Clinical Examination of Cardiovascular System For Medical Students
Discussion on blood pressure is not included here as a separate topic is dedicated to it.
Though the most commonly examined pulse is the radial, to check some of the characteristics, a more proximal pulse like the brachial or carotid needs to be examined. Following parameters of the pulse are routinely documented: 1. The rate: Normal rate in adult is 60-100 per minute. It is higher in children. Younger the child, higher the pulse rate.
Rhythm: Regular and irregular rhythms are possible. Mild variation with respiration is called respiratory sinus arrhythmia, with higher rate in inspiration. Respiratory sinus arrhythmia may...
Source: Cardiophile MD - May 30, 2023 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs
Consistency Quotes: 80 Powerful Sayings About the Most Underrated Success Habit
Few things are so powerful as taking consistent action and working towards your goal or dream each day.
It's the reliable but often forgotten or underrated motor that keeps you going until you get to where you want to go.
And without it you're likely to not get there at all. Or it will take a long, long time with many ups and down along the way.
With this post I'd like to inspire you to tap into this powerful habit more often. And I'd like to do that by sharing 80 of the best consistency quotes.
And if you want even more motivation for success then check out this post with quotes on how action speaks louder than words and...
Source: Practical Happiness and Awesomeness Advice That Works | The Positivity Blog - April 5, 2023 Category: Consumer Health News Authors: Henrik Edberg Tags: Inspirational Quotes Personal Development Source Type: blogs
What Is Nystagmus?
This study has never been duplicated.
Note the estimated angle of nystagmus onset
Yup, my patient has nystagmus. What does that mean?
Big picture … it means that there’s something abnormal about the patient’s nervous system. There are a few major reasons to consider.
Drugs and alcohol
Yes, that old roadside sobriety test is a useful indicator of alcohol intoxication. People begin having nystagmus with blood alcohol levels as low as .04%. But alcohol isn’t the only drug that can cause nystagmus. Other central nervous system depressants like barbiturates, Lithium and benzodiazepines ...
Source: The EMT Spot - November 14, 2022 Category: Emergency Medicine Authors: Steve Whitehead Tags: EMT Source Type: blogs
Assessment and Scope of Practice
It’s never comfortable to be placed under a microscope. Especially when the dude looking through the microscope is The Rogue Medic, Tim Noonan. Tim’s a great dude, but he’s not the guy you want picking through your knowledge sock drawer. He’s thorough, he’s smart and he’s willing to analyze the details long after you and I have gone to bed.
If you don’t already read Tim’s blog you should. He’s a fantastic EMS blogger. That being said, I wasn’t terribly excited when he posted a comment on my post “I’m Only An EMT Basic” announcing that his comments on the piece could be found over...
Source: The EMT Spot - November 9, 2022 Category: Emergency Medicine Authors: Steve Whitehead Tags: EMT Source Type: blogs
Including Standardized Patients With Diverse Gender Identities in Simulation Cases
On this episode of the Academic Medicine Podcast, guests Luca Petrey and Laura Weingartner, PhD, MS, join hosts Toni Gallo and Research in Medical Education (RIME) Committee members Arianne Teherani, PhD, and Daniele Olveczky, MD, to discuss a new scoping review of the literature on the inclusion of standardized patient characters and actors with diverse gender identities in simulation cases.
This is the second episode in this year’s 3-part series of discussions with RIME authors about their medical education research and its implications for the field.
This episode is now available through Apple Podcast...
Source: Academic Medicine Blog - October 24, 2022 Category: Universities & Medical Training Authors: amrounds Tags: AM Podcast AM Podcast Transcript Academic Medicine podcast gender identity health equity medical education Research in Medical Education RIME simulation standardized patients Source Type: blogs
Pulmonary stenosis – Cardiology Basics
Pulmonary stenosis – Cardiology Basics
Pulmonary stenosis is most often congenital, though occasionally it can occur in carcinoid syndrome and related disorders. Dysplastic pulmonary valve occurs in Noonan’s syndrome. Pulmonary stenosis increases the workload of the right ventricle, which gets hypertrophied in an attempt to overcome the obstruction. Hypertrophied right ventricle becomes less compliant, increasing its filling pressure.
Decrease in right ventricular compliance increases right atrial pressure. This will be more when the right ventricle fails ultimately. Forceful right atrial contraction produces a...
Source: Cardiophile MD - October 18, 2022 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs
Undisclosed Conflicts of Interest by Physicians Creating the CDC Opioid Prescribing Guidelines: Bad Faith or Incompetence?
We described above how changes in opioid policy aimed at reducing Washington State’s Medicaid and Workers Compensation costs contributed to an increase in methadone deaths between 2003 and late 2014 (23-25). Focusing on similar cost reductions, the Centers for Medicar e and Medicaid Services (CMS) proposed rules for 2019 including several directives intended to reduce " Opioid Overutilization, ” including adoption of the “90 morphine milligram equivalent (MME) threshold cited by the 2016 CDC Opioid Guideline (147, 148). Simply put, reduced prescribing reduces costs for prescribed medications.Chou received research fu...
Source: Pallimed: A Hospice and Palliative Medicine Blog - September 12, 2022 Category: Palliative Care Tags: health policy judy kollas opioids research schechtman Source Type: blogs
80 Actions Speak Louder Than Words Quotes to Kickstart Your Motivation
It’s so easy to get stuck in thinking. In talking about what you want to do. In dreaming.
To a large part simply because it's easier than taking action and step by step keep moving forward to achieve your tasks, goals and dreams.
The inner resistance towards taking action is most often there. And the fear of failing can also hold you back.
