Rheumatic tricuspid regurgitation
Rheumatic tricuspid regurgitation is almost always associated with mitral valve disease. Organic tricuspid regurgitation is often superimposed on hypertensive tricuspid regurgitation which occurs due to pulmonary arterial hypertension secondary to mitral valve disease. Tricuspid leaflets are thickened and deformed by the rheumatic process which leads to incomplete coaptation and tricuspid regurgitation.
Clinically tricuspid regurgitation is manifest as prominent systolic wave in the jugular venous pulse (cv wave) and a pansystolic murmur in the tricuspid area, increasing on inspiration (Carvallo’s sign). Carvallo’...
Source: Cardiophile MD - October 9, 2020 Category: Cardiology Authors: Prof. Dr. Johnson Francis Tags: HBC cv waves De Vega procedure Source Type: blogs
New Technologies Drive Cost Growth Over Time
By KEN TERRY
(This is the eighth and final installment in a series of excerpts from Terry’s new book, Physician-Led Healthcare Reform: a New Approach to Medicare for All, published by the American Association for Physician Leadership.)
Medical technologies include drugs, devices, tests, and procedures. Considered as a whole, these technologies are the key driver of growth in health costs, according to Georgetown University professor Gregg Bloche and his associates.
Bloche, et al., view insurance coverage as the chief enabler of these technological innovations. In a 2017 Health Affairs Blog post, they said, ...
Source: The Health Care Blog - October 5, 2020 Category: Consumer Health News Authors: Christina Liu Tags: Health Policy Ken Terry Source Type: blogs
Unmasking inequality: the power of community organization during COVID-19
In medical school, I was charged with caring for Ms. R, a 47-year-old woman with type 2 diabetes, hypertension, and rheumatoid arthritis. She had been flagged as a high priority patient through the student-run free clinic (SRFC) and assigned to me for long-term follow-up. This signified seeing her during monthly check-ups, scheduling her appointments with […]Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 2, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/aishwarya-raja-and-inginia-genao" rel="tag" > Aishwarya Raja and Inginia Genao, MD < /a > < /span > Tags: Conditions COVID-19 coronavirus Infectious Disease Source Type: blogs
New guidelines for aches, pains, and strains
We’ve all been there before. A minor injury leads to a sore ankle, achy shoulder, or sore neck. You could do nothing, try to ignore it, and see if it gets better. Or you may be tempted to take something, especially if significant discomfort prevents you from doing your usual activities or keeps you up at night.
So, what’s the best initial treatment? For minor injuries, your options are many, including:
Home remedies. Common approaches are the “RICE” treatments — Rest, Ice, Compression, and Elevation: applying cold to the sore area, wearing an elastic wrap to compress the sore area, rest, and elevation (such as p...
Source: Harvard Health Blog - October 2, 2020 Category: Consumer Health News Authors: Robert H. Shmerling, MD Tags: Bones and joints Exercise and Fitness Health Pain Management Source Type: blogs
Role of RT-PCR in the diagnosis of Rheumatic fever/RHD
RT-PCR: Real-time polymerase chain reaction, a sophisticated gene sequence-based biochemical test. Thanks to corona, this complex medical investigation has become a household name.
Jones proposed his criteria to diagnose acute rheumatic fever in 1944, we still use it to diagnose with many modifications . Currently, AHA position statement – 2015 by Gewitz et all is being followed. (Circulation 2015)
From Braunwald textbook of cardiology. Apart from this, there is one catch . Even if the child fulfills Jone criteria, there needs to be evidence for preceding streptococcal sore throat, either by culture or antibody. ...
Source: Dr.S.Venkatesan MD - October 1, 2020 Category: Cardiology Authors: dr s venkatesan Tags: Uncategorized acute rheumatic fever aha rhd 2015 rhuematic fever anti dnase streptococcus group a beta hemolytic streptococci rtpcr mirna rtpcr rhd qpcr in rheumatic fever revised jonec criteria 2015 RHD jones criteria role of rtpcr fro Source Type: blogs
Post #52 Overkill: When Modern Medicine Goes Too Far by Paul Offit M.D.
Overkill: When Modern Medicine Goes Too Far by Paul Offit M.D.I am admittedly a huge fanboy of Paul Offit, an infectious disease guru at Children ' s Hospital of Philadelphia, one of the preeminent pediatric hospitals in the world. His latest bookOverall: When Modern Medicine Goes Too Far, is a collection of medical facts that are already known to the well-read individual, but fly in the face of wrongly-held, out-dated, commonly-believed medical concepts. The majority of the incorrect information was previously considered the standard of care, but newer and better science and studies have clearly demonstrate...
Source: A Pediatrician's Blog - September 23, 2020 Category: Pediatrics Source Type: blogs
Auscultatory areas
Precordium is generally divided into four auscultatory areas, but other areas may be checked in specific situations. The common auscultatory areas correspond to the locations at which the corresponding valvular events are better heard.
Aortic area: Also called primary aortic area as there is a secondary aortic area along the left sternal edge. Primary aortic area is the 2nd right intercostal space, close to sternum.
Pulmonary area: 2nd left intercostal space, close to sternum.
Tricuspid area: Lower left sternal edge, medial to apex beat.
Mitral area: At the apex beat, usually within the mid clavicular line in the 5th lef...
Source: Cardiophile MD - September 23, 2020 Category: Cardiology Authors: Prof. Dr. Johnson Francis Tags: HBC Erbs’s area maladie de Roger primary aortic area Roger’s area secondary aortic area Source Type: blogs
EchoNous KOSMOS 3-in-1 Ultrasound, Electronic Stethoscope, and ECG Helps with COVID-19
EchoNous, a developer of novel ultrasounds, has found a way to leverage multiple critical clinical technologies within a single device. The result is KOSMOS, a handheld 3-in-1 device consisting of an ultrasound, electronic stethoscope, and an ECG, all linked via artificial technology.
