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Total 24836 results found since Jan 2013.

Tropical Travel Trouble 005 RUQ Pain and Jaundice
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 005 Guest Post: Dr Branden Skarpiak – Global Health Fellow, Department of Emergency Medicine. UT Health San Antonio A 35 year old male presents to your emergency room for right upper quadrant pain that has gotten worse over the last 2-3 days. He also describes associated nausea, vomiting, and fevers. He denies other abdominal pain, or change in his bowel or bladder habits. His wife notes that he has started to “look more yellow” recent...
Source: Life in the Fast Lane - March 19, 2018 Category: Emergency Medicine Authors: Neil Long Tags: Clinical Cases Tropical Medicine amebic amoeba amoebiasis amoebic dysentery amoebic liver abscess bloody diarrhoea e.dispar e.histolytica entamoeba histolytica Source Type: blogs

Tropical Travel Trouble 007 Mega Malaria Extravaganza
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 007 When you think tropical medicine, malaria has to be near the top. It can be fairly complex and fortunately treatment has become a lot simpler. This post is designed to walk you through the basic principals with links to more in depth teaching if your niche is travel medicine, laboratory diagnostics or management of severe or cerebral malaria. If you stubbled on this post while drinking a cup of tea or sitting on the throne and want a few basi...
Source: Life in the Fast Lane - April 5, 2018 Category: Emergency Medicine Authors: Neil Long Tags: Clinical Cases Tropical Medicine malaria Plasmodium plasmodium falciparum plasmodium knowles plasmodium malariae plasmodium ovale plasmodium vivax Source Type: blogs

Funtabulously Frivolous Friday Five 245
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog 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 FFFF…introducing Funtabulously Frivolous Friday Five 245 Readers can subscribe to FFFF RSS or subscribe to the FFFF weekly EMAIL Question 1 What is a HeLa cell? + Reveal the funtabulous answer expand(document.getElementById('ddet769736162'));expand(document.getElementById('ddetlink769736162')) HeLa cells are an immor...
Source: Life in the Fast Lane - July 20, 2018 Category: Emergency Medicine Authors: Mark Corden Tags: Frivolous Friday Five George Otto Gey Glanzmann's thrombasthaenia Hela cells Henrietta Lacks NEJM new england journal of medicine Sildenafil smallpox viagra Source Type: blogs

Update: Caring for COVID-19 Patients in the Hospital
Severe cases of COVID-19 infections continue to necessitate hospitalization more than two and a half years after the pandemic first hit. A total of 26,996 patients were hospitalized with COVID-19 in the U.S. as of Nov. 30, 2022, according to the Centers for Disease Control and Prevention’s COVID-19 Tracker,1 with a seven-day average of new deaths at 317 as of Nov. 16, 2022. This is down 5.3% from the previous seven-day average. But in contrast to the panic, emergency response, and mobilization for the pandemic’s early stages and steepest surges, managing COVID-19 in the hospital today has become relatively straightforw...
Source: The Hospitalist - January 3, 2023 Category: Hospital Management Authors: Ronda Whitaker Tags: Clinical Guidelines COVID-19 Drug Therapy Hospital Medicine Source Type: research

Perioperative considerations of the patient with malaria
Conclusions Malaria remains one of the most devastating infectious diseases worldwide. Multiple organ systems can be impacted as a consequence of changes in structure and function of parasitized erythrocytes. Safe perioperative management requires a sound knowledge of all these potential system effects.
Source: Canadian Journal of Anesthesia - December 4, 2014 Category: Anesthesiology Source Type: research

Perioperative considerations of the patient with malaria.
CONCLUSIONS: Malaria remains one of the most devastating infectious diseases worldwide. Multiple organ systems can be impacted as a consequence of changes in structure and function of parasitized erythrocytes. Safe perioperative management requires a sound knowledge of all these potential system effects. PMID: 25471683 [PubMed - as supplied by publisher]
Source: Canadian Journal of Anaesthesia - December 4, 2014 Category: Anesthesiology Authors: Soltanifar D, Carvalho B, Sultan P Tags: Can J Anaesth Source Type: research

Serodiagnosis of Acute Typhoid Fever in Nigerian Pediatric Cases by Detection of Serum IgA and IgG against Hemolysin E and Lipopolysaccharide.
Abstract Inexpensive, easy-to-use, and highly sensitive diagnostic tests are currently unavailable for typhoid fever. To identify candidate serodiagnostic markers, we have probed microarrays displaying the full Salmonella enterica serovar Typhi (S. Typhi) proteome of 4,352 different proteins + lipopolysaccharides (LPSs), with sera from Nigerian pediatric typhoid and other febrile cases, Nigerian healthy controls, and healthy U.S. adults. Nigerian antibody profiles were broad (∼500 seropositive antigens) and mainly low level, with a small number of stronger "hits," whereas the profile in U.S. adults was < 1/5 ...
Source: The American Journal of Tropical Medicine and Hygiene - May 22, 2016 Category: Tropical Medicine Authors: Davies DH, Jain A, Nakajima R, Liang L, Jasinskis A, Supnet M, Felgner PL, Teng A, Pablo J, Molina DM, Obaro SK Tags: Am J Trop Med Hyg Source Type: research

