Is this Septal STEMI/OMI? Many examples of Septal STEMI/OMI
This ECG was texted to me with the implied question " Is this a STEMI? " :What do you think?I responded that it is unlikely to be a STEMI. Why?1. There is a saddleback. I have only seen 2 Saddlebacks with LAD occlusion. Links to these two are below.2. There is high voltage. It does not quite meet LVH criteria, but all I can say is that it has " the look "3. The QS-wave in V2 is associated with a biphasic P-wave. This P-wave indicates that the leads were placed too high. When the V1, V2 leads are placed too high, a frequent result is a QS-wave in V2.4. The QT is short. You can ...
Source: Dr. Smith's ECG Blog - October 28, 2020 Category: Cardiology Authors: Steve Smith Source Type: blogs
Let ’s end Polio
An Egyptian stele thought to represent a polio victim. 18th Dynasty (1403–1365 BC).
Poliomyelitis dates back to ancient times, as captured in this 14th century BC Egyptian carving, detailing a typical symptom of atrophy in one or more of the limbs.
The modern name is directly derived from Ancient Greek, poliós meaning ‘grey’ and myelós meaning ‘marrow’, the latter signifying the effect on the grey matter of the spinal cord.
But while the ancient Egyptians and Greeks knew about the disease, it wasn’t clinically described until the late 18th century (AD), by the English doctor Michael Underwood. The di...
Source: GIDEON blog - October 25, 2020 Category: Databases & Libraries Authors: Kristina Symes Tags: Epidemiology News Source Type: blogs
Illness-related fatigue: More than just feeling tired
A common refrain during the COVID-19 pandemic is, “I’m so tired.” After months of adjusted living and anxiety, people are understandably weary. Parents who haven’t had a break from their kids are worn out. Those trying to juggle working from home with homeschooling are stretched thin. Between concerns about health, finances, and isolation, everyone is feeling some level of additional stress during this unusual time, and that’s tiring. We all could use a good, long nap — or better yet, a vacation.
But while a break would be nice, most people — except those who are actually sick with COVID-19 or other illnesses...
Source: Harvard Health Blog - October 21, 2020 Category: Consumer Health News Authors: Jennifer Crystal, MFA Tags: Autoimmune diseases Fatigue Source Type: blogs
How the pandemic affects children and teens with headaches and migraines
Children and teens with headaches and migraines have been affected in a variety of ways by these pandemic times. Thinking back, there has been a difference between last spring and this fall and the effect on my patients, particularly in the school environment. In the early days last Spring, many of my patients who had […]Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 20, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/victoria-karian" rel="tag" > Victoria Karian, CPNP < /a > < /span > Tags: Conditions COVID-19 coronavirus Infectious Disease Neurology Source Type: blogs
The tragedy of the post-COVID “ long haulers ”
Suppose you are suddenly are stricken with COVID-19. You become very ill for several weeks. On awakening every morning, you wonder if this day might be your last.
And then you begin to turn the corner. Every day your worst symptoms — the fever, the terrible cough, the breathlessness — get a little better. You are winning, beating a life-threatening disease, and you no longer wonder if each day might be your last. In another week or two, you’ll be your old self.
But weeks pass, and while the worst symptoms are gone, you’re not your old self — not even close. You can’t meet your responsibilities at home or at wor...
Source: Harvard Health Blog - October 15, 2020 Category: Consumer Health News Authors: Anthony Komaroff, MD Tags: Brain and cognitive health Coronavirus and COVID-19 Fatigue Source Type: blogs
“Under the radar” – Ongoing Lassa Fever Outbreak
By Dr. Stephen A. Berger
Nigeria is battling the largest recorded Lassa Fever outbreak to-date
Lassa Fever in Nigeria is a paradigm for Infectious Disease outbreaks that continue to threaten massive populations “under the radar” during the COVID-19 pandemic. As of October 3, 2020, a total of 1,112 fatal cases of COVID-19 had been reported in Nigeria.
In terms of population size, the statistical likelihood of dying from this disease in Nigeria – or in Singapore – is exactly the same. But then…nobody in Singapore is dying these days from Lassa Fever.
WHAT IS LASSA FEVER?
The disease was ...
Source: GIDEON blog - October 13, 2020 Category: Databases & Libraries Authors: Kristina Symes Tags: Epidemiology News Outbreaks Source Type: blogs
FlowSense Monitors Hydrocephalus Shunts: Exlusive with Anna Lisa Somera, CEO of Rhaeos
Hydrocephalus patients have an excess of cerebrospinal fluid in the brain, which needs to be drained away through a ventricular shunt. However, these shunts regularly fail, with potentially life-threatening results. At present, there isn’t an easy way to check that a shunt is still working, and clinicians typically use brain MRI/CT scans to see if a shunt is still draining correctly.
Not only are these imaging procedures inconvenient and expensive, but in the case of CT they may expose a hydrocephalus patient to significant amounts of radiation if regular assessments are required. To address this, Rhaeos, a company ba...
Source: Medgadget - October 13, 2020 Category: Medical Devices Authors: Conn Hastings Tags: Exclusive Materials Medicine Neurology Neurosurgery Source Type: blogs
Understanding a Dysfunctional Childhood
Let’s discuss the nuances of dysfunctional parenting. In today’s Not Crazy podcast, Gabe recalls the relationship he had with his parents when he was young. As a teen, he thought his parents were being overly harsh, but now he sees they were trying to punish symptoms of his undiagnosed bipolar disorder — and were doing the best they could.
