Battle of the Bulge: Olecranon Bursitis
Olecranon bursitis, also called baker’s or Popeye elbow, can be a painless or an irritating condition involving the bursa located near the proximal end of the ulna in the elbow over the olecranon. Normal bursae sacs generally are filled with a small amount of fluid, which helps the joint remain mobile. The sac can swell under the soft tissue from overuse or when the area sustains an injury from a bump or fall.
Normal bursae are usually small, but they can grow to be quite large, swollen, and occasionally even infected when they become irritated or inflamed. The swelling is obvious because the space in this area is lim...
Source: The Procedural Pause - May 6, 2014 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Evidence Based Medicine - Why we can’t trust clinical guidelines (BMJ)
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Please see: Why we can’t trust clinical guidelines
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Jeanne Lenzer, medical investigative journalist
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jeanne.lenzer@gmail.com
Despite repeated calls to prohibit or limit conflicts of interests among authors and sponsors of clinical guidelines, the problem persists. Jeanne Lenzer investigates
On 13 April 1990, in an unprecedented action, the US National Institutes of Health faxed a letter to every physician in the US on how to correctly prescribe a breakthrough treatment for ...
Source: PharmaGossip - June 23, 2013 Category: Pharma Commentators Authors: insider Source Type: blogs
Now, A Tennessee Compounder Is Tied To Serious Infections
Less than a month after Tennessee adopted a law that eased restrictions on compounding pharmacies, the FDA is investigating seven cases in which patients suffered adverse events after being injected with what are apparently contaminated medications that were compounded by a specialty pharmacy.
As a result, Main Street Family Pharmacy is recalling all of its sterile products, most of which are injectable drugs, although the medications traced to the adverse events contain methylprednisolone acetate, which is the same drug that caused the deadly outbreak last year of fungal meningitis (see this).
That outbreak, which has so ...
Source: Pharmalot - May 28, 2013 Category: Pharma Commentators Authors: esilverman Source Type: blogs
MKSAP: 19-year-old woman with bilateral leg weakness
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.
A 19-year-old woman is admitted to the hospital because of a 2-week history of bilateral leg weakness and numbness accompanied by urinary incontinence that began after a viral gastrointestinal illness of 3 days’ duration. She has no personal or family medical history of note and takes no medication.
On physical examination, temperature is 36.7 °C (98.1 °F), blood pressure is 96/55 mm Hg, and pulse rate is 66/min. Bilateral leg weakness, loss of sensation below the umbilicus, and hyperreflexia in the lower...
Source: Kevin, M.D. - Medical Weblog - April 13, 2013 Category: Family Physicians Tags: Conditions Neurology Source Type: blogs
JAMIA: Reduction in medication errors in hospitals due to adoption of computerized provider order entry systems
This study appears reasonable for inclusion in a meta-analysis, although ideally there might have been accounting for possible influence of non-intervention (computer)-related pre-post interval changes. The transition to CPOE, training, increased awareness, etc. can influence results, especially short term. Included study #7 (footnote 16):Error reduction in pediatric chemotherapy: computerized order entry and failure modes and effects analysis. Arch Pediatr Adolesc Med 2006;160:495–8.Before-and-after study from 2001 to 2004. After CPOE deployment, daily chemotherapy orders were less likely to have improper dos...
Source: Health Care Renewal - March 3, 2013 Category: Health Medicine and Bioethics Commentators Tags: Mark D Spranca AMIA Melanie R Wasserman medication error Lauren EW Olsho David C Radley healthcare IT risks Sarah J Shoemaker Bethany Bradshaw JAMIA healthcare IT benefits CPOE Source Type: blogs
