network)
Source: Student Doctor Network - May 20, 2017 Category: Universities & Medical Training Authors: HighB Source Type: forums
Re: Dairy consumption, systolic blood pressure, and risk of hypertension: Mendelian randomization study
(Source: BMJ Comments)
Source: BMJ Comments - March 24, 2017 Category: Journals (General) Source Type: forums