Join us for a great discussion on how the parent-child dynamic can go wrong when undiagnosed mental illness is involved.
(Transcript Available Below)
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About The Not Crazy podcast Hosts
Gabe Howard is an award-win...
Source: World of Psychology - October 13, 2020 Category: Psychiatry & Psychology Authors: Not Crazy Podcast Tags: Bipolar Children and Teens Disorders Family Not Crazy Podcast Parenting Source Type: blogs
Monkeypox
By Dr. Stephen A. Berger
Cynomolgus monkey, a known reservoir of the Monkeypox virus
WHAT IS MONKEYPOX?
Monkeypox, as the name implies, is a disease of monkeys (unlike chickenpox – which has no relation to chickens). Although the condition is reported in a group of eleven African countries, the virus was first discovered in a laboratory in Denmark in 1958, when it was first isolated from cynomolgus monkeys.
The signs and symptoms are similar to those of smallpox. Following a three-day prodrome of fever, headache, myalgia, and back pain, patients develop a papular rash in the face, extremities, and genitals....
Source: GIDEON blog - October 8, 2020 Category: Databases & Libraries Authors: Kristina Symes Tags: Epidemiology News Source Type: blogs
Podcast: Is Happiness a Choice?
Are you sad? Just be happy! Does this irritate you? In today’s show, Gabe and Lisa ponder whether happiness really is a choice — especially for people who struggle with mental illness. How do we measure happiness? And what is happiness inflation?
Join us for an in-depth conversation on whether or not people can actually choose happiness.
(Transcript Available Below)
Please Subscribe to Our Show:
And We Love Written Reviews!
About The Not Crazy podcast Hosts
Gabe Howard is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, Mental Illness is an Asshole a...
Source: World of Psychology - October 6, 2020 Category: Psychiatry & Psychology Authors: Not Crazy Podcast Tags: General Happiness Mental Health and Wellness Not Crazy Podcast Source Type: blogs
Sick child this school year? Planning for the inevitable during a pandemic
Children get sick; it’s part of life. They catch colds, they get fevers, they throw up and get diarrhea. Most of the time, it’s nothing at all. But this year, as we struggle through the COVID-19 pandemic, every sniffle will be complicated.
The problem is, the symptoms of COVID-19 can be not just mild, but similar to the symptoms of all the common illnesses kids get all the time. Symptoms can include
fever, even a mild one
cough (that you don’t have another clear reason for)
breathing difficulty
sore throat or runny nose (that you don’t have another clear reason for)
loss of taste or smell
headache (if with other s...
Source: Harvard Health Blog - September 29, 2020 Category: Consumer Health News Authors: Claire McCarthy, MD Tags: Adolescent health Children's Health Cold and Flu Coronavirus and COVID-19 Parenting Source Type: blogs
A 58 year old collapses in the hot sun
A 58 yo male was out working in the hot sun for 2-3 hours. He stated he almost passed out, and bystanders called 911. They give him water with salt, as he thought he was dehydrated.When medics arrived, he was alert, sweating, and felt weak. He walked to the ambulance for evaluation. He denied headache, chest pain, nausea / vomiting and dyspnea. He had no cardiac history, meds, or risk factors. Vitals were obtained, and placed on cardiac monitor, including this 12 lead prehospital ECG: QTc = 320 ms; (QTc = 374 ms)The computer measures the ST Elevation at the J-point for you.Here it is 4.08 mm in ...
Source: Dr. Smith's ECG Blog - September 14, 2020 Category: Cardiology Authors: Steve Smith Source Type: blogs
A palliative care physician ’s brain bleed [PODCAST]
“As a runner, my pulse rests around fifty, but the ICU team had worried when it dipped to thirty-five, and my blood pressure hovered around ninety over fifty. Understandably, bags of saline were hung, and steroids were added. My headache improved, but my ankles disappeared, and I was often short of breath. Upon discharge, I […]Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - September 12, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/the-podcast-by-kevinmd" rel="tag" > The Podcast by KevinMD < /a > < /span > Tags: Podcast Neurology Palliative Care Source Type: blogs
An Old NATO Nightmare Returns: Possible War between Greece and Turkey
Ted Galen CarpenterU.S. and other Western leaders have longworried about what to do if an armed conflict ever erupted between two NATO members.Rapidlyrising tensions between Greece and Turkey, primarily involving a maritime dispute over oil, natural gas, and other resources under the eastern Mediterranean, have brought that nightmare to the surface once again.Germany ’s Foreign Minister, Heiko Maas,warned both governments in late August against further military escalation. “Fire is being played with and any small spark could lead to catastrophe,” he stressed.The heart of the North Atlantic Treaty is Article 5, w...
Source: Cato-at-liberty - September 10, 2020 Category: American Health Authors: Ted Galen Carpenter Source Type: blogs
A 31 year old with Diabetes and HTN complains of bilateral arm tingling and headache
This ECG was texted to me with the message " A 31 year old with Diabetes and HTN complains of bilateral arm tingling and headache. "There is high lateral ST Elevation and inferior reciprocal ST depression.There is also STE in V2.The computer calls it a STEMI.What do you think?STE in I, aVL and V2 is a pattern associated with "Mid-anterolateral OMI, " which is seen with OMI of the first Diagonal. See more of Mid-anterolateral OMII wrote back: " I think this is a false positive due to LVH. PseudoSTEMI. I can ' t tell you exactly why. It just looks like it. ECGs are often like faces to me.&n...
Source: Dr. Smith's ECG Blog - August 29, 2020 Category: Cardiology Authors: Steve Smith Source Type: blogs
