Quiz on statins
Short quiz on statins
Quiz on statins
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Question 1
Which of the following should not be combined with statin?
AFenofibrateBEz...
Source: Cardiophile MD - December 26, 2016 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiology Cardiology MCQ DM / DNB Cardiology Entrance Source Type: blogs
Elevated LDL cholesterol – Cardiology MCQ
Which of the following is not a cause for elevated LDL cholesterol ?
a) Pregnancy
b) Hyperthyroidism
c) Uncontrolled diabetes mellitus
d) Obesity
Correct answer: b) Hyperthyroidism
Hypothyroidism is associated with elevated LDL cholesterol and triglycerides. Cholesterol and triglycerides rise progressively through out pregnancy. It may be noted that treatment with statins, niacin and ezetimibe are contraindicated in pregnancy and lactation. Triglycerides are elevated in poorly controlled diabetes mellitus. Both triglycerides and cholesterol are elevated in obesity [1].
Reference
1. Stone NJ et al. 2013 ACC/AHA guidel...
Source: Cardiophile MD - December 1, 2016 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiology Cardiology MCQ DM / DNB Cardiology Entrance Source Type: blogs
Trial By Error, Continued: The New FITNET Trial for Kids
This reportorial conflict-of-interest was not disclosed in the BBC story itself.
(In fact, the Countess of Mar, a member of the House of Lords and a longtime advocate for ME/CFS patients, has filed a formal complaint with the BBC to protest its biased reporting on FITNET-NHS. In her complaint, she noted that “the BBC coverage was so hyperbolic and it afforded the FITNET trial so much publicity that it was clearly organised as a counter-punch to the anti-PACE evidence which is now gaining world-wide attention.”)
As a treatment for chronic fatigue syndrome, cognitive behavior therapy is grounded in an unproven hypothesis...
Source: virology blog - November 22, 2016 Category: Virology Authors: Vincent Racaniello Tags: Commentary Information CFS chronic fatigue syndrome FITNET-NHS Magenta study myalgic encephalomyocarditis PACE trial Source Type: blogs
9 Steps to Treat Depression Naturally
Ever since I started an online community for treatment-resistant depression — depression and anxiety that don’t respond to psychotropic medications — I’ve been inundated with mail from desperate people who have tried 30 to 40 different kinds of antidepressants, and feel no relief. I repeatedly hear from family members of folks who have tried everything, and are not getting better. I sense the utter frustration and despair in their words, and it pains me. I, too, felt hopeless after trying countless medication combinations and sitting through years of psychotherapy sessions, only to continue my death ob...
Source: World of Psychology - September 14, 2016 Category: Psychiatry & Psychology Authors: Therese J. Borchard Tags: Alternative and Nutritional Supplements Depression Mental Health and Wellness Motivation and Inspiration Self-Help Treatment Alternative Medicine Bipolar Disorder homeopathy Immune System Mood Disorder Omega-3 fatty acid Sleep st Source Type: blogs
Letting Go of a Depression Cure Can Set You Free
I keep going back to this quote by Vivian Greene when it comes to learning how to live with my chronic illness: “Life isn’t about waiting for the storm to pass… It’s about learning to dance in the rain.”
In fact, every morning I drink out of a mug with that quote on it to remind myself of Vivian’s wisdom: IT’S NOT ABOUT GETTING TO THE OTHER SIDE. With chronic illness, the important exercise is to get out the rain boots and start stomping in the puddles — to not let the downpour stop you from living.
Going into the second decade of living with a host of conditions — retractable depression, inflam...
Source: World of Psychology - September 7, 2016 Category: Psychiatry & Psychology Authors: Therese J. Borchard Tags: Depression Inspiration & Hope Mental Health and Wellness Motivation and Inspiration Personal Self-Help Bipolar Disorder Mood Disorder Stigma Source Type: blogs
Falling Upward and Embracing the Second Half of Your Life
There comes a moment in every person’s life when she realizes she has just entered the second half of her life.
With the average lifespan of a woman in the United States being 81, I technically crossed that line three years ago. Yes, that’s when my waist disappeared and the pregnancy questions started; my squiggly gray hair came in and I purchased my first pair of readers; I started doing things like placing ketchup in the freezer and cereal in the refrigerator; and the medical appointments on my calendar started to outnumber the social gatherings by a ratio of about 10 to 1.
A month ago, I went through the rite of pas...
Source: World of Psychology - August 24, 2016 Category: Psychiatry & Psychology Authors: Therese J. Borchard Tags: Aging Depression Inspiration & Hope Mental Health and Wellness Personal Bipolar Disorder Source Type: blogs
The Many Conditions that Mimic Depression
Finding the right diagnosis for any disorder requires a comprehensive evaluation. Because many illnesses share many of the same symptoms. Take symptoms such as headache, stomachache, dizziness, fatigue, lethargy, insomnia and appetite loss. There are countless conditions with these exact signs.
Similarly, many mental illnesses share the same symptoms, said Stephanie Smith, PsyD, a psychologist in practice in Erie, Colo., who specializes in working with individuals with depression. Which makes “the process of diagnosing mental illness tricky, to say the least.”
For instance, attention deficit hyperactivity disorder (ADH...
Source: World of Psychology - August 22, 2016 Category: Psychiatry & Psychology Authors: Margarita Tartakovsky, M.S. Tags: ADHD and ADD Anxiety and Panic Depression Disorders General Health-related Mental Health and Wellness Psychology Self-Help Stress Beck Depression Inventory Bipolar Disorder Cancer Chronic Fatigue Syndrome Clinical Depression Source Type: blogs
Have You Checked Your Thermostat?
