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
Digestive enzyme supplements for heartburn?
My love affair with spicy food came to a sad end a few years ago. Age — and I’m guessing too many jalapenos — have left me prone to heartburn if I eat meals with a fiery flare. My doctor says there’s no underlying condition causing the problem, and advises me to avoid the foods that seem to trigger symptoms. But that’s tricky sometimes.
So I was particularly interested when a friend suggested that an over-the-counter (OTC) digestive enzyme supplement might help. I learned pretty quickly that there are lots of ads for the pills and powders. It’s a booming business, with sales for OTC digestive enzymes of all kin...
Source: Harvard Health Blog - April 13, 2018 Category: Consumer Health News Authors: Heidi Godman Tags: Complementary and alternative medicine Digestive Disorders Health 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?
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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
LITFL Review 326
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 326th 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.
Readers can subscribe to LITFL review RSS or LITFL review EMAIL subscription
The Most Fair Dinkum Ripper Beauts of the Week
Read this speci...
Source: Life in the Fast Lane - April 8, 2018 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: LITFL review LITFL R/V Source Type: blogs
You have two hours to save this patient's life
Written by Pendell Meyers, edits by Steve SmithA female in her 60s with history of CAD s/p PCI and CABG, alcohol abuse, and recurrent pancreatitis presented at 14:55 complaining of sudden onset epigastric pain. Initial vital signs were heart rate 44 bpm, respiratory rate 16, BP 143/67, SpO2 96% on room air. On initial exam she was in mild distress and complaining of severe nausea.Here is her initial ECG:What do you think?There is decreased ECG quality due to baseline movement. Despite this, there are clearly hyperacute T-waves in lead III with reciprocal negative hyperacute T-waves in aVL (and lead I) with likely a small a...
Source: Dr. Smith's ECG Blog - March 24, 2018 Category: Cardiology Authors: Pendell Source Type: blogs
Medmastery: The pancreas
LITFL • Life in the Fast Lane Medical Blog
LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog
The team at Medmastery fresh from a second Comenius Award from the Society for Pedagogy, Information and Media (GPI) are providing LITFL readers with a series of FOAMed courses from across their website.
First we take a dive into the Abdominal Ultrasound Essentials course and review strategies to help identify pancreatitis with the help of ultrasound imaging
Further reading:
LITFL Medmastery Courses
Medmastery on Facebook and Twitter
Guest post: Nikolaus Mayr, MD. Chie...
Source: Life in the Fast Lane - January 24, 2018 Category: Emergency Medicine Authors: Mike Cadogan Tags: Medmastery pancreas pancreatitis Ultrasound Source Type: blogs
Funtabulously Frivolous Friday Five 214
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 214.
Question 1
Who first described the phenomenon of malignant hyperthermia?
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Michael Denborough
Question 2
Fox’s Sign ...
Source: Life in the Fast Lane - November 17, 2017 Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five apocrine miliaria Charles Maitland fox sign george henry fox john addison fordyce jones fracture malignant hyperthermia michael denborough Newgate pimp Robert Jones smallpox william osler Source Type: blogs
Things we discussed last week on rounds
Each week on rounds several very interesting topics arise. In December I plan to discuss these issues on a daily basis, but today I am reflecting on 5 days of ward rounds last week. I just plan to list some issues, not include the discussions or why we focused on those issues. Please feel free to ask questions or request a longer post on an issue.
When to give bicarbonate for metabolic acidosis – increased versus normal gap acidosis
How you can have both a metabolic alkalosis and acidosis at the same time
When to aggressively evaluate an anion gap acidosis
What is community acquired pneumonia and when should w...
Source: DB's Medical Rants - November 13, 2017 Category: Internal Medicine Authors: rcentor Tags: Medical Rants Source Type: blogs
Beware of online retailers selling designer benzodiazepines
One of Max’s friends taught him an easy way to buy shady drugs. What he learned almost killed him, and it opened my eyes to a hiding-in-plain-sight source of dangerous drugs that is amplifying the opioid epidemic.
