Pulmonary embolism severity index – Cardiology MCQ
100 Points on the pulmonary embolism severity index (PESI) would be classified as:
a) Class I
b) Class II
c) Class III
d) Class IV
Correct answer: c) Class III
Class III has a 3.1% 30 day mortality risk and has points in the range of 86-105 points. Class I with less than <65 points has virtually no 30 day mortality risk while Class V with over 125 points has 24.4% 30 day mortality risk.
Parameters considered for risk stratification are age, male gender, history of cancer, history of heart failure, history of chronic lung disease, pulse rate above 110/min, systolic blood pressure below 100 mm Hg, respiratory rate of 30 o...
Source: Cardiophile MD - August 30, 2016 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiology Cardiology MCQ DM / DNB Cardiology Entrance Featured Source Type: blogs
IN MEMORIUM: A light for patient advocacy goes out, too soon
This post by Chelsea Rice first appeared on Athena Insight on August 19, 2016.
“There’s no reason that only 4.75% of outpatient visits and .08% of my hospitalizations are spent actively treating my condition. There’s no reason that I spent two solid months (1540 hours, 64.2 days) of this year waiting instead of healing. So, please, stop wasting my time. Stop wasting my life.”
— Jess Jacobs “On Wasting My Time — The Numbers“
Jessica “Jess” Jacobs, a 29-year-old healthcare IT professional and patient, wrote these words in her blog in November 2014. In the post, she categorized the relative usefulness o...
Source: Disruptive Women in Health Care - August 22, 2016 Category: Consumer Health News Authors: dw at disruptivewomen.net Tags: Performance Insight Uncategorized newtag Source Type: blogs
On the Worst Healthcare Experience of My Life
By JESS JACOBS
This has been a very sad weekend for me personally, the wider health care community and for anyone who knew Jess Jacobs, who died on Saturday. She was only 29 years old, and was smart, funny, enthusiastic, and brave well beyond her years. She suffered from two very rare diseases, but was also working to push health policy forward at ONC, FDA and Aetna, and she really knew her stuff. Jess was a marvel and a rarity in more ways than one. She was #UnicornJess. (That link will take you to the twitter memorial on Sunday night, but also check out remembrances from Ted Eytan & Carly Medosch). I’m as...
Source: The Health Care Blog - August 15, 2016 Category: Consumer Health News Authors: Matthew Holt Tags: THCB #UnicornJess Hospital Care Jess Jacobs Source Type: blogs
An Interview with Noted Pancreas Surgeon Dr. Charles J. Yeo
Recently, InsideSurgery had a chance to speak with Dr. Charles J. Yeo about his career as a top Whipple and pancreas surgeon and his ongoing role as a surgical leader and educator.
As the Samuel D. Gross Professor of Surgery and Chair of the Department of Surgery, you welcomed your second intern class to Thomas Jefferson University in Philadelphia, Pennsylvania last month. What one piece advice do you have for your new trainees?
One piece of advice….that’s tough! Several pieces of advice….enjoy the challenges and experiences of internship; read and increase your knowledge base outside of that 80 hours; ...
Source: Inside Surgery - August 12, 2016 Category: Surgery Authors: Editor Tags: Interviews Source Type: blogs
Multiple choice questions are a terrible way to test doctors
Most people are surprised to hear that the way doctors are recertified every ten years is through a multiple choice test. “Really?” they’ll say. “You take a multiple choice test? As a doctor?”
Unfortunately, after all these years that’s the most efficient way we can think of to evaluate professionals. But the method is so flawed. And your ability to answer questions on the multiple choice test isn’t necessarily linked with your ability to be a good clinician. Take a look at this question, for example:
Which of the following statements regarding deep venous thrombosis is correct?
Most calf vein thromb...
Source: Kevin, M.D. - Medical Weblog - August 9, 2016 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/jeremy-gabrysch" rel="tag" > Jeremy Gabrysch, MD < /a > Tags: Physician Emergency Hematology Source Type: blogs
Even if doctors are demonized, they do make a difference
As a long-distance truck driver, he did not have time to visit a doctor. In fact, the last time a doctor ever examined him was decades ago. When his leg started hurting, he ignored the pain for months before it got too severe and started interfering with his ability to drive. He showed up in my office in severe pain and limping. And while he tried to joke it off, I could see the fear in his eyes. I examined him and then sat down and faced him. I knew he wanted to get out of the office by any way and was hoping I would tell him it was just a pulled muscle. But, I suspected it was more dire than that, and as I shared my su...
