MKSAP: 50-year-old man with a large bleeding gastric ulcer
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.
A 50-year-old man is evaluated in follow-up after hospitalization 6 months ago for a large bleeding gastric ulcer. Tests performed for Helicobacter pylori infection at that time were negative. However, for the 3 months before hospitalization he had been taking ibuprofen for chronic back pain. He was discharged from the hospital on omeprazole, and his ibuprofen was discontinued. Owing to the large size of the ulcer and increased suspicion for underlying malignancy, follow-up upper endoscopy was performed 3 month...
Source: Kevin, M.D. - Medical Weblog - January 16, 2016 Category: Journals (General) Authors: mksap Tags: Conditions GI Source Type: blogs
Candy’s Wheat Belly transformation
Candy shared her impressive evolving benefits living the Wheat Belly lifestyle:
“I feel better and have much less inflammation. I’ve suffered from constant low back pain and have taken ibuprofen daily for years, but recently have stopped taking it and feel good.
“I’ve also noticed positive changes in my skin, smaller pores and smoother skin, especially on my face and chest. Also many of the small red spider veins on my lower legs and feet have diminished. See the difference in the photos. I also feel younger, and if I don’t say so myself, look younger.
“I am excited about the positive c...
Source: Wheat Belly Blog - December 5, 2015 Category: Cardiology Authors: Dr. Davis Tags: Wheat Belly Success Stories anti-aging facial change gluten grains Inflammation low back pain spider veins varicose varicositites Weight Loss Source Type: blogs
Triceps Surae Examination Pearls
Obviously, the patient who presents with calf pain requires careful consideration for a deep vein thrombosis. But when the history doesn’t fit, you may find yourself scratching your head trying to figure out the other sources of calf pain. Sure, you can just pick your favorite ICD-10 diagnosis for right or left calf strain, write a prescription for ibuprofen, give some crutches, and send the patient out the door. But that makes the practice of emergency medicine less exciting and fulfilling. Why not take the two additional minutes required to sort out exactly the source of the calf pain? This blog post provides several p...
Source: M2E Too! Mellick's Multimedia EduBlog - December 1, 2015 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Triceps Surae Examination Pearls
Obviously, the patient who presents with calf pain requires careful consideration for a deep vein thrombosis. But when the history doesn’t fit, you may find yourself scratching your head trying to figure out the other sources of calf pain. Sure, you can just pick your favorite ICD-10 diagnosis for right or left calf strain, write a prescription for ibuprofen, give some crutches, and send the patient out the door. But that makes the practice of emergency medicine less exciting and fulfilling. Why not take the two additional minutes required to sort out exactly the source of the calf pain? This blog post provides several p...
Source: M2E Too! Mellick's Multimedia EduBlog - December 1, 2015 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Matthew’s incredible Wheat Belly transformation
Remember Matthew? I previously shared his story and photos, including his 80-pound weight loss and change in cholesterol values.
But there is much more to his story that he has been sharing on the Official Wheat Belly Facebook page. Because the changes he described were so extensive, I’ve collected his comments here. Put together, Matthew’s health transformation is nothing short of astounding. He previously told us that hypertension and pre-diabetes have reversed with now normal blood pressure and blood sugars. But just read on and see how much more happened.
Matthew’s experience is a terrific example of ...
Source: Wheat Belly Blog - November 27, 2015 Category: Cardiology Authors: Dr. Davis Tags: Wheat Belly Success Stories acid reflux allergy asthma cholesterol cramps gerd gluten grains heartburn IBS indigestion spastic colon Weight Loss Source Type: blogs
Know the signs of diverticulitis!
Diverticulosis is a condition that describes small pouches in the wall of the digestive tract that occur when the inner layer of the digestive tract bulges through weak spots in the outer layer. When these diverticula become inflamed, that is called diverticulitis. Diagnosis of diverticulosis/diverticulitis is made over several methods, including a physical exam which includes a digital rectal examination, blood tests, x-rays or CT scans of organs in the abdomen, a colonoscopy or a flexible sigmoidoscopy. Treatment for diverticulosis includes a diet high in fiber, fiber supplementation if needed, plenty of fluids and exerc...