My weekly go-to when it feels hard to take action towards my own goals is to…
Break what I need to do into smaller steps. Steps that only take 5-10 minutes to complete. Then I focus on just the first of those small steps until I have completed it.
If the inner resistance is extr...
Source: Practical Happiness and Awesomeness Advice That Works | The Positivity Blog - January 14, 2022 Category: Consumer Health News Authors: Henrik Edberg Tags: Personal Development Source Type: blogs
Who Started the Culture War?
David BoazKevin Drum is a progressive blogger who was at Mother Jones until early this year. He caused a stir two weeks ago with a blog post titled “If you hate the culture wars, blame liberals. ” Taking issue with most of his ideological compatriots and with much of the mainstream media, he wrote, “over the past two decades Democrats have moved left far more than Republicans have moved right.…Almost by definition, liberals are the ones pushing for change while conservatives are merel y responding to whatever liberals do.” He cited such “hot button social issues” as same‐sex marriage, immi...
Source: Cato-at-liberty - July 16, 2021 Category: American Health Authors: David Boaz Source Type: blogs
Secret Service Spending Soars
Chris EdwardsIn theWall Street Journal, Peggy Noonanreviews Carol Leonnig ’s book,Zero Fail, about the history and performance of the Secret Service. The federal agency has suffered from epic failures and scandals in recent years.Secret Service management has been dreadful and burying the agency within the sprawling new Department of Homeland Security in 2002 probably made things worse, as Noonan suggests. Indeed, I think that the DHS superstructureshould be abolished as an excessive layer of counterproductive bureaucracy.Where Noonan and Leonnig appear to go wrong is assuming that the Secret Service budget has been sh...
Source: Cato-at-liberty - May 24, 2021 Category: American Health Authors: Chris Edwards Source Type: blogs
General examination – eyes and facial dysmorphism
General examination – eyes and facial dysmorphism
Clinically examination is guided by the symptoms. Unless the history is not correlated with findings, important diagnostic possibilities may be missed. Clinical examination starts off with a focused general examination followed by a detailed examination of the cardiovascular system. Relevant points in other systems like basal crepitations, hepatosplenomegaly and neurological deficits should be looked for.
Examination strategy should be fitting to the clinical situation. When a patient presents to the emergency room, it should be a short but focused examination to perm...
Source: Cardiophile MD - September 21, 2020 Category: Cardiology Authors: Prof. Dr. Johnson Francis Tags: HBC Source Type: blogs
Imposter Syndrome: Why You Have It & How to Stop It
“I have written eleven books, but each time I think, ‘Uh oh, they’re going to find out now. I’ve run a game on everybody and they’re going to find me out.” – Maya Angelou
Any minute now they would find out.
I scanned the large conference room. The twenty-six project team members around the table discussed data analysis. Their voices were muffled by the thick fog of my anxiety.
My own throat tried to choke me, and my chest refused to expand. Sweat trickled down my side.
Breathe, just breathe. It’s going to be okay.
My eyes met my boss’s and he smiled at me across the room. I quickly looked down...
Source: World of Psychology - August 31, 2020 Category: Psychiatry & Psychology Authors: Psych Central Guest Author Tags: Publishers Tiny Buddha Fraud imposter syndrome self-worth Source Type: blogs
Why Emotional Intelligence is Crucial in Business
You're reading Why Emotional Intelligence is Crucial in Business, originally posted on Pick the Brain | Motivation and Self Improvement. If you're enjoying this, please visit our site for more inspirational articles.
Emotional intelligence -- or EQ, short for emotional intelligence quotient -- is defined as the ability to use one’s emotions to full advantage. Emotionally intelligent people have full command of all their social skills (including self-awareness, empathy and the like) and when placed in leadership positions respect others’ views while inspiring outside-the-box thinking.
Additionally, businesses ...
Source: PickTheBrain | Motivation and Self Improvement - March 23, 2020 Category: Consumer Health News Authors: Tim Noonan Tags: featured money and finance productivity tips psychology self-improvement success business advice career emotional intelligence EQ pickthebrain self improvement Source Type: blogs
The Emotions Of Music And The Meaning Of Life: The Week ’s Best Psychology Links
Our weekly round-up of the best psychology coverage from elsewhere on the web
It’s hard for researchers to study the brain activity involved in social interactions when they can only conduct MRI scans on a single person at a time. But what if you could squeeze two people into the scanner at once? At Science, Kelly Servick reports on the development of new, rather intimate imaging arrangements, in which two participants lie face-to-face while having their brains scanned simultaneously.
Music can make us feel a range of emotions — but are those experiences common to everyone, or specific to our own cultural groups?...
Source: BPS RESEARCH DIGEST - January 10, 2020 Category: Psychiatry & Psychology Authors: BPS Research Digest Tags: Weekly links Source Type: blogs
Your Guide to Facial Recognition Technology in Healthcare
Facial recognition technology is upon us; phones and computers can now be unlocked with your specific facial structure using this gimmick, but it can also scarily be used to identify you from security cameras which are increasingly becoming omnipresent. As a matter of fact, Australian governments have been actively pushing for the implementation of this technology with what The Guardian calls “creative reasons” such as public transport payment and government rebates.
But what about the implications of this technology in healthcare? From better diagnosis of rare conditions to ethnic discrimination, will it r...
Source: The Medical Futurist - November 19, 2019 Category: Information Technology Authors: Prans Tags: Artificial Intelligence Bioethics Future of Medicine Security & Privacy cybersecurity healthcare system facial recognition Source Type: blogs
