MKSAP: 27-year-old pregnant woman with hypothyroidism
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.
A 27-year-old woman is evaluated during the fourth week of an uneventful pregnancy. She has a 3-year history of primary hypothyroidism due to Hashimoto thyroiditis that is treated with levothyroxine, 125 µg/d. She also takes prenatal vitamins and iron sulfate.
On physical examination, temperature is 37.1 °C (98.8 °F), blood pressure is 128/80 mm Hg, pulse rate is 95/min, and respiration rate is 18/min and regular; BMI is 25. She has a mild fine hand tremor. Lung, cardiac, and skin examination findings are norm...
Source: Kevin, M.D. - Medical Weblog - May 11, 2013 Category: Family Physicians Tags: Conditions Endocrinology OB/GYN Source Type: blogs
How Fasting Impacts Hypothyroidism
Choosing to utilize a dietary fasting plan, I've found that I feel healthier but may have changes to my thyroid levels that I was not expecting. Here is what I've learned in my research.Contributor: Christine CadenaPublished: May 02, 2013 (Source: Most Recent Health Wellness - Associated Content)
Source: Most Recent Health Wellness - Associated Content - May 2, 2013 Category: Other Conditions Source Type: blogs
Wormian Bones-Causes
Intrasutural ossicles in lambdoid, posterior sagittal, temporosquamosal sutures; normal up to 6 months of age
Mnemonic: PORK CHOPS
Pyknodysostosis
Osteogenesis imperfecta
Rickets in healing phase
Kinky hair syndrome
Cleidocranial dysostosis
Hypothyroidism / Hypophosphatasia
Oto-palato-digital syndrome
Primary acroosteolysis (Hajdu-Cheney) / Pachydermoperiostosis / Progeria
Syndrome of Down
From Sumer's Radiology Site http://www.sumerdoc.blogspot.com -The Top Radiology Magazine. Teleradiology Providers at www.teleradproviders.com Mail us at sales@teleradproviders.com (Source: Sumer's Radiology Site)
Source: Sumer's Radiology Site - April 19, 2013 Category: Radiologists Authors: Sumer Sethi Source Type: blogs
Who Will Keep Them Safe?
I’m honored to introduce you to Laddie (@MNAZLaddie on Twitter). When the weather here in Minneapolis is nice, she lives here. The other 11 months of the year she migrates to more a more hospitable climate in Arizona. Okay, I was kidding about the 11 months thing, the weather is beautiful here for 5 or 6 months (most years).
She has been such a huge support and inspiration for me, so when she asked if I’d be willing to share a guest post from her I agreed without hesitation. With great pleasure, here she is!
Type 1 Diabetes and My Day on April 15
Almost every time I have two glasses of wine, I convince myself...
Source: Scott's Diabetes Blog - April 16, 2013 Category: Diabetes Authors: Scott K. Johnson Tags: Blog Posts Jennifer Christensen Kerri Sparling Laddie Mike Durbin My Sweet Bean and Her Pod Ubergeek & Denise Source Type: blogs
And sometimes a good history and physical exam can save money
The woman told us that she had had severe abdominal and flank pain for over 2 months. When asked, she rated the pain as 6-9 out of 10. She had no GI symptoms and no urinary symptoms. She had not had a menstrual period for 4 years, yet she was not yet 40. Her approximate BMI was 50.
She recently had a classic emergency department evaluation at another hospital, exam, labs and imaging (CT and ultrasound) with no abnormalities found. When she came to our ER they found that her diabetes mellitus (known for 3 years) was poorly controlled, and that her TSH was almost 50 (known hypothyroidism, but no...
Source: DB's Medical Rants - April 6, 2013 Category: Health Medicine and Bioethics Commentators Authors: rcentor Tags: Medical Rants Source Type: blogs
Lyme Disease
Pathophysiology of Lyme Disease
Lyme disease is an
1) infection with Borrelia burgdorferi via tick bite
2) previous thinking held tick vector was Ixodes but transmission is now thought by some experts to be possible with additional tick species
3) occurs in stage I and stage II days to weeks after infection and in stage III months to years after infection (usually with preceding latency period
Signs and Symptoms
Stage I
1) characteristic expanding annular rash with central clearing (“bull’s eye or “target” rash) that occurs in only 40% of infections
Stage II
2) multiple secondary annular skin lesio...