Source: Nursing Comments - November 8, 2015 Category: Nursing Authors: Stephanie Jewett, RN Tags: Advice/Education Caregiving General Public Nursing/Nursing Students Patients/Specific Diseases abdominal pain bloating diverticulitis diverticulosis fever and chills gas nausea painfule urination rectal bleeding vomting Source Type: blogs
How a Simple Little Pill Ended Up Costing 99 Percent More Than Its Ingredients
By DEVON HERRICK
A recent New York Times article profiled a pair of ultra-expensive pain medications designed to go easy on the stomach. Common pain relievers, like aspirin, ibuprofen and naproxen are prone to irritate the stomach if taken repeatedly throughout the day. A newer class of pain medication, called cox-2 inhibitors, are the preferred pain relievers for those who cannot take nonsteroidal anti-inflammatory drugs (NSAIDs) on a long term basis. Celecoxib, the generic version of Celebrex, is now available at a cost of about $2 per tablet, but that can add up to about $700 to $1000 per year.
More than a decade ago...
Source: The Health Care Blog - November 4, 2015 Category: Consumer Health News Authors: Simon Nath Tags: THCB aspirin Devon Herrick Duexis Ibuprofen Naproxen New York Times Vimovo Source Type: blogs
How a Simple Little Pill Ended Up Costing 1000 Percent More Than Its Ingredients
By DEVON HERRICK
A recent New York Times article profiled a pair of ultra-expensive pain medications designed to go easy on the stomach. Common pain relievers, like aspirin, ibuprofen and naproxen are prone to irritate the stomach if taken repeatedly throughout the day. A newer class of pain medication, called cox-2 inhibitors, are the preferred pain relievers for those who cannot take nonsteroidal anti-inflammatory drugs (NSAIDs) on a long term basis. Celecoxib, the generic version of Celebrex, is now available at a cost of about $2 per tablet, but that can add up to about $700 to $1000 per year.
More than a decade ago...
Source: The Health Care Blog - November 4, 2015 Category: Consumer Health News Authors: Simon Nath Tags: THCB aspirin Devon Herrick Duexis Ibuprofen Naproxen New York Times Vimovo Source Type: blogs
Pain Management And Why It’s So Personal
Most of my patients think about pain medicines in terms of the symptoms they treat. “This is my headache medicine, and this is my arthritis medicine,” they often say. Healthcare providers are more likely to categorize pain medicines by the way they work: some are anti-inflammatory, some affect nerve endings, and others influence how the brain perceives pain. But the truth is that no matter how you classify pain medicines, there is no way to know if they’ll help until you try them for yourself.
Most people don’t realize that pain management is personal. Research is beginning to help us understand why people ...
Source: Better Health - October 20, 2015 Category: American Health Authors: Dr. Val Jones Tags: Health Tips Opinion Acetaminophen How To Treat Pain Ibuprofen OTC OTC Pain Medicines Personalized Medicine Side Effects Which Pain Medicine Is Best Source Type: blogs
Pain Management And Why It ’ s So Personal
Most of my patients think about pain medicines in terms of the symptoms they treat. “This is my headache medicine, and this is my arthritis medicine,” they often say. Healthcare providers are more likely to categorize pain medicines by the way they work: some are anti-inflammatory, some affect nerve endings, and others influence how the brain perceives pain. But the truth is that no matter how you classify pain medicines, there is no way to know if they’ll help until you try them for yourself.
Most people don’t realize that pain management is personal. Research is beginning to help us understand why people ...
Source: Better Health - October 20, 2015 Category: American Health Authors: Dr. Val Jones Tags: Health Tips Opinion Acetaminophen How To Treat Pain Ibuprofen OTC OTC Pain Medicines Personalized Medicine Side Effects Which Pain Medicine Is Best Source Type: blogs
Have you heard of henoch-schonlein purpura?