Another useful do-it-yourself-at-home tool can be found right in your medicine cabinet. Measuring your temperature with an oral digital thermometer can be a useful tool to help determine your thyroid status. It is another measure, like blood pressure or blood sugar, that’s a simple assessment you can perform on your own and track over time.
To assess and track your thyroid status, take your temperature immediately upon arising.
Normal oral temperature is 97.3ºF. Temperatures consistently below this suggest hypothyroidism.
Body temperature normally fluctuates within a range. Normal oral temperatures range from 96.3º...
Source: Wheat Belly Blog - August 21, 2016 Category: Cardiology Authors: Dr. Davis Tags: Dr. Davis Healthcare system News & Updates Thyroid disease Wheat Belly Lifestyle Body Temperature Weight Loss Wheat Belly Total Health Source Type: blogs
Is Your Thyroid Really Running the Show?
A while ago, I wrote to you about thyroid function and the role it plays in managing your metabolism. This is so important that I wanted to mention it again. If you are taking the proper steps, and have removed all of the toxic grains from your diet, but still aren’t losing the weight you desire, maybe you should consider having your thyroid checked.
Is your little thyroid sensitive?
The thyroid gland sits on the front of your throat like a miniature bow-tie. Of all endocrine glands, the thyroid gland is the most susceptible to autoimmune damage. When the immune system is unable to distinguish proteins in th...
Source: Wheat Belly Blog - August 20, 2016 Category: Cardiology Authors: Dr. Davis Tags: Dr. Davis News & Updates Thyroid disease Weight loss Wheat allergy Wheat Belly Lifestyle blood sugar diabetes grains Wheat Belly Total Health Source Type: blogs
Just like Atkins ’ . . . only better
This question comes up with some regularity: Is the Wheat Belly lifestyle like the Atkins’ diet? Is Wheat Belly just another name for a low-carb diet?
There are indeed some important areas of overlap. The Wheat Belly lifestyle, for instance, adheres to the concept that carbohydrates, not fats, are responsible for destructive health effects and weight gain. We also need to give Dr. Robert Atkins and his low-carb predecessors great credit for voicing their opinions during an age when low-carb was an heretical, against-the-mainstream concept, given the antics of Dr. Ancel Keys, Dr. Henry Blackburn, the US Department of ...
Source: Wheat Belly Blog - August 19, 2016 Category: Cardiology Authors: Dr. Davis Tags: Wheat Belly Lifestyle atkins blood sugar diabetes gluten grains Inflammation low-carb low-fat Weight Loss Source Type: blogs
The Orlando Shootings and Homophobia in Healthcare
By CRAIG KONNOTH
After the horrific shooting in in Orlando, the conversation has turned to homophobia—specifically, the homophobia of a man who sees two men kissing, buys an AR-15, goes to a gay nightclub, and killed 49 individuals. But homophobia does not always come with a high capacity rifle—sometimes it comes with lab coats and syringes. As the 53 individuals who were critically injured in the shooting receive medical care, we must come to terms with the anti-gay discrimination that pervades our medical system.
Take blood donation for example. Orlando residents have provided blood with such generosity that ...
Source: The Health Care Blog - June 26, 2016 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs
Doctors Hear Patients' Calls for New Approaches to Hypothyroidism
A vocal group of patients treated for thyroid conditions have banded together online to share their frustrations and promote alternative therapies, unhappy with the results from the most common treatment. (Source: WSJ.com: Health Journal)
Source: WSJ.com: Health Journal - April 12, 2016 Category: Consumer Health News Tags: FREE Source Type: blogs
He couldn’t eat, drink or work. And doctors couldn’t explain his searing pain. - The Washington Post
Kim Pace was afraid he was dying. In six months he had lost more than 30 pounds because a terrible stabbing sensation on the left side of his face made eating or drinking too painful. Brushing his teeth was out of the question and even the slightest touch triggered waves of agony and a shocklike pain he imagined was comparable to electrocution. Painkillers, even morphine, brought little relief.
Unable to work and on medical leave from his job as a financial consultant for a bank, Pace, then 59, had spent the first half of 2012 bouncing among specialists in his home state of Pennsylvania, searching for help from doctors w...
Source: Psychology of Pain - March 16, 2016 Category: Anesthesiology Source Type: blogs
From health disaster to health success
Andrea endured a lot of health problems, never receiving any real answers from doctors, although plenty of medications were prescribed. Then she stumbled on the Wheat Belly lifestyle:
“I learned in 2005 (27 years old) after having my 2nd child that I was hypothyroid. I was put on Levothroid. I complained often to my doctor that I felt no different a few months after starting this prescription. They ordered some labs and adjusted my dosage. Still no changes. I still felt extremely forgetful, sluggish, unable to concentrate. Instead of losing weight, I gained weight very easily. This went on for years!
“I was ne...
Source: Wheat Belly Blog - February 10, 2016 Category: Cardiology Authors: Dr. Davis Tags: Wheat Belly Success Stories eczema fatigue gluten grains hair loss rash Thyroid toenail fungus Weight Loss Source Type: blogs
DM / DNB Cardiology Entrance Mock Test 13
In this study, cangrelor was discontinued 1-6 hours prior to surgery, while aspirin was continued throughout the perioperative period. Bridging with cangrelor did not increase major bleeds prior to surgery, though minor bleeds, mostly ecchymosis at venipuncture site, was higher. P2Y12 assay documented sufficient platelet inhibition corresponding to levels required for anti thrombotic effect [1]. Cangrelor is awaiting approval and more large scale trials regarding the use of bridging are needed.
Reference
1. Angiolillo DJ et al; BRIDGE Investigators. Bridging antiplatelet therapy with cangrelor in patients undergoing ...
Source: Cardiophile MD - February 7, 2016 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiology MCQ DM / DNB Cardiology Entrance Source Type: blogs
