Tropical Travel Trouble 003 Stiff in the Mouth
LITFL • Life in the Fast Lane Medical Blog
LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog
aka Tropical Travel Trouble 003
A 65 yr old woman from Ethiopia is visiting her grandchild for the first time in Europe. She is normally fit and well, physically active with a small-holding in Ethiopia. She does not take any medication and cannot remember the last time she saw a doctor. She presents to you with difficulty chewing 3 days after arriving in the UK. She describes it as being “stiff in the mouth”
Questions:
Q1. What is the differential diagnosis an...
Source: Life in the Fast Lane - March 5, 2018 Category: Emergency Medicine Authors: Neil Long Tags: Clinical Cases Tropical Medicine tetanus Source Type: blogs
Continuous Sedation at the End of Life: Ethical, Clinical and Legal Perspectives
New from Cambridge University Press: Continuous Sedation at the End of Life: Ethical, Clinical and Legal Perspectives
Continuous sedation until death (sometimes referred to as terminal sedation or palliative sedation) is an increasingly common practice in end-of-life care. However, it raises numerous medical, ethical, emotional and legal concerns.
These include: the reducing or removing of consciousness (and thus potentially causing 'subjective death'), the withholding of artificial nutrition and hydration, the proportionality of the sedation to the symptoms, its adequacy in actually relieving symptoms rather than simply g...
Source: blog.bioethics.net - November 28, 2017 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs
Midgut Volvulus CT
Discussion by Dr MGK Murthy, Dr Pritam, Dr GA PrasadIntestinal malrotation is described as abnormal positioning of the bowel loops within the peritoneal cavity in the intrauterine life. It is caused by defective rotation of primitive intestinal loop around the axis of SMA during embryogenesis.Midgut volvulus is a complication of malrotation in which clockwise twisting of the bowel around the superior mesenteric artery axis occurs because of the narrowed mesenteric attachment. Degree of twisting is variable& determines symptoms. Severe volvulus = 3& ½ turns, can lead to bowel necrosis.Age at presentation – usuall...
Source: Sumer's Radiology Site - November 24, 2017 Category: Radiology Authors: Sumer Sethi Source Type: blogs
Health Care Needs Its Rosa Parks Moment
BY SHANNON BROWNLEE
On Wednesday, October 25, 2017 I was at the inaugural Society for Participatory Medicine conference. It was a fantastic day and the ending keynote was the superb Shannon Brownlee. It was great to catch up with her and I’m grateful that she agreed to let THCB publish her speech. Settle back with a cup of coffee (or as it’s Thanksgiving, perhaps something stronger), and enjoy–Matthew Holt
George Burns once said, the secret to a good sermon is to have a good beginning and a good ending—and to have the two as close together as possible. I think the same is true of final keynotes after a...
Source: The Health Care Blog - November 22, 2017 Category: Consumer Health News Authors: Matthew Holt Tags: OP-ED Patients Physicians Lown Institute Overtreatment Right Choice Alliance Shannon Brownlee Society for Participatory Medicine Source Type: blogs
Medical Advance Directive: An Emphatic " NO! " to Dementia
Discussion Blog)
Source: Bioethics Discussion Blog - November 12, 2017 Category: Medical Ethics Source Type: blogs
Medical Advance Directive: An Emphatic " NO! " to Dementia
Norman Cantor, a lawyer and Professor of Law at Rutgers University School of Law wrote a thoughtful article about the medical Advance Directive in the Harvard Law School "Bill of Health" blog http://blogs.harvard.edu/billofhealth/2017/04/20/changing-the-paradigm-of-advance-directives/and explaining why he is revising his own medical Advance Directive to instruct his physicians and caretakers to allow him to die if he had developed a dementia "upon reaching a degree of permanent mental dysfunction that I deem to be intolerably demeaning. For me, this means mental deterioration to a point when I can no longer read and ...
Source: blog.bioethics.net - November 12, 2017 Category: Medical Ethics Authors: Maurice Bernstein, M.D. Tags: Health Care syndicated Source Type: blogs
Fight Aging! Newsletter, October 23rd 2017
In this study, we demonstrate that irrespective of the derivation of CD8+ CD45RA+CD27- T cells, these primed cells exhibit a unique highly inflammatory secretory profile characteristic of the SASP, and we also provide evidence that ADAM28 can be used as a functional marker of senescence in CD8+ T cells. Furthermore, we show that the secretory phenotype in CD8+ CD45RA+CD27- T cells is controlled through p38 MAPK signalling, which contributes to age-associated inflammation.
Patient Paid Clinical Studies are a Good Plan for Rejuvenation Therapies
https://www.fightaging.org/archives/2017/10/patient-paid-clinical-s...
Source: Fight Aging! - October 22, 2017 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs
On the " integration " of quackery into the medical school curriculum
On the"integration" of quackery into the medical school curriculumQEDCon is fast approaching (indeed, I can ' t believe I have to leave for Manchester tomorrow night), and because my talk there will be about the phenomenon of " integrative medicine, " I ' ve been thinking a lot about it. As I put together my slides, I can ' t help but see my talk evolving to encompass both " integrative " medicine and what I like to refer to as quackademic medicine, but that ' s not surprising. The two phenomenon are related, and it ' s hard to determine which has a more pernicious effect on science in medicine.One aspect of quac...
Source: Respectful Insolence - October 11, 2017 Category: Surgery Authors: oracknows Source Type: blogs
On the "integration" of quackery into the medical school curriculum
QEDCon is fast approaching (indeed, I can't believe I have to leave for Manchester tomorrow night), and because my talk there will be about the phenomenon of "integrative medicine," I've been thinking a lot about it. As I put together my slides, I can't help but see my talk evolving to encompass both "integrative" medicine and what I like to refer to as quackademic medicine, but that's not surprising. The two phenomenon are related, and it's hard to determine which has a more pernicious effect on science in medicine.One aspect of quackademic medicine that I probably don't write about as much as I should is the "integration...
Source: Respectful Insolence - October 11, 2017 Category: Surgery Authors: oracknows Source Type: blogs
End-of-Life Healthcare Sessions at ASBH 2017
Conclusion: Patients with LEP had significant differences and disparities in
end-of-life decision-making. Interventions to facilitate informed
decision-making for those with LEP is a crucial component of care for this
group.
THU 1:30 pm: “But She’ll Die if You Don’t!”: Understanding and
Communicating Risks at the End of Life (Janet Malek)
Clinicians sometimes decline to offer interventions even if their refusal will
result in an earlier death for their patients. For example, a nephrologist may
decide against initiating hemodialysis despite a patient’s rising creatinine
levels if dea...
Source: blog.bioethics.net - July 26, 2017 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs
Dying from Dementia, Suffering Often Unnecessary
This discussion and research on Dying with Dementia and the unnecessary care that often accompanies the late stages of dementia is worth discussing and considering.ByAlzheimer's Reading RoomThis topic is often overlooked and avoided until it is too late.I believe these issues should be considered, and when possible,discussed in support groups. This information is worth sharing and discussing with family members.Learn More -Coping with Alzheimer'sSince individuals with advanceddementia cannot report their symptoms, these symptoms often are untreated, leaving them vulnerable to pain, difficulty breathing and various other co...
Source: Alzheimer's Reading Room, The - July 14, 2017 Category: Neurology Tags: Alzheimer's Dementia assisted living and memory care facility care homes for elderly with dementia care of dementia patients care of dementia patients at home dementia care elderly dementia care Source Type: blogs
My first mistake could have been fatal
Recently, our three-year-old wandered into our bedroom around 4 a.m. waking me up, saying he was scared. As I did the previous few nights when he did this, I muttered a curse word to myself and picked him up to carry him back to his room. Upon lifting him, a wrinkle in the routine emerged — he was naked below the waist. At some point, before he entered our room, his pajama pants and pull-up were removed.
A mystery had arisen. Yes, the game was afoot.
***
Rewind 10 years.
I am three months into intern year as a pediatric resident. I am taking call every fourth night on the inpatient pediatric hematology/oncology ward, wor...
Source: Kevin, M.D. - Medical Weblog - May 2, 2017 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/rogue-dad" rel="tag" > Rogue Dad, MD < /a > Tags: Physician Primary care Source Type: blogs
Oklahoma Aims to Change More Default Options on Advance Directives
Rep. Rick West
Oklahoma law requires that patients receive artificial nutrition and hydration, notwithstanding general advance directive instructions, unless the patient "specifically authorizes the withholding or withdrawal of artificial... (Source: blog.bioethics.net)
Source: blog.bioethics.net - January 22, 2017 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care medical futility blog syndicated Source Type: blogs
Meningitis FAQ
You know when they say the symptoms of meningitis are commonly a headache and a stiff neck and perhaps purple blotches on the skin that don’t pale when pressed…well…it can be far worse than that and can kill. If you’re in a vulnerable group, make sure you’re vaccinated. It is highly recommended that new university and college students are vaccinated because meningitis is far worse than a spot of “fresher’s flu” (usually just a cold) and can be passed on through coughs and sneezes, close contact and kissing infected people and even just sharing kitchen utensils. If it doesn...
Source: David Bradley Sciencebase - Songs, Snaps, Science - October 6, 2016 Category: Science Authors: David Bradley Tags: Science Source Type: blogs