Source: Kevin, M.D. - Medical Weblog - August 6, 2016 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/linda-girgis" rel="tag" > Linda Girgis, MD < /a > Tags: Physician Primary care Source Type: blogs
DM / DNB Cardiology Entrance New Test Series 5
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Source: Cardiophile MD - August 6, 2016 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiology Cardiology MCQ DM / DNB Cardiology Entrance Featured Source Type: blogs
Research and Reviews in the Fastlane 143
Welcome to the 143rd edition of Research and Reviews in the Fastlane. R&R in the Fastlane is a free resource that harnesses the power of social media to allow some of the best and brightest emergency medicine and critical care clinicians from all over the world tell us what they think is worth reading from the published literature.
This edition contains 6 recommended reads. The R&R Editorial Team includes Jeremy Fried, Nudrat Rashid, Soren Rudolph, Justin Morgenstern, Anand Swaminathan and, of course, Chris Nickson. Find more R&R in the Fastlane reviews in the R&R Archive, read more about the R&R ...
Source: Life in the Fast Lane - July 21, 2016 Category: Emergency Medicine Authors: Jeremy Fried Tags: Clinical Research Education Emergency Medicine Neurology R&R in the FASTLANE Trauma EBM literature recommendations research and reviews Source Type: blogs
Why nurses deserve a place in primary care
I’m feeling pretty good about myself today. My patient, recently admitted to home health care, was just not herself, low O2 sats, irregular heart rate with pain on inspiration and feeling a little clammy. While her recent surgery was a neck fusion, it still didn’t completely eliminate the possibility of a pulmonary embolism. Instead of spending 15 to 30 torturous minutes in her primary doctor’s voice mail hell, I made the call to go to the emergency room for evaluation; she was ultimately admitted. While I do not know her admitting diagnosis, I think I nailed it.
Policy wonks and health system bean counters will crin...
Source: Kevin, M.D. - Medical Weblog - July 16, 2016 Category: Journals (General) Authors: Anonymous Tags: Policy Primary care Source Type: blogs
DM / DNB Cardiology Entrance New Test Series 4
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Source: Cardiophile MD - July 16, 2016 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiology MCQ DM / DNB Cardiology Entrance Featured Source Type: blogs
Dyspnea and Convex ST elevation, Marked LVH, with Bedside Echos
Case 1.Chief complaint: A 60-something African American male with 5 days of increasing SOB with dyspnea on exertion.This male in his 60's has a PMH of CAD with MI and CABG, HTN with LVH, hyperlipidemia, and mild HF with only moderately reduced ejection fraction (and some diastolic dysfunction as well).He presents with 5 days of worsening shortness of breath with orthopnea as well as chest pain. His BP is 191/90. He also has a history of venous thromboembolism and has not been taking his anticoagulants. He was also off of his BP meds (lisinopril, amlodipine and carvedilol).Here is his ED ECG (ECG #1):...
Source: Dr. Smith's ECG Blog - July 13, 2016 Category: Cardiology Authors: Steve Smith Source Type: blogs
Medtech Innovator 2016 Semi-Finalists Announced
MedTech Innovator, the medtech industry’s annual start-up competition and virtual accelerator, has just announced their 20 semi-finalists. 430 companies from around the globe applied for these coveted spots, and were reviewed by 90 reviewers from 50 different companies. These ground-breaking semi-finalists will undergo a four month virtual accelerator before attending AdvaMed 2016. There, four finalists will be selected to present and compete for $250,000 in cash prizes, with the winner being selected by audience vote. In addition, throughout the year there will be additional awards given in three areas: Value, Ex...
Source: Medgadget - July 6, 2016 Category: Medical Equipment Authors: Justin Barad Tags: Exclusive News Source Type: blogs
DM / DNB Cardiology Entrance New Test Series 2
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Source: Cardiophile MD - July 2, 2016 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiology MCQ DM / DNB Cardiology Entrance Featured Source Type: blogs
DM / DNB Cardiology Entrance New Test Series 1
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Source: Cardiophile MD - June 28, 2016 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiology MCQ DM / DNB Cardiology Entrance Featured Source Type: blogs
Dyspnea, Right Bundle Branch block, and ST elevation
An elderly male called 911 for acute onset of shortness of breath and vomiting. EMS found him with a heart rate as high as 180 and hypoxic with O2 saturations in the 80's. A prehospital 12-lead was obtained:There is atrial fibrillation (irregularly irregular, no P-waves) with a rapid ventricular response.There is right bundle branch block (RBBB).There is ST elevation in V2-V5.Is this acute STEMI??On arrival in the ED, the patient had this ECG recorded:Atrial fibrillation with RVR.ST Elevation in V2-V5.Is this acute STEMI?Note the well-formed Q-waves in the leads with ST elevation! This suggests old MI. Comment:...
Source: Dr. Smith's ECG Blog - June 5, 2016 Category: Cardiology Authors: Steve Smith Source Type: blogs