I sure don’t remember this condition in nursing school! Henoch-Schonlein Purpura (HSP) is a disease involving inflammation of small blood vessels. It most commonly occurs in children. The inflammation causes blood vessels in the skin, intestines, kidneys and joints to start leaking. The main symptom is a rash with numerous small bruises, which have a raised appearance over the legs or buttocks. Although HSP can affect people at any age, most cases occur in children between the ages of 2 and 11. It is more common in boys than girls. Adults with HSP are more likely to have more severe disease compared to children. HSP usua...
Source: Nursing Comments - October 18, 2015 Category: Nursing Authors: Stephanie Jewett, RN Tags: Advice/Education Caregiving General Public Nursing/Nursing Students Patients/Specific Diseases blood in urine children diarrhea HENOCH-SCHONLEIN PURPURA inflammation of blood vessels joint pain joint swelling kidney disease loss Source Type: blogs
What medications have you been able to stop on the Wheat Belly lifestyle?
I posed this question on the Wheat Belly Facebook page recently and received an overwhelming response. Here, I share a partial list of the responses: medications people have been able to stop by following the Wheat Belly lifestyle.
Just take a look at this incredible list: these represent medications prescribed by doctors to, in effect, “treat” the consequences of consuming wheat and grains. They prescribe drugs to treat the inflammation, swelling, skin rashes, gastrointestinal irritation, high blood sugars, airway allergy, and other abnormal effects all caused by wheat and grains.
The list includes anti-inf...
Source: Wheat Belly Blog - October 6, 2015 Category: Cardiology Authors: Dr. Davis Tags: Wheat Belly Lifestyle asthma cholesterol diabetes drugs gluten grains hypertension prescription medication reflux Source Type: blogs
Best Explanation of Terminal QRS Distortion in Diagnosis of Electrocardiographically Subtle LAD Occlusion
DiscussionIt has never been conclusively shown that terminal QRS distortion definitively excludes early repolarization, but we believe it at least nearly excludes it. We have never seen a case of early repol that did not have either an S-wave or J-wave in leads V2 and V3.The study from which the formula was derived only looked at ECG with "subtle" findings of LAD occlusion (as opposed to "obvious"). Of 355 LAD occlusions in both derivation and validation groups, 143 were "subtle" and were studied for the formula. In the derivation group, the primary reason for excluding the ECG as "obvious" was terminal Q...
Source: Dr. Smith's ECG Blog - October 6, 2015 Category: Cardiology Authors: Steve Smith Source Type: blogs
On Constitution Day, A Reminder About Liberty and Eternal Vigilance
Two very recent episodes involving basic constitutional rights demonstrate the power of an informed and active citizenry successfully confronting government fear-mongering and overreach.
The first happened this week in Irving, Texas, where 14-year-old Ahmed Mohamed was arrested after bringing a homemade clock to school to show his engineering teacher. Government officials insisted that Ahmed’s clock might have been a bomb.
Distressingly, Ahmed claims that his interrogation occurred despite the fact that he asked to see his parents before answering any questions. Police allegedly refused, and continued the interrogati...
Source: Cato-at-liberty - September 17, 2015 Category: American Health Authors: Patrick G. Eddington, Adam Bates Source Type: blogs
Why I am a Crusader in the Anti-Vaccine, Anti-Drug Movement
Conclusion
The doctors gave my daughter drugs they knew would cause her kidneys to stop working. They gave her these drugs in spite of both of us telling them on a day-to-day basis not to give them.
The hospital covered it up. The hospital refused to give us the incident report. The hospital refused to give us a copy of the notes from the meeting with the ethics committee.
The hospital denied my daughter’s right to make her own decisions. The hospital tried to deny me from being my daughter's advocate. The hospital administrator threatened to charge me with practicing medicine without a license. The CEO refused to talk t...
Source: vactruth.com - September 11, 2015 Category: Allergy & Immunology Authors: Jim O'Kelly Tags: Case Reports on Vaccine Injury Human Jim O'Kelly Top Stories truth about vaccines Vaccine Death Source Type: blogs
