Pulmonary embolism severity index – Cardiology MCQ
100 Points on the pulmonary embolism severity index (PESI) would be classified as:
a) Class I
b) Class II
c) Class III
d) Class IV
Correct answer: c) Class III
Class III has a 3.1% 30 day mortality risk and has points in the range of 86-105 points. Class I with less than <65 points has virtually no 30 day mortality risk while Class V with over 125 points has 24.4% 30 day mortality risk.
Parameters considered for risk stratification are age, male gender, history of cancer, history of heart failure, history of chronic lung disease, pulse rate above 110/min, systolic blood pressure below 100 mm Hg, respiratory rate of 30 o...
Source: Cardiophile MD - August 30, 2016 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiology Cardiology MCQ DM / DNB Cardiology Entrance Featured Source Type: blogs
A miracle in the intensive care unit
She fit into the palm of his hand. That long nine months. Waiting desperately for that baby they thought they could never have.
Jeff, football player from his high school days, met the love of his life, Bridget, at the school party. She was smart and beautiful; Jeff was big and burley, but as kind and gentle as a kitten. They hung out through their college days.. And finally said their “I do’s.”
Within a few years, they tried and tried to have a baby. Year after year, MD after MD. And finally, Bridget was pregnant.
Her water ruptured, a little too early, and Jeff drove her frantically to the hospital. Two...
Source: Kevin, M.D. - Medical Weblog - August 12, 2016 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/debbie-moore-black" rel="tag" > Debbie Moore-Black, RN < /a > Tags: Conditions Heart Infectious disease Source Type: blogs
A Case of Chordoid Glioma of the Third Ventricle
A man in his sixties presented with disequilibrium and hypothermia.A 34 x 28 mm well-circumscribed 3rd ventricular massChordoid architecture with myxoid backgroundAdmixed plasma cells are characteristicChordoid Glioma, WHO grade II (Source: neuropathology blog)
Source: neuropathology blog - August 8, 2016 Category: Radiology Tags: neoplasms Source Type: blogs
The Biochemistry of Mammalian Hibernation as a Possible Basis for Therapies
Researchers are attempting to understand the biochemistry of limb and organ regeneration, exceptional cancer resistance, and hibernation in a number of species in order to see whether they can form the basis for therapies or enhancements in humans. Here, hibernation is the focus:
Novel adaptations discovered in hibernating animals may reveal ways to mitigate injuries associated with strokes, heart attacks and organ transplants. A person typically takes a long time to recover from cardiac surgery or organ transplant. This is in part because organ tissue is damaged when blood flow ceases or is reduced when a heart s...
Source: Fight Aging! - June 24, 2016 Category: Research Authors: Reason Tags: Daily News Source Type: blogs
A Perfect Resuscitation Saves a Patient with Refractory Ventricular Fibrillation
This was contributed by Dr. Johanna Moore, one of my Hennepin Colleagues who researches CPR, along with Keith Lurie and Demetris Yannopoulos. She translated her research knowledge into a spectacular resuscitation.Case A 54 year old male presented via ambulance to the Emergency Department (ED) in cardiac arrest. He was found down outside a clinic, where bystander CPR was initiated by clinic staff. The amount of down time was unclear but thought to be minimal as this was a high traffic pedestrian area. He received an estimated 5 minutes of manual CPR, then, after medic arrival, 20 minutes of LUCAS CPR, including u...
Source: Dr. Smith's ECG Blog - April 16, 2016 Category: Cardiology Authors: Steve Smith Source Type: blogs
DM / DNB Cardiology Entrance Mock Test 25
Please wait while the activity loads. If this activity does not load, try refreshing your browser. Also, this page requires javascript. Please visit using a browser with javascript enabled.
If loading fails, click here to try again
Click on the 'Start' button to begin the mock test. After answering all questions, click on the 'Get Results' button to display your score and the explanations. There is no time limit for this mock test.
Start
Congratulations - you have completed DM / DNB Cardiology Entrance Mock Test 25.
You scored %%SCORE%% out of %%TOTAL%%.
Your performanc...
Source: Cardiophile MD - April 4, 2016 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiology MCQ DM / DNB Cardiology Entrance Featured Source Type: blogs
Research and Reviews in the Fastlane 124
This study, using skin tests, found that 0 out of 211 patients demonstrated cross-reactivity between penicillin and aztreonam. The authors recommend skin testing prior to administration and skin testing isn’t a perfect surrogate for a systemic reaction upon IV administration but the best evidence we have shows that cross-reactivity is highly unlikely.
Recommended by Anand Swaminathan
The Best of the Rest
Emergency medicine
Minneci PC et al. Effectiveness of Patient Choice in Nonoperative vs Surgical Management of Pediatric Uncomplicated Acute Appendicitis. JAMA Surg 2015:1-8. PMID 26676711
Surgeons at a ch...
Source: Life in the Fast Lane - March 3, 2016 Category: Emergency Medicine Authors: Soren Rudolph Tags: Dermatology Education Emergency Medicine Gastroenterology General Surgery Immunology Intensive Care Pediatrics Pharmacology Pre-hospital / Retrieval R&R in the FASTLANE Respiratory Resuscitation Toxicology Toxicology and Toxino Source Type: blogs
Customer service in health care: Does AIDET really work?
Mnemonics can be incredibly cool. When I was in medical school, there was just too much stuff to remember and memory aids were so very helpful. Most specifically I refer to the vile and inappropriate one that helped me remember the cranial nerves which I remember to this day and will not share in print.
In ancient times orators used memory palaces to memorize long speeches or poems, associating words with familiar and sometimes bizarre images. All this is to say that I have nothing against a good mnemonic. Lately though, as I have struggled to memorize a new acronym which is supposed to be good for me, I’ve been thin...
Source: Kevin, M.D. - Medical Weblog - February 1, 2016 Category: Journals (General) Authors: Janice Boughton, MD Tags: Physician Hospital Source Type: blogs
LITFL Review 217
Welcome to the 217th 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
How do we reach deep within to find empathy when we feel at our worst? By remembering the other side of the story, writes Phil Berry in his blog.“The trick at such times is to access the human in ourselves” [SO]
The Best of #FOAMed Em...
Source: Life in the Fast Lane - January 31, 2016 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs
DM / DNB Cardiology Entrance Mock Test 8
This study found that though it is often associated with coronary artery disease (CAD), it can also occur in those without significant CAD. It was not specifically associated with disease of right coronary artery disease.
This cardioinhibitory response may be a manifestation of the Bezold-Jarisch reflex. Bezold-Jarisch reflex inhibits sympathetic activity (sympathetic withdrawal) and increases parasympathetic activity, resulting in bradycardia, which may be associated with vasodilatation, nausea and hypotension. Bezold-Jarisch has been described in the setting of inferior wall infarction and coronary angiography. Origin...
Source: Cardiophile MD - January 26, 2016 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiology MCQ Cardiology X-ray Featured Source Type: blogs
European Neonatal Ethics Workshops (June 1-2, 2016)
Discussion facilitated by Dr S Babarao
Workshop 1: Advanced CommunicationWorkshop 2 Simulated Cases for DiscussionWorkshop 3 Simulated Workshop
European Neonatal Ethics Conference – “Sharing Ethical Practice Together’’ June 2nd 2016
Ethical Principles in Neonatal Care Professor Dominic Wilkinson
Should parents’ ability to take care of the child be taken into account in decision-making about treatment in the NICU?Dr Sofia Moratti
Shared decision-making in the NICU and PICU. Theory vs PracticeDr Mirjam De Vos
Ethical dilemmas in the NICU in developing countries P...
Source: blog.bioethics.net - January 25, 2016 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care medical futility blog syndicated Source Type: blogs
DM / DNB Cardiology Entrance Mock Test 5
Please wait while the activity loads. If this activity does not load, try refreshing your browser. Also, this page requires javascript. Please visit using a browser with javascript enabled.
If loading fails, click here to try again
Click on the 'Start' button to begin the mock test. After answering all questions, click on the 'Get Results' button to display your score and the explanations. There is no time limit for this mock test.
Start
Congratulations - you have completed DM / DNB Cardiology Entrance Mock Test 5.
You scored %%SCORE%% out of %%TOTAL%%.
Your performance...
Source: Cardiophile MD - January 20, 2016 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiology MCQ DM / DNB Cardiology Entrance Featured Source Type: blogs
Research and Reviews in the Fastlane 114
This article reviews techniques, indications, contraindications and complications of VV and VA ECMO. A literature review of ECMO in poisoned patients is also included.
Recommended by: Meghan Spyres
Critical CareMadhuri S. Kurdi et al. Ketamine: Current applications in anesthesia, pain, and critical care. Anesth Essays Res 2014; 8(3): 283–290. PMID: 25886322
A nice review article on the use of ketamine in the field of anesthesia, pain, palliative care, intensive care and procedural sedation. Based on at quite extensive literature search this paper highlights Ketamine’s current evidence based use as well as ...
Source: Life in the Fast Lane - December 23, 2015 Category: Emergency Medicine Authors: Nudrat Rashid Tags: Education Neurosurgery Respiratory Resuscitation Trauma Emergency Medicine Intensive Care R&R in the FASTLANE critical care examination LITFL R/V research and reviews recommendations Source Type: blogs
Sinus Bradycardia on ECG
Sinus bradycardia is characterised by regular P waves preceding every QRS complex, at a rate below 60 per minute. P wave originating from the sinus node is usually upright in inferior leads (II, III and aVF).
Important causes of sinus bradycardia
Sinus bradycardia can be seen in vagotonic states like athlete’s heart [1] and in raised intracranial tension. Another common cause is suppression of the sinus node by beta blockers. In early stages of inferior wall myocardial infarction, sinus bradycardia is often observed [2]. Sinus bradycardia also occurs during vasovagal syncope. Hypothyroidism is another important cause of...
Source: Cardiophile MD - December 6, 2015 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: ECG / Electrophysiology Alcohol induced sinus bradycardia athlete's bradycardia Ictal sinus bradycardia Source Type: blogs
Waves in an Electrocardiogram
The usual waves in an electrocardiogram are P, QRS and T waves. P waves represents depolarisation of the atria. QRS represents the depolarisation of the ventricles. T wave is due to ventricular repolarisation. The repolarisation wave of the atria is not usually visible on the surface electrocardiogram. If present, it is known as the Ta wave. The extend of Ta wave includes the PR segment, QRS and early part of the ST segment. Prominent Ta wave contributes to the upsloping ST depression sometimes seen during treadmill exercise test.
In addition to these certain waves occur in abnormal situations. A delta wave appears in pre-...
Source: Cardiophile MD - December 6, 2015 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: ECG / Electrophysiology Source Type: blogs
