The Three Ps of Pyloric Stenosis
The back story of pyloric stenosis is fascinating. It is a relatively minor surgical condition today, but the disease had a mortality of 100 percent before 1904, when only five operative cases were known to have been performed in the United States. The dying process was slow and painful, and parents watched their infants slowly starve to death.The pyloromyotomy procedure currently used to treat pyloric stenosis was introduced by Conrad Ramstedt, MD, in 1911 at the Children's Hospital of Munster, and is still called the Ramstedt procedure. Before surgical management was introduced for this gastric outlet obstruction, mul...
Source: M2E Too! Mellick's Multimedia EduBlog - October 1, 2019 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Exploring Feeding/Swallowing Disorders Versus Eating Disorders in Children
What would you say if a graduate student or clinical fellow asked you to explain the difference between a feeding/swallowing disorder and an eating disorder for pediatric patients? As a pediatric feeding and swallowing specialists, I answer this question with, “It’s complicated.”
Often, an overriding medical issue—such as gastrointestinal issues or poor oral strength and coordination due to prematurity—causes feeding and swallowing disorders. As medical issues resolve, feeding and swallowing issues can persist. And, over time, these issues could gradually change from medically based issues to increasingly behavi...
Source: American Speech-Language-Hearing Association (ASHA) Press Releases - June 3, 2019 Category: Speech-Language Pathology Authors: Jennifer WIlson Tags: Health Care Private Practice Schools Slider Speech-Language Pathology Dysphagia eating disorders Feeding Disorders Social Media Source Type: blogs
Doctors Do Know Best. Exhibit A: The Charlie Gard Case.
By SAURABH JHA, MD
For American conservatives, Britain’s NHS is an antiquated Orwellian dystopia. For Brits, even those who don’t love the NHS, American conservatives are better suited to spaghetti westerns, such as Fistful of Dollars, than reality.
The twain is unlikely to meet after the recent press surrounding Charlie Gard the infant, now deceased, with a rare, fatal mitochondrial disorder in which mitochondrial DNA is depleted – mitochondrial depletion disorder (MDD). In this condition, the cells lose their power supply and tissues, notably in the brain, die progressively and rapidly.
The courts forbade Charlie...
Source: The Health Care Blog - July 31, 2017 Category: Consumer Health News Authors: at RogueRad Tags: OP-ED Patients Source Type: blogs
Winning the Doctor Lottery
By ANISH KOKA, MD
A poignant piece recently appeared in the journal Health Affairs and was rapidly devoured on social media by the health policy community. The story is a harrowing first person account of a woman’s multiple interactions with doctors. The doctors in the story are either very good or very bad. One pediatrician turns the author and her sick son away on three consecutive days with colic, only to have a more careful partner sound the alarm and discover pyloric stenosis. The author then recounts the tale of her father’s death at age 42 due to a surgeon who operated for diverticulitis unnecessarily.
...
Source: The Health Care Blog - May 30, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs
LITFL Review 241
Welcome to the 241st 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 chuck of FOAM.
The Most Fair Dinkum Ripper Beauts of the Week
Rob Mac Sweeney’s Critical Care Reviews will showcase upcoming trials of interest in critical care. Its inaugural podcast is on Paul Young and the ICU-ROX trial. [SO]
The Best of #FOAMed Emergency Medicine
The Core EM Podcast reviews t...
Source: Life in the Fast Lane - July 24, 2016 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs
Top stories in health and medicine, September 11, 2014
From MedPage Today:
Azithromycin Linked to Belly Blockage in Infants. Infants who received azithromycin (Zithromax) in the early days of life were at an increased risk for developing infantile hypertrophic pyloric stenosis (IHPS).
Singulair Doesn’t Ease Wheeze in Most Kids. Intermittent montelukast (Singulair) didn’t alleviate wheezing in children, except possibly for those with a specific genetic mutation.
Single-Pill HIV Therapy Proves Less Toxic. An investigational single-pill regimen for HIV — the first to be based on a protease inhibitor — was less toxic than a similar regimen using separate ...
Source: Kevin, M.D. - Medical Weblog - September 11, 2014 Category: Journals (General) Authors: MedPage Today Tags: News Infectious disease Pulmonology Source Type: blogs
Laboratory Abnormalities and Pyloric Stenosis
The classic clinical presentation of infantile hypertrophic pyloric stenosis (IHPS) is an emaciated 3- to 6-week-old infant who has been experiencing immediate postprandial, nonbilious, projectile vomiting over a period of weeks. The infants remain hungry and demand to be re-fed after vomiting. Caucasian, full-term boys (4:1 to 6:1) tend to present with this condition most frequently, and these patients tend to be firstborns.
An olive-sized tumor can be felt to the right of the umbilicus, and this may best be palpable immediately after the infant has vomited. Visible peristaltic waves may also be noted. The infants are typ...
