DM / DNB Cardiology Entrance New Test Series 4
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Source: Cardiophile MD - July 16, 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
DM / DNB Cardiology Entrance New Test Series 2
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Source: Cardiophile MD - July 2, 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
Bilateral internal iliac occlusion – Cardiology MCQ
Potential complication/s of bilateral internal iliac occlusion due to a stent graft:
a) Gluteal claudication
b) Erectile dysfunction
c) Bowel ischemia
d) All of the above
Correct answer: d) All of the above
Gluteal necrosis can occur in severe cases of gluteal ischemia. Bladder ischemia is another potential risk.
Coil embolisation of internal iliacs is resorted to for preventing type II endoleak when the aortic stent grafts needs to be extended into the external iliac arteries.
Reference
Engelke C, Elford J, Morgan RA, Belli AM. Internal iliac artery embolization with bilateral occlusion before endovascular aortoiliac a...
Source: Cardiophile MD - May 9, 2016 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiology MCQ DM / DNB Cardiology Entrance Peripheral Interventions Source Type: blogs
DM / DNB Cardiology Entrance Mock Test 20
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Source: Cardiophile MD - February 26, 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
DM / DNB Cardiology Entrance Mock Test 2
This study reported 32 arrhythmic episodes in 24 patients. There was spontaneous recovery with abstinence from alcohol.
Reference
1. Ettinger PO, Wu CF, De La Cruz C Jr, Weisse AB, Ahmed SS, Regan TJ. Arrhythmias and the “Holiday Heart”: alcohol-associated cardiac rhythm disorders. Am Heart J. 1978 May;95(5):555-62.Question 14Diagnosis based on the echocardiogram:
AEbstein’s anomaly of tricuspid valveBNone of the aboveCEndomyocardial fibrosisDIdiopathic dilatation of right atriumQuestion 14 Explanation: Endomyocardial Fibrosis (EMF) is a type of restrictive cardiomyopathy. It is characterised by fibros...
Source: Cardiophile MD - January 16, 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
Internal iliac artery embolisation – Cardiology MCQ
Coil embolisation of internal iliacs is resorted to for preventing type __ endoleak when the aortic stent grafts needs to be extended into the external iliac arteries:
a) Type I
b) Type II
c) Type III
d) Type IV
Correct answer: b) Type II endoleak
When bilateral internal iliac artery embolisation is needed, it can lead to some potential complications like gluteal claudication / necrosis in severe cases, erectile dysfunction and bowel / bladder / spinal cord ischemia.
The term endoleak is used to denote leakage of blood into the aortic disease which was excluded from the blood stream by the stent graft. This could b...
Source: Cardiophile MD - October 24, 2015 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Angiography and Interventions Cardiology MCQ DM / DNB Cardiology Entrance Peripheral Interventions Source Type: blogs
Pythiosis in Humans
The following background data are abstracted from Gideon www.GideonOnline.com Primary references are available on request.
Human pythiosis was first described in Thailand, in 1987; and thirty-two cases had been published worldwide as of 2002. Most cases are reported from tropical and subtropical regions; however, human infection has also been encountered in United States, Israel and Australia. The principal pathogen is identified as Pythium insidiosum, and at least one case of Pythium aphanidermatum infection has been reported.
Most case reports of pythiosis are published from Thailand, which accounted for 78% of pub...
Source: GIDEON blog - August 18, 2015 Category: Databases & Libraries Authors: Dr. Stephen Berger Tags: General Source Type: blogs
Coral reef aorta
Heavy calcification of visceral part of aorta, extending into its lumen and causing malperfusion of limbs or viscera is known as ‘coral reef aorta’ [1]. It may cause hypertension due to involvement of renal arteries, which was the commonest finding noted in about 44 percent of patients in one series with 70 patients [2]. Intermittent claudication due to lower limb ischemia was noted in a similar number of patients. About a quarter of them had chronic visceral ischemia causing abdominal pain, loose stools and weight loss. Majority of them underwent aortic reconstruction with thromboendarterectomy in this series....