When Max (not his real name) developed pancreatitis a decade ago, his physicians prescribed opioids to ease his extreme pain. When he experienced anxiety between episodes of pancreatitis, his physicians prescribed a benzodiazepine.
Benzodiazepines are used to treat anxiety and insomnia, symptoms they can effectively resolve, at least in the short term. Textbooks euphemistically call these drugs anxiolytics an...
Source: Kevin, M.D. - Medical Weblog - October 24, 2017 Category: General Medicine Authors: < a href="http://www.kevinmd.com/blog/post-author/abraham-m-nussbaum" rel="tag" > Abraham M. Nussbaum, MD < /a > Tags: Meds Primary Care Psychiatry Public Health & Policy Source Type: blogs
Chronic Pancreatitis CT: DAMS Unplugged
Brief video about CT scan showing chronic pancreatitis from my daily reporting.Famous Radiology Blog http://www.sumerdoc.blogspot.com
TeleRad Providers at www.teleradproviders.com Mail us at sales@teleradproviders.com (Source: Sumer's Radiology Site)
Source: Sumer's Radiology Site - September 10, 2017 Category: Radiology Authors: Sumer Sethi Source Type: blogs
Funtabulously Frivolous Friday Five 196
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 196.
Question 1
What happens if you swallow chewing gum?
http://roalddahl.wikia.com/wiki/Violet_Beauregarde
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Not a lot, most people p...
Source: Life in the Fast Lane - July 6, 2017 Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five catatumbo chewing gum children Constipation drowning growth lightning pancreatitis Schaltenbrand syndrome scorpion bite spontaneous cerebrospinal fluid leak Source Type: blogs
Puzzola and Piccolo in the vet hospital
Piccolo This is a post about our two eldest cats: Puzzola, who is between 16 and 17 years old, and Piccolo, who turned 14 in April. They’re both in the vet hospital right now.
It’s a long story, but essentially they both started doing poorly about two weeks ago. Piccolo slowly began losing his phenomenal appetite and spending way too much time motionless on his cat bed (on the guest room bed).
I took him to the clinic as soon as I realized that something was very wrong. The vets found that he has a problem with his spinal column (I forget the name of this condition, but it has to do with calcifications of the v...
Source: Margaret's Corner - July 4, 2017 Category: Cancer & Oncology Authors: Margaret Tags: Blogroll Source Type: blogs
Compression of disability should be everyones health goal
What are you doing to maintain vigor as long as feasible? Fries wrote a classic article in the NEJM – Aging, Natural Death and the Compression of Morbidity.
Fries argues that chronic disease is our foe – avoiding chronic disease allows us to wait longer until we develop morbidity. The ideal situation is excellent health until 90 then die in your sleep.
How do we do that? Unfortunately, some people develop chronic diseases that we do not know how to prevent. However, any physician will tell you that much chronic disease develops because of lifestyle choices. Here is my list of lifestyle choices that pr...
Source: DB's Medical Rants - May 18, 2017 Category: Internal Medicine Authors: rcentor Tags: Medical Rants Source Type: blogs
LITFL Review 274
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 274th 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
Justin Morgenstern writes about performance under pressure: the problems, what it means for provid...
Source: Life in the Fast Lane - March 19, 2017 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs
My mother isn ’t a drug-seeking patient. She’s in pain.
The patient, age forty-nine, complained of abdominal pain. She was taking both slow- and fast-acting oxycodone to manage the pain, and she also took antidepressants and a sleeping aid. She’d come to the hospital several times in the past year, always with the same complaint. This time, not feeling well enough to drive, she’d come by taxi. The veins in her arms were small, threadlike and collapsed, like those of a ninety-year-old or a recreational drug user.
Her medical file was huge, with reports from her primary-care physician, from local hospitals and the gastroenterology department of a highly regarded teach...
Source: Kevin, M.D. - Medical Weblog - March 15, 2017 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/christina-phillips" rel="tag" > Christina Phillips < /a > Tags: Patient Pain management Source Type: blogs