Source: Inside Surgery - March 19, 2013 Category: Surgeons Authors: Editor Tags: Infectious Disease babesia bulls eye rash coinfections deer tick erythema migrans hyperbaric ixodes target rash Source Type: blogs
Media Bias Skews Message
By Jan Chait
It was all the rage two or three weeks ago. Bioethicist Daniel Callahan, senior research scholar and president emeritus of The Hastings Center, had determined that fat people needed to be shamed into losing weight. After all, it worked for smokers.
In a blog entry I wrote about it, I noted that I tried to access the original article he wrote for The Hastings Center, “Obesity: Chasing an Elusive Epidemic,” but was unsuccessful. So I quoted from an article in The Huffington Post.
I should have known better. I should have looked harder for the original article and not written anything without reading ...
Source: Diabetes Self-Management - February 19, 2013 Category: Diabetes Authors: Jan Chait Source Type: blogs
Subclinical Hypothyroidism and the Heart
Everyone knows that hypothyroidism - the condition in which the thyroid gland is not producing enough thyroid hormone - negatively impacts the heart. But evidence is accumulating that a lesser known - and less often recognized - thyroid condition called subclinical hypothyroidism may also increase the risk of cardiac disease. In subclinical hypothyroidism, the thyroid gland is in fact producing a "normal" amount of thyroid hormone - but it has to work extra hard to do so....Read Full Post (Source: About.com Heart Disease)
Source: About.com Heart Disease - February 14, 2013 Category: Cardiology Source Type: blogs
USMLE Questions – Characteristic Disease Findings
The United States Medical Licensing Examination (USMLE) is designed to emphasize knowledge of clinical scenarios and clinical pearls, even on Step I. Listed below are some commonly encountered disease findings and characteristics.
Feature
Disease
45, X chromosome
Turner’s syndrome
5-HIAA increased in urine
Carcinoid syndrome
Aganglionic rectum
Hirschsrpung’s disease
Apple-core sign on barium enema
Colon cancer
Arched back (opisthotonos)
Tetanus
Argyll-Robertson pupil
Syphilis
Ash leaf on forehead
Tuberous sclerosis
Auer rods
Acute myelogenous leukemia
Austin Flint murmur
Aortic regurgitation...
Source: Inside Surgery - January 18, 2013 Category: Surgeons Authors: Editor Tags: Surgpedia USMLE diseases findings VMA water hammer pulse Source Type: blogs
Nutritional supplements in the wake of wheat elimination
Consumption of modern wheat distorts health at many levels. Remove wheat, like removing a splinter that makes your finger hot, sore, and open to infection, and the body needs to readjust to this new lifestyle.
There are a number of strategies to consider to accelerate the adjustment. And there are other strategies worth considering that help recover overall ideal health. This last item, of course, is a huge issue, but there are several basic efforts that provide outsized benefits.
Among the issues/strategies to consider:
Bowel health
Remove this great disrupter of normal bowel flora called modern wheat and you need to tra...
Source: Wheat Belly Blog - January 12, 2013 Category: Cardiology Authors: Dr. Davis Tags: Wheat withdrawal Source Type: blogs
Q/A – Am I in depression denial? Read explanation?
You guys might also have this question so I’m posting it here with a good answer too. It comes from ‘Audie89′ who asks:
I’m 22 years old, and until I was 18…my social skills were painfully awkward. Finally, however, I came out of my shell. I got into the nightclub/rave scene and began working as a promoter for the biggest nightclub in the US while attending a university. I had tons of friends, I dated some gorgeous girls, and I loved going out and having a good time. Life was good. After 1 1/2 years, however, I started getting into prescription painkillers (namely oxycodone). I was in wa...
Source: Addiction Recovery Blog - January 10, 2013 Category: Addiction Authors: Addiction Recovery Author Tags: Opiate Treatment Source Type: blogs
The 411 on Diabetes + Thyroid Disease
My dad has hypothyroidism, as does my grandmother. For my whole life, my dad has taken a tiny little pill every morning to make sure his metabolism functions properly. I always thought that compared to diabetes, thyroid disease wasn't very "seri... (Source: Diabetes Mine)
Source: Diabetes Mine - January 26, 2012 Category: Endocrinology Authors: Allison Blass Source Type: blogs