Source: Cardiophile MD - June 24, 2015 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: General Cardiology Source Type: blogs
Potential risks of bilateral internal iliac occlusion
Bilateral internal iliac occlusion due to a stent graft can result in some potential complications:
Gluteal claudication and necrosis in severe cases
Erectile dysfunction
Bowel ischemia
Bladder ischemia
Spinal cord ischemia
Coil embolisation of internal iliacs is resorted to for preventing type II endoleak when the aortic stent grafts needs to extended into the external iliac arteries.
Reference
Engelke C, Elford J, Morgan RA, Belli AM. Internal iliac artery embolization with bilateral occlusion before endovascular aortoiliac aneurysm repair-clinical outcome of simultaneous and sequential intervention. J Vasc Interv Ra...
Source: Cardiophile MD - June 7, 2015 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: General Cardiology Source Type: blogs
An Impeccable Exam
Another patient pops up on the electronic medical record tracking board: a 52-year-old man with back pain who had run out of pain medication. A pink box indicates the lowest possible triage severity. A quick look at prior visits reveals that this diabetic, hypertensive smoker with high cholesterol was admitted for weakness and numbness of the right lower extremity just two months ago. His stroke workup, including head CT, brain MRI, and MRA, was normal. A lumbar MRI was also was relatively unremarkable.
With an empty bottle of Tramadol in his hand, the (fully dressed) patient recounted that the pain medicine initially see...
Source: Lions and Tigers and Bears - July 3, 2014 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
An Impeccable Exam
Another patient pops up on the electronic medical record tracking board: a 52-year-old man with back pain who had run out of pain medication. A pink box indicates the lowest possible triage severity. A quick look at prior visits reveals that this diabetic, hypertensive smoker with high cholesterol was admitted for weakness and numbness of the right lower extremity just two months ago. His stroke workup, including head CT, brain MRI, and MRA, was normal. A lumbar MRI was also was relatively unremarkable.
With an empty bottle of Tramadol in his hand, the (fully dressed) patient recounted that the pain medicine initially seem...
Source: Lions and Tigers and Bears - July 3, 2014 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
For PAD Pain, Dual Approach Appears Best
By Diane Fennell
For people dealing with pain and reduced mobility from peripheral arterial disease, or PAD, an approach that combines a vessel-opening procedure and exercise appears to be better than exercise alone, according to research presented at the American Heart Association Scientific Sessions 2013. Up to one-third of people with diabetes over the age of 50 have PAD.
PAD is a condition in which arteries leading to the legs and feet (or, in some cases, the arms) become clogged with fatty deposits called plaque, reducing blood flow to these areas. Symptoms include cramping, tiredness, pain, slow wound healing, or ...
Source: Diabetes Self-Management - November 22, 2013 Category: Diabetes Authors: Diane Fennell Source Type: blogs
Top stories in health and medicine, November 21, 2013
From MedPage Today:
New Method Gives Better Guess on LDL Cholesterol. A new way of estimating LDL cholesterol levels may be more accurate than the widely used Friedewald equation.
Novel Anticoagulant Bests Warfarin in Afib. The novel oral factor Xa inhibitor edoxaban prevented stroke as well as warfarin but did so with lower risk in nonvalvular atrial fibrillation.
Mixed Data for Warfarin Dosing By Genotype. For patients requiring anticoagulation for atrial fibrillation, venous thromboembolism, or some other indication, genotype-guided dosing of warfarin and similar drugs might have some benefit.
Procedure Plus Exercise ...
Source: Kevin, M.D. - Medical Weblog - November 21, 2013 Category: Family Physicians Tags: News Heart Source Type: blogs
Peripheral Artery Disease (PAD)
In peripheral artery disease (PAD), one or more of the arteries supplying blood to the legs or arms becomes blocked or partially blocked, usually because of atherosclerosis. Patients with PAD often experience significant pain when using the affected limb - a condition called "claudication" - and if the PAD is severe, ulcers or gangrene can result. Read here about PAD, its causes, its symptoms, and what you can do about it. (Source: About.com Heart Disease)
Source: About.com Heart Disease - September 6, 2013 Category: Cardiology Source Type: blogs