When COVID-19 was hitting NYC earlier this year, EchoNous was able to use KOSMOS to help diagnose COVID patients and to inform on treatment strategies. We had a lovely chat with Dr. Richard Hoppmann, a key member of EchoNous, Clinical Professor of Internal Medicine at the University of South Carolina, and the Director of the Ultrasound I...
Source: Medgadget - September 21, 2020 Category: Medical Devices Authors: Alice Ferng Tags: Cardiology Critical Care Diagnostics Exclusive Informatics Medicine Public Health Source Type: blogs
How to Just Bee
If I had to come back as an insect, I’d want to be a bee. Imagine having your nose stuck deep inside flowers all day and then coming home and making honey. On summer days I’m a human bee. I’m working in my garden as much as I possibly can — despite a little arthritis, the threat of ticks, and poison ivy.
Most people love my garden when they pass by walking with their masks and their dogs. Most of them also say that they couldn’t do it — they cite reasons like black thumb or too much work — but I wish they’d rethink that. Gardens are good for the soul and good for the plan...
Source: Susan's Blog - September 20, 2020 Category: Child Development Authors: Susan Senator Tags: Uncategorized color creating flowers gardening perennials Source Type: blogs
9 Tips to Manage Stress for Better Health
Photo credit Jared Rice
Increasingly, stress is considered a risk factor for dementia, particularly Alzheimer’s. Stress is also a risk factor for stroke and heart attack as well as a trigger for many diseases from arthritis to psoriasis. Obviously, limiting stress in our lives is a good idea. But how? Simply living what we call modern life seems to make stress the norm.
View slideshow on HealthCentral for more insight into managing stress:
Purchase Minding Our Elders: Caregivers Share Their Personal Stories – paperback or ebook
Incontinence problems? Try Egosan premium underwear for discrete, dignified protecti...
Source: Minding Our Elders - September 11, 2020 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs
Getting the best treatment for your fibromyalgia
Imagine being in pain and having your doctor tell you it’s all in your head. Unfortunately, this is not an uncommon experience for many of the six million Americans living with fibromyalgia, a chronic, painful condition.
People with fibromyalgia experience widespread pain, aches, and stiffness in muscles and joints throughout the body, as well as unusual tiredness. No one knows what causes this condition, and no apparent physical cause has been identified thus far. The most likely culprit is a brain malfunction that amplifies normal nerve responses, causing people with fibromyalgia to experience pain or other symptoms wh...
Source: Harvard Health Blog - September 10, 2020 Category: Consumer Health News Authors: Kelly Bilodeau Tags: Bones and joints Fatigue Health Pain Management Source Type: blogs
Pulmonary regurgitation
Pulmonary regurgitation (PR) can be divided into hypertensive and non-hypertensive. The former is associated with pulmonary arterial hypertension while the latter is not.
Hypertensive pulmonary regurgitation
Hypertensive PR is associated with severe pulmonary hypertension. It produces a blowing, decrescendo early diastolic murmur with the eponym Graham Steell murmur [1]. The murmur is heard in the pulmonary area and left sternal border, resembling the murmur of aortic regurgitation. It may be heard in Eisenmenger syndrome, severe primary pulmonary hypertension and severe pulmonary hypertension secondary to left heart dise...
Source: Cardiophile MD - September 4, 2020 Category: Cardiology Authors: Prof. Dr. Johnson Francis Tags: Cardiology Graham Steell murmur hypertensive PR hypertensive pulmonary regurgitation non hypertensive PR non hypertensive pulmonary regurgitation right sided Austin Flint murmur Source Type: blogs
Make the time to pause during the busyness of the day to reflect upon all we have
“The only end to pain is the graveyard.” Those words are etched forever in my mind. They underscore the hopelessness of so many throughout the world. She was 90 years old, crippled by arthritis, no family, and lived alone in a dirt floor hovel with no electricity or running water. She lived in a tiny […]Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - September 2, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/andy-lamb" rel="tag" > Andy Lamb, MD < /a > < /span > Tags: Physician Primary Care Source Type: blogs
FDA Determined Convalescent Plasma Is Safe, Leaves Decisions on Efficacy up to Clinicians/ Patients. That’s the Way It Should Always Be
Jeffrey A. SingerYesterday the Food and Drug Administration released a clinical memorandum giving Emergency Use Authorization for COVID-19 Convalescent Plasma (CCP) therapy, a previously unapproved biological product. Forseveral months clinicians treating severely ill COVID-19 patients have transfused plasma donated by convalescing COVID-19 patients, rich with the antibodies to the virus produced by their immune system, hoping that these same antibodies can help patients suffering from active infection. Early results have been promising but, as somecritics of the FDA decision have stated, more data is needed befo...
Source: Cato-at-liberty - August 24, 2020 Category: American Health Authors: Jeffrey A. Singer Source Type: blogs
Fight Aging! Newsletter, August 24th 2020
We report that electrical stimulation (ES) stimulation of post-stroke aged rats led to an improved functional recovery of spatial long-term memory (T-maze), but not on the rotating pole or the inclined plane, both tests requiring complex sensorimotor skills. Surprisingly, ES had a detrimental effect on the asymmetric sensorimotor deficit.
Histologically, there was a robust increase in the number of doublecortin-positive cells in the dentate gyrus and SVZ of the infarcted hemisphere and the presence of a considerable number of neurons expressing tubulin beta III in the infarcted area. Among the genes that were unique...
Source: Fight Aging! - August 23, 2020 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs
