12 Year Old Asthmatic with Intermittent Dyspnea Unresponsive to Albuterol---What is it, and Why Now?
This case was written by one of ourgreat Hennepin 2nd year residents, Aaron Robinson, with lots of comments and edits by Smith.Thanks to Dr. Smith and Dr. Travis Olives for being part of this case. A 12 year old girl with a history of mild intermittent asthma presented to the emergency department with worsening shortness of breath over the past couple of days. She is up to date on her vaccinations and has no PMHx besides asthma and a noncontributory family history. She does not identify any specific triggers for her asthma. Initial screen in triage revealed normal vitals signs and a normal temperature. Upon interviewi...
Source: Dr. Smith's ECG Blog - August 7, 2018 Category: Cardiology Authors: Steve Smith Source Type: blogs
Tropical Travel Trouble 006 Watery Diarrhoea
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 006
Our medical student who caught shigella on a Nepalese elective has a thirst for adventure. They plan to help at a Bangladesh refugee camp but the latest CDC report states there have been some cases of cholera. They’ve done a little bit of reading and want your help to teach them all about cholera and how they may prepare and best serve their new community.
Questions:
Q1. What is cholera and how is it transmitted?
Answer and interpreta...
Source: Life in the Fast Lane - March 27, 2018 Category: Emergency Medicine Authors: Neil Long Tags: Clinical Cases Tropical Medicine cholera diarrhoea john snow ORS rice water diarrhoea watery diarrhoea Source Type: blogs
Death by Poison
Poison has been used for many purposes since humans have existed, often for assassination or assassination attempts. Some of those make the news, the most recent being the assassination of Kim Jong-nam, the half-brother of North Korean leader Kim Jong-un.Authorities identified the nerve agent VX on his face, and video corroborated two women wiping a substance on his face before his collapse and death. VX is the most potent nerve agent, and was developed in the United States in the 1950s during the Cold War. It is an acetylcholinesterase inhibitor, and exerts its effects like organophosphate insecticides. Victims develop...
Source: The Tox Cave - May 1, 2017 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Executioner/Doctor
There was a very badop-ed published in the NY TimesSaturday by the writer/cardiologist, Dr. Sandeep Jauhar. It's called "Why It's OK for Doctors to Participate in Executions" and that pretty much tells you all you need know. If you were to read something online entitled "Why It's OK for Rapists to Babysit Your Child" you would feel the same filthy layer of scum descend upon your skin as I felt when I read Dr Jauhar's inexplicable ode to Doctors of Death.The piece comes on the heels of a recent decision by the good ol' state of Arkansas to execute 8 men on death row over the next 11 days--- not because their ...
Source: Buckeye Surgeon - April 23, 2017 Category: Surgery Authors: Jeffrey Parks MD FACS Source Type: blogs
How does Tresemme Beauty-Full Volume Reverse Wash haircare system work? Episode 151
This study published in the Journal of Clinical Oncology says that citrus products contain psoralens and fur-O-coumarins which can stimulate certain cancers when they’re exposed to light. The study looked at the diets of over 100,000 people over the course of 4 years. After controlling for other factors, the melanoma risk was found to by 36% higher in people who ate citrus fruits more than 1.5 times per day. So I’m sure it won’t be long before some enterprising beauty company starts selling sunscreen in the produce aisle of the grocery store.
Millennials aren’t buying soap bars
Link
Remember back in the early ...
Source: thebeautybrains.com - September 20, 2016 Category: Consumer Health News Authors: Randy Schueller Tags: Podcast Source Type: blogs
The Summer that Melted My ADHD Brain (and the Eight Ways I Beat the Heat!)
My favorite times of the year are Spring and Fall. Then I can emerge from my protective cocoon, spread my wings, and go outside without dying. In the Winter, the cold moisture gives me bronchitis. Just ONE cold can linger for weeks, so I curtail my beloved walks and slog on a treadmill instead. But the Summer! Wow! The Summer melts my brain. At least in the Winter I can still think and function, but the heat reduces my brain to a gelatinous goo that prevents coherent thought. I used to hide inside for months, but over the years the boredom of the shut-in life drove me outside out of sheer desperation. Unfortunately, if I s...
Source: The Splintered Mind by Douglas Cootey - June 30, 2016 Category: Psychiatry Tags: ADHD Goodreads Source Type: blogs
STEMI with Life-Threatening Hypokalemia and Incessant Torsades de Pointes
Conclusions: In the select group of hypokalemic patients studied, potassium infusions of 20 to 40 mmol delivered over 1 hr were safe to administer and effectively increased serum potassium levels in a dosedependent and predictable fashion. Furthermore, these results were independent of the patient's underlying renal function or associated diuretic administration. (Crit Care Med 1991; 19:694)Concentrated Potassium Chloride Infusions in Critically Ill Patients with HypokalemiaThe Journal of Clinical Pharmacology. Volume 34, Issue 11, pages 1077–1082, November 1994Although concentrated infusions of pota...
Source: Dr. Smith's ECG Blog - April 7, 2016 Category: Cardiology Authors: Steve Smith Source Type: blogs
Funtabulously Frivolous Friday Five 131
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…introducing Funtabulously Frivolous Friday Five 131 (Christmas Special)
Question 1
Approximately how many people are injured by Christmas trees every year in the UK?