Source: M2E Too! Mellick's Multimedia EduBlog - February 28, 2014 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Laboratory Abnormalities and Pyloric Stenosis
The classic clinical presentation of infantile hypertrophic pyloric stenosis (IHPS) is an emaciated 3- to 6-week-old infant who has been experiencing immediate postprandial, nonbilious, projectile vomiting over a period of weeks. The infants remain hungry and demand to be re-fed after vomiting. Caucasian, full-term boys (4:1 to 6:1) tend to present with this condition most frequently, and these patients tend to be firstborns.
An olive-sized tumor can be felt to the right of the umbilicus, and this may best be palpable immediately after the infant has vomited. Visible peristaltic waves may also be noted. The infants are ty...
Source: M2E Too! Mellick's Multimedia EduBlog - February 28, 2014 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
The LITFL Review 117
The LITFL Review is your regular and reliable source for the highest highlights, sneakiest sneak peaks and loudest shout-outs from the webbed world of emergency medicine and critical care. Each week the LITFL team casts the spotlight on the best and brightest from the blogosphere, the podcast video/audiosphere and the rest of the Web 2.0 social media jungle to find the most fantastic EM/CC FOAM (Free Open Access Meducation) around.
Welcome to the 117th edition, brought to you by:
Kane Guthrie [KG] from LITFL
Tessa Davis [TRD] from LITFL and Don’t Forget The Bubbles
Brent Thoma [BT] from BoringEM, and
Chris Nickson [C...
Source: Life in the Fast Lane - November 26, 2013 Category: Emergency Medicine Doctors Authors: Kane Guthrie Tags: Emergency Medicine Featured LITFL review LITFL R/V Source Type: blogs
The LITFL Review 095
Welcome to the challenging 95th edition!
The LITFL Review is your regular and reliable source for the highest highlights, sneakiest sneak peaks and loudest shout-outs from the webbed world of emergency medicine and critical care. Each week the LITFL team casts the spotlight on the best and brightest from the blogosphere, the podcast video/audiosphere and the rest of the Web 2.0 social media jungle to find the most fantastic EM/CC FOAM (Free Open Access Meducation) around.
The Most Fair Dinkum Ripper Beaut of the Week
emimdoc
Top spot this week heads over to David at emimdoc with his post on A Note to Conference Organiz...
Source: Life in the Fast Lane - February 18, 2013 Category: Emergency Medicine Doctors Authors: Kane Guthrie Tags: Education eLearning Emergency Medicine Featured Health Intensive Care LITFL review LITFL R/V Source Type: blogs
The LITFL Review 095
Welcome to the challenging 95th edition!
The LITFL Review is your regular and reliable source for the highest highlights, sneakiest sneak peaks and loudest shout-outs from the webbed world of emergency medicine and critical care. Each week the LITFL team casts the spotlight on the best and brightest from the blogosphere, the podcast video/audiosphere and the rest of the Web 2.0 social media jungle to find the most fantastic EM/CC FOAM (Free Open Access Meducation) around.
The Most Fair Dinkum Ripper Beaut of the Week
emimdoc
Top spot this week heads over to David at emimdoc with his post on A Note to Conference Organiz...
Source: Life in the Fast Lane - February 18, 2013 Category: Emergency Medicine Doctors Authors: Kane Guthrie Tags: Education eLearning Emergency Medicine Featured Health Intensive Care LITFL review LITFL R/V Source Type: blogs
The LITFL Review 094
Welcome to the awesome 94th edition!
The LITFL Review is your regular and reliable source for the highest highlights, sneakiest sneak peaks and loudest shout-outs from the webbed world of emergency medicine and critical care. Each week the LITFL team casts the spotlight on the best and brightest from the blogosphere, the podcast video/audiosphere and the rest of the Web 2.0 social media jungle to find the most fantastic EM/CC FOAM (Free Open Access Meducation) around.
The Most Fair Dinkum Ripper Beaut of the Week
StEmylns
Top spot this week has been smashed by two great post from the StEmylns team!
First up we have Simo...
Source: Life in the Fast Lane - February 12, 2013 Category: Emergency Medicine Doctors Authors: Kane Guthrie Tags: Education eLearning Emergency Medicine Featured Health Intensive Care LITFL review LITFL R/V Source Type: blogs
absite as myth
I’ve been thinking: the surgery in-training exam is really like a recitation of legends, orally recounted histories, not too closely related to facts, that define our community.
The test runs through a long series of stories, which are so familiar to surgeons and surgeons-in-training, that we only have to mention a few words of the story, to have the whole thing immediately recognized and understood.
These are some of the legends: gallbladder cancer, incidentally discovered after lap chole, invading through the lamina propria (snap answer: resect a surrounding rim of normal liver tissue); projectile vomiting in a 4wk...
Source: Cut On The Dotted Line - February 2, 2010 Category: Surgery Authors: Dr. Alice Tags: medical education Source Type: blogs
