Antiphospholipid Syndrome
Antiphospholipid Syndrome (APS) important in vascular medicine as well as obstetrics. In obstetrics, it is important because it can cause fetal loss, intrauterine growth retardation and severe preeclampsia. In vascular medicine it is important because it can cause thrombotic events which could be arterial, venous or microvascular [1]. It can also be accompanied by moderate thrombocytopenia [2]. Thrombotic events involving multiple organs may be termed catastrophic Antiphospholipid Syndrome [3].
APS is an autoimmune disease with antibodies directed against beta2 glycoprotein I. This leads to suppression of tissue factor p...
Source: Cardiophile MD - May 27, 2018 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: General Cardiology anti beta2 glycoprotein I antibodies anti cardiolipin antibodies lupus anticoagulant Source Type: blogs
Heart disease in pregnancy: Risk stratification
It is needless to say that heart disease in pregnancy is a challenge for the obstetrician and the cardiologist. Hemodynamic changes in pregnancy and labour can adversely affect many of the significant cardiac lesions. Increase in blood volume and heart rate are the important factors during pregnancy. In general stenotic lesions and pulmonary hypertension are poorly tolerated, while regurgitant lesions are better tolerated. Specific risks like aortic dissection and rupture are there for coarctation of aorta. Several risk stratification schemes have been developed for assessing the risk of pregnancy with heart disease over ...
Source: Cardiophile MD - May 27, 2018 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: General Cardiology CARPREG II risk scoring CARPREG risk stratification mWHO classification ZAHARA risk score Source Type: blogs
Obstetric physician anesthesiologists aim to provide a happy Mother ’s Day to all patients
A guest column by the American Society of Anesthesiologists, exclusive to KevinMD.com.
I love to see the pure joy that floods over mothers as they hear their new baby’s first cry! The ability to help make childbirth safer for mothers and babies led me to a career in obstetric anesthesiology — in the high-risk, high-reward environment of the labor and delivery department.
I first met the Tuckers, a couple in their late 30s, as they waited in the holding area for a planned cesarean delivery. The husband paced, while soon-to-be mother swiped her phone searching for distraction. They’d tried a dozen years for...
Source: Kevin, M.D. - Medical Weblog - May 11, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/james-lozada" rel="tag" > James Lozada, DO < /a > Tags: Physician Hospital-Based Medicine OB/GYN Source Type: blogs
What Nurses Need to Know: Midwifery and Woman-Centered Care
Karen Trister Grace has spent her career as a midwife and a midwifery educator aside from, appropriately, a nine-month period as a labor and delivery nurse. Educating herself and others has given her perspective. The nursing gig gave her real-world confirmation of why her work as a builder of midwives is so important. Grace, working
The post What Nurses Need to Know: Midwifery and Woman-Centered Care appeared first on Johns Hopkins Nursing Magazine. (Source: Nursing Blogs at Johns Hopkins University)
Source: Nursing Blogs at Johns Hopkins University - May 10, 2018 Category: Nursing Authors: Editor Tags: What Nurses Need to Know Childbirth delivery doctoral healthcare labor malpractice midwifery midwives Obstetrics PhD racism Source Type: blogs
Accuro Helps to Make Epidurals and Spinals Easier: Interview with Will Mauldin, CEO of Rivanna Medical
Performing epidural and spinal anesthesia requires a good deal of training and being able to sense when the needle reaches the desired location. This is certainly not foolproof and some patients are harder to work with than others. One issue is that a sonographer is usually required to operate the ultrasound while the anesthesiologist delivers the needle. Accuro, a new ultrasound device recently cleared by the FDA, offers capabilities that can alleviate a sonographer from having to help with epidurals and spinals. We wanted to learn more and took a chance to ask some question of Will Mauldin, CEO of Rivanna Medical, the Ch...