Tropical Travel Trouble 002 Rabies
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 002 A 19 year old gap year student has returned from India to your emergency department reporting she was bitten by a monkey at a temple. A selfie gone wrong but it scored 1000+ likes on Facebook… She is concerned because one of the Facebook comments suggested she may have rabies! A quick Google search suggested 60,000 people a year DIE from rabies. Should she be worried? Should you be worried? Questions Q1. What other questions should yo...
Source: Life in the Fast Lane - February 27, 2018 Category: Emergency Medicine Authors: Neil Long Tags: Clinical Cases Tropical Medicine rabies Source Type: blogs

Tropical Travel Trouble 008 Total TB Extravaganza
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 008 Peer Reviewer Dr McBride ID physician, Wisconsin TB affects 1/3rd of the population and one patient dies every 20 seconds from TB. Without treatment 50% of pulmonary TB patients will be dead in 5 years. In low to middle income countries both TB and HIV can be ubiquitous, poor compliance can lead to drug resistance and malnourished infants are highly susceptible. TB can be very complex and this post will hopefully give you the backbone to TB m...
Source: Life in the Fast Lane - June 16, 2018 Category: Emergency Medicine Authors: Neil Long Tags: Clinical Cases Tropical Medicine Genexpert meningitis TB TB meningitis Tuberculosis Source Type: blogs

Arboviral Surveillance among Pediatric Patients with Acute Febrile Illness in Houston, Texas.
Abstract We instituted active surveillance among febrile patients presenting to the largest Houston-area pediatric emergency department to identify acute infections of dengue virus (DENV), West Nile virus (WNV), and chikungunya virus (CHIKV). In 2014, 1,063 children were enrolled, and 1,015 (95%) had blood and/or cerebrospinal fluid specimens available for DENV, WNV, and CHIKV testing. Almost half (49%) reported recent mosquito bites, and 6% (N = 60) reported either recent international travel or contact with an international traveler. None were positive for acute WNV; three had false-positive CHIKV results; and t...
Source: The American Journal of Tropical Medicine and Hygiene - June 4, 2018 Category: Tropical Medicine Authors: Sahni LC, Fischer RSB, Gorchakov R, Berry RM, Payne DC, Murray KO, Boom JA Tags: Am J Trop Med Hyg Source Type: research

Tropical Travel Trouble 009 Humongous HIV Extravaganza
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 009 The diagnosis of HIV is no longer fatal and the term AIDS is becoming less frequent. In many countries, people with HIV are living longer than those with diabetes. This post will hopefully teach the basics of a complex disease and demystify some of the potential diseases you need to consider in those who are severely immunosuppressed. While trying to be comprehensive this post can not be exhaustive (as you can imagine any patient with a low ...
Source: Life in the Fast Lane - July 7, 2018 Category: Emergency Medicine Authors: Amanda McConnell Tags: Clinical Cases Tropical Medicine AIDS art cryptococcoma cryptococcus HIV HIV1 HIV2 PEP PrEP TB toxoplasma tuberculoma Source Type: blogs

Pediatric Leprosy Profile in the Postelimination Era: A Study from Surabaya, Indonesia
This study aimed to evaluate pediatric leprosy over a decade in a tertiary hospital in Surabaya, Indonesia. A retrospective study of leprosy in children under 15 years old between 2010 and 2019 was conducted in the Morbus Hansen Division, Outpatient Clinic at Dr. Soetomo Hospital in Surabaya, Indonesia. Seventy pediatric leprosy cases were identified between 2010 and 2019, consisting of 58 multibacillary (MB)-type cases and 12 paucibacillary (PB)-type cases. Slit skin smear (SSS) was positive in 26 cases. There were two cases of grade-2 disability and 15 cases of leprosy reaction (erythema nodosum leprosum) in children at ...
Source: The American Journal of Tropical Medicine and Hygiene - January 10, 2022 Category: Tropical Medicine Authors: Cita Prakoeswa Novianti Reza Medhi Alinda M Listiawan Hok Bing Thio Bagus Kusumaputro Source Type: research

Seroprevalence of Toscana virus among residents of Aegean Sea islands, Greece
Summary: Phleboviruses, among them Toscana virus (TOSV), are endemic in the Mediterranean countries. In the present study sera collected from 219 apparently healthy individuals residents of seven islands in the Aegean Sea, Greece, were tested for the detection of TOSV IgG antibodies. Overall, TOSV IgG antibodies were detected in 46/219 (21%) individuals. Samos and Evia islands presented the highest seroprevalence (40% and 34.78%, respectively). There was no significant difference among males and females, while increased age was significantly associated with seropositivity. TOSV, and phleboviruses in general, have to be inc...
Source: Travel Medicine and Infectious Disease - January 11, 2013 Category: Infectious Diseases Authors: Vassiliki Anagnostou, Anna Papa Tags: Original Articles Source Type: research

Tropical Travel Trouble 004 Bloody 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 004 A medical student who has just returned from their elective in Nepal presents with 1 week of bloody diarrhoea. He has been in the lowlands and stayed with a family in the local village he was helping at. It started three days before he left and he decided to get home on the plane in the hope it would settle. He is now opening his bowels 10x a day with associated cramps, fevers and has started feeling dizzy. Questions: Q1. What is dysentery ...
Source: Life in the Fast Lane - March 12, 2018 Category: Emergency Medicine Authors: Neil Long Tags: Clinical Cases Tropical Medicine amoebic dysentery bacillary dysentery e.histolytica entamoeba histolytica shigellosis Source Type: blogs