+ Reveal the Funtabulous Answer
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2,500
According to the Royal Society for the Prevention of Accidents, each year 1,000 people go to hospital after accidents involving Christmas trees
A further 1,000 ar...
Source: Life in the Fast Lane - December 25, 2015 Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five christmas tree heart attack renal tubular acidosis humbug Turkey masturbators Horace Wells Tiny Tim Source Type: blogs
Wheat Watch: Greenies
Here’s a post aimed at our canine and feline friends.
“Greenies: The #1 Vet-Recommended Dental Chews and Treats.” That’s what the people who manufacture Greenies dental chews for dogs and cats claim.
But, for those of you trying to keep your dog or cat wheat- and grain-free, Greenies dental chews, purported to clean their teeth, are filled with wheat and rice, among their top ingredients:
Ingredients in Dog chews:
Wheat flour, wheat protein isolate, glycerin, gelatin, oat fiber, water, lecithin, natural poultry flavor, minerals (dicalcium phosphate, calcium carbonate, potassium chloride, magnesiu...
Source: Wheat Belly Blog - December 2, 2015 Category: Cardiology Authors: Dr. Davis Tags: Wheat Belly Lifestyle dental decay gluten grains rice Source Type: blogs
Executions, Doctors, The U.S. Supreme Court, And The Breath Of Kings
This report concluded that even though prison officials decided to inject the drugs into Lockett’s femoral vein (which is a more difficult and risky procedure), Lockett’s surface and deep veins had “excellent integrity.” Another execution that was scheduled to occur that same night has now been stayed for six months, pending an investigation into Mr. Lockett’s execution.
On July 23, 2014, Arizona encountered a problem with the same drug in the execution of Joseph Wood, wherein the condemned inmate allegedly gasped for almost two hours before dying.
The executions have prompted two important but different kinds of...
Source: Health Affairs Blog - March 26, 2015 Category: Health Management Authors: I. Glenn Cohen Tags: All Categories Health Law Policy Politics Public Opinion States Source Type: blogs
How to pick the perfect makeup remover
Makeup can be tough to remove so it’s important to pick the right kind of cleanser. Tune in to this week’s show to learn everything you need to know about the perfect product to clean your face.
Click below to play Episode 63 or click “download” to save the MP3 file to your computer.
Show notes
The Beauty Brains on Dr.Oz
I just returned from New York where I not only attended the annual Society of Cosmetic Chemists meeting but I also appeared on the Dr. Oz show! I talked about beauty myth busting and I’ll post a link to the video as soon as I know when the episode airs.
Question of the week: How...
Source: thebeautybrains.com - December 30, 2014 Category: Consumer Health News Authors: Perry RomanowskiThe Beauty Brains Tags: Best Podcast Problems Source Type: blogs
FDA Takes Step Backwards with New MDDS Guidance
We examined a few MDDS-related MAUDE reports, MEDSUN entries, and Recall Letters. None of the defect descriptions contained anything surprising to someone with even a modicum of hands-on IT experience. Four selected MDDS defect reports are described below. We quote directly from the FDA databases (typos may be from the original documents) and provide a link to the original complete documents.
Abbott Initiates Voluntary Recall of FreeStyle lnsulinx Blood Glucose Meters
The company has determined that at extremely high blood glucose levels of 1024 mg/dL and above, the FreeStyle lnsulinx Meter will display and store in ...
Source: Medical Connectivity Consulting - September 9, 2014 Category: Technology Consultants Authors: Tim Gee Tags: connectivity Healthcare IT Patient Safety Standards & Regulatory Source Type: blogs
End of Life Gamma Waves: Altered State of Consciousness or Artifactual Brain Activity?
"I had been in labor for my daughter for 16 hours. The labor was difficult and the Dr. approached me and told me it may come down to a choice between the child or myself. ... The labor dragged on and on and finally they came in and broke my water. I was rushed into delivery and within minutes my heart had stopped. I remember seeing a beautiful being of light enter the room. She told me I had to return as it was not my time yet. I was sucked back into my body as they restarted my breathing. My daughter began crying the moment I opened my eyes."-Description of a near-death experience1Are you afraid to die? We ...
Source: The Neurocritic - August 15, 2013 Category: Psychiatrists and Psychologists Authors: The Neurocritic Source Type: blogs
Why is new Dove Intensive Moisture their most effective conditioner yet?
Kari’s question…While I was watching House Hunters last night I saw an ad for Dove’s Intensive Moisture conditioner and they said it’s their most effective conditioner yet. I’m pretty sure I’ve seen this kind of claim before. Is it true that haircare products just keeps getting better and better or is this just marketing hype?
The Beauty Brains respond:
There’s no doubt that this is hype but, rest assured, it is hype that Dove has supported with some kind of test data.
How cosmetic companies improve formulations
When cosmetic companies upgrade their formulas they always find some w...
Source: thebeautybrains.com - August 14, 2013 Category: Consumer Health News Authors: thebeautybrains Tags: Questions Source Type: blogs