Source: Medgadget - April 30, 2018 Category: Medical Devices Authors: Editors Tags: Anesthesiology Neurology Pain Management Source Type: blogs
Virtual Reality Can Help Women Get Through Childbirth With Less Pain
Erin Martucci didn’t expect to be among the first women to experience virtual reality during childbirth, she just wanted to deliver her baby girl without epidural, narcotics or any other drugs for the labor pain. However, when her doctor, Ralph Anderson introduced her the equipment, the calming beach scene and the soothing audio giving her breathing instructions really helped her through the most difficult parts of labor. The Medical Futurist asked Martucci and Dr. Anderson what they think about the option of using VR for labor pain.
Delivering a baby with VR
It was a grey dawn in November 2016, when Erin Martucci woke u...
Source: The Medical Futurist - April 26, 2018 Category: Information Technology Authors: nora Tags: Virtual Reality in Medicine baby birth childbirth digital health future gynecology pain pain management technology VR Source Type: blogs
Has the U.S Department of Health and Human Services Gone too Far?
In conclusion, this exemplifies how the bioethics field continues to navigate gray areas. These areas become more undefined as laws and policies that contradict one another are introduced.
Works Cited
Liptak, Adam. “Supreme Court Rejects Contraceptives Mandate for Some Corporations.” The New York Times, 30 June 2014, www.nytimes.com/2014/07/01/us/hobby-lobby-case-supreme-court-contraception.html.
Works Cited
Menikoff, Jerry. Law and Bioethics. Georgetown University Press, 2001.
O'Brien, David M. Constitutional Law and Politics. 6th ed., vol. 2, W.W. Norton & Company, 2005.
Pear, Robert, and J...
Source: blog.bioethics.net - April 23, 2018 Category: Medical Ethics Authors: Bioethics Today Tags: Health Care Doctor-Patient Relationships government Health Care Policy religion syndicated Source Type: blogs
Eponymythology: Atraumatic Abdominal Ecchymosis
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog
Overview
We review the original descriptions of 5 eponymous signs (n=6) associated with non-traumatic abdominal ecchymosis.
These commonly cited eponyms involving the abdominal wall and flanks (Grey Turner, Cullen and Stabler); scrotum (Bryant) and upper thigh (Fox) may be useful clues directing the examiner to consider potentially serious causes of abdominal pathology.
Cullen sign
Thomas Stephen Cullen (1869–1953) was a Canadian gynecologist
Non-traumatic peri-um...
Source: Life in the Fast Lane - April 18, 2018 Category: Emergency Medicine Authors: Mike Cadogan Tags: Eponymythology Abdominal Ecchymosis Bryant sign Cullen sign fox sign Francis Edward Stabler George Grey Turner Grey Turner sign John Adrian Fox John Henry Bryant Stabler sign Thomas Stephen Cullen Source Type: blogs
Screening mammograms: One recommendation may not fit all
To date, official recommendations on when and how often a woman should have a screening mammogram, have been based on risk factors (such as age, a family history of breast cancer, a personal history of radiation to the chest), genetic testing (the BRCA test, for example), or troubling results from a previous biopsy. Race and ethnicity have not officially factored into the equation — yet.
Does race matter when it comes to screening mammograms?
A recent study by Harvard doctors at Massachusetts General Hospital reinforces prior data suggesting that race and ethnicity can be a separate risk factor for breast cancer, and sho...
Source: Harvard Health Blog - April 16, 2018 Category: Consumer Health News Authors: Monique Tello, MD, MPH Tags: Breast Cancer Health Prevention Screening Women's Health Source Type: blogs
High Match Rate for Integrated Interventional Radiology Residents
More students than ever before were offered residency positions on this year ’s annual Match Day on March 16, 2018. There were 37,103 applicants for 33,167 positions, and 96.2 were filled — a .2 percent increase from last year. Among the most popular specialties was Integrated Interventional Radiology, which completely filled up. All positions in Neurological Surgery, Ph ysical Medicine and Rehabilitation and Thoracic Surgery were also filled. Although resident programs collectively added 1,383 positions, clinics and hospitals across the country are experiencing a drastic physician shortage.According to the Association...
Source: radRounds - April 13, 2018 Category: Radiology Authors: Julie Morse Source Type: blogs
Funtabulously Frivolous Friday Five 234
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog
Just when you thought your brain could unwind on a Friday, you realise that it would rather be challenged with some good old fashioned medical trivia FFFF…introducing Funtabulously Frivolous Friday Five 234.
Readers can subscribe to FFFF RSS or subscribe to the FFFF weekly EMAIL
Question 1:
What is Stabler sign?
+ Reveal the Funtabulous Answer
expand(document.getElementById('ddet1709146611'));expand(document.getElementById('ddetlink1709146611'))
Stabler sign: Non-...
Source: Life in the Fast Lane - April 12, 2018 Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five appendicitis botulism cullen echinococcus granulosus ectopic pregnancy Francois Henri Hallopeau hair hydatid Kenya Rovsing's Selman Waksman Stabler's sign Trichotillomania trichotillomaniac water lily si Source Type: blogs
M édecins sans Hôpitaux (Doctors without Hospitals)
This study and others seem to show that “small is beautiful” with independent physician led ACOs apparently out performing ACOs on average. (https://catalyst.nejm.org/do-independent-physician-led-acos-have-a-future/ )
Physician Outsourcers such as Team Health, MedNax, AMN are for profit health service companies. They are not traditional healthcare providers and yet they organize tens of thousands of physicians. Team Health has 20,000 affiliated physicians and provides physicians for hospitals and health systems in several specialties especially emergency medicine, anesthesiology and hospital medicine. MedNax is a physi...
Source: The Health Care Blog - April 5, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs
The Biology Behind the Fertility Clinic Meltdown
*This blog was first published at DNA Science Blog at Public Library of Science*
The spindle apparatus is among the most elegant structures in a cell, quickly self-assembling from microtubules and grabbing and aligning chromosomes so that equal sets separate into the two daughter cells that result from a division. But can spindles in cells held at the brink of division in the suspended animation of the deep freeze at a fertility clinic survive being ripped from their slumber off-protocol, as happened the weekend of March 4 at the Pacific Fertility Clinic in San Francisco and University Hospitals Fe...
Source: blog.bioethics.net - March 28, 2018 Category: Medical Ethics Authors: Bioethics Today Tags: Health Care Fertility syndicated Source Type: blogs
An emergency physician delivers a baby, and realizes that it isn ’t for him
I’m an emergency physician. In common parlance, an ER doc. Which means, like a little kid who will eat dirt on a dare, there’s not much I won’t try in the practice of my profession. Many of my colleagues have had far more challenging careers than me, I assure you. But I have some stories to tell. Cyanide overdose while moonlighting as a resident. Patient nearly dying from bite by pet rattlesnake. Escharotomies (cutting through burnt skin to allow breathing and blood flow) on adult and child. Arriving by helicopter, then lying in the mud intubating a self-inflicted gunshot wound. (While losing my temper with first res...
Source: Kevin, M.D. - Medical Weblog - March 27, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/edwin-leap" rel="tag" > Edwin Leap, MD < /a > Tags: Physician Emergency Medicine OB/GYN Source Type: blogs
LITFL Review 323
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog
Welcome to the 323rd LITFL Review! Your regular and reliable source for the highest highlights, sneakiest sneak peeks and loudest shout-outs from the webbed world of emergency medicine and critical care. Each week the LITFL team casts the spotlight on the blogosphere’s best and brightest and deliver a bite-sized chunk of FOAM.
The Most Fair Dinkum Ripper Beauts of the Week
Are you still ordering BNPs? Spiegel and Morgenstern do a deep dive into the literature to he...
Source: Life in the Fast Lane - March 18, 2018 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs
