DM / DNB Cardiology Entrance Mock Test 9
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Source: Cardiophile MD - January 27, 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

Large Kidneys What Do They Mean?
Usually kidney disease is associated with small kidneys. The process that shrinks the kidney is scarring otherwise known as fibrosis which is the end point of any damage to the kidney. However from time to time a disease process will come along that causes enlargement of the kidney as it proceeds to damage the kidney. Some of the diseases that may cause this are as follows. Infiltrative diseases such as sarcoidosis and amyloidosis both cause this. Amyloidosis is a disease of the blood which bears certain similarities with multiple myeloma and may coexist with this condition. There is deposition of large quantities of abno...
Source: All Kidney News - September 29, 2015 Category: Urology & Nephrology Authors: jadhavbca Tags: Kidney News HIV Source Type: blogs

Is the crusade against pill mills turning into a witch hunt?
I care for a 65-year-old woman suffering from sarcoidosis affecting her lungs, her skin, her bones, her nerves, her blood chemistries, her kidneys, her colon and her mind. She has gone from an active spouse, mother, grandmother, tearing up the dance floors with her husband, to a home recluse calling friends to drive her to medical and care appointments while ambulating with assistance of another strong individual supported by a 4 wheel walker with a seat. She describes her foot pain as feet burning on fire. An evaluation with the Cleveland Clinic and ultimate biopsies of her skin and nerves led to a diagnosis of severe sma...
Source: Kevin, M.D. - Medical Weblog - August 16, 2015 Category: Journals (General) Authors: Tags: Meds Pain management Source Type: blogs

Nurse Executives & Nail Salons
I’ve been eyeing my colleagues’ manicures lately – a wardrobe staple, now that I work in nursing administration. The higher the title, the fancier the nails, it seems. Gone are the days where my closely trimmed, bare nails matched my simple scrubs. Dry cleaned suits and pumps are job requirements, and tasteful manicures seem highly recommended. Recently, I’ve considered picking up the practice, keeping my hands in my lap with rookie shame. I learned early on in my nursing career that the intensive care unit was no place for manicured fingernails, but administration is a different story. The on-and-off of latex ...
Source: Disruptive Women in Health Care - May 14, 2015 Category: Consumer Health News Authors: dw at disruptivewomen.net Tags: Advocacy Nurses Source Type: blogs

Wheat Belly and inflammation
Sophia shared this enlightening and wonderful story of relief from inflammation and half a dozen anti-inflammatory drugs by eliminating the cause, grains: “Morning from Berkshire, UK. This is me now [on the right], 3 and a half months into Wheat Belly. No drugs, no sarcoidosis, no osteoarthritis, no gastric spams, no joint inflammation, no brain fog, no redness of skin. Still ongoing disc problems but decided to wean myself off of all drugs and manage the pain with exercise, yoga, cycling and then rest. “By drugs: omeprozole, naproxen, gabapentin, tramadol, diazepam, prednisolone, gastric drugs. “I have l...
Source: Wheat Belly Blog - April 15, 2015 Category: Cardiology Authors: Dr. Davis Tags: Wheat Belly Success Stories acid reflux gluten grains iinflammation joint pain sarcoidosis Source Type: blogs

Are corticosteroids beneficial for cardiac sarcoidosis?
(Source: Notes from Dr. RW)
Source: Notes from Dr. RW - January 25, 2015 Category: Internists and Doctors of Medicine Tags: cardiovascular Source Type: blogs

MKSAP: 38-year-old man with a mass in his right neck
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 38-year-old man is evaluated for a mass in his right neck that he first noticed 2 weeks ago while shaving. The patient also reports experiencing a pressure sensation when swallowing solid foods for the past year and daily diarrhea for the past 2 months. His personal medical history is unremarkable. His younger brother has nephrolithiasis, and his father died of a hypertensive crisis and cardiac arrest at age 62 years while undergoing anesthesia induction to repair a hip fracture. On physical examination, vital...
Source: Kevin, M.D. - Medical Weblog - December 6, 2014 Category: Journals (General) Authors: Tags: Conditions Endocrinology Source Type: blogs

ICD secrets : Appropriate shocks are not benign after all !
Inserting an ICD  for  DCM  may a be great therapeutic success  for the physician  as well as the patient . But there is one big truth hidden behind the statistical screen. Following  study  provides dramatic data from Maanhiem in Germany in about 561 patients who had ICD .The long term patient outcome after appropriate shocks were much worse  than those without    shocks .This was more pronounced in Ischemic DCM . Source : Streitner et al ,University Medical Centre Mannheim, Mannheim, Germany PLoS One. 2013 May 10;8(5):e6391 The fact that these patients continue to throw VT , some thing is wrong in the cellularÂ...
Source: Dr.S.Venkatesan MD - October 5, 2014 Category: Cardiology Authors: dr s venkatesan Tags: cardiac resynchronisation Cardiology - Electrophysiology -Pacemaker Cardiology -unresolved questions Dilated cardiomyopathy Electro physiology ICD -Tips and Tricks Infrequently asked questions in cardiology (iFAQs) Land mark articles in card Source Type: blogs

Angiotensin converting enzyme
(ACE) is secreted from the lungs, kidneys and vascular endothelium. Wrong statement about ACE is: 1. ACE levels are useful in the diagnosis of sarcoidosis 2. ACE inhibitors are important anti hypertensive agents 3. ACE converts angiotensinogen to angiotensin I 4. ACE degrades bradykinin, a potent vasodilator Correct answer: 3. ACE converts angiotensinogen to angiotensin I Angiotensinogen secreted from the liver is converted to angiotensin I by renin secreted by the juxta-glomerular apparatus. Angiotensin I is converted to angiotensin II from the lungs by ACE. Angiotensin II is a potent vasoconstrictor and hence ACE inhib...
Source: Cardiophile MD - April 20, 2014 Category: Cardiology Authors: Johnson Francis Tags: Cardiology MCQ DM / DNB Cardiology Entrance Source Type: blogs

Possible Sarcoidosis-CXR
Bilateral hilar lymphadenopathy with and Right paratracheal strip enlargement Bilateral infiltrates involving predominantly the mid zones, possibly indicating a diagnosis of sarcoidosis.From Sumer's Radiology Site http://www.sumerdoc.blogspot.com -The Top Radiology Magazine. Teleradiology Providers at www.teleradproviders.com Mail us at sales@teleradproviders.com (Source: Sumer's Radiology Site)
Source: Sumer's Radiology Site - December 12, 2013 Category: Radiologists Authors: Sumer Sethi Source Type: blogs

Cardiac sarcoidosis
(Source: Notes from Dr. RW)
Source: Notes from Dr. RW - August 12, 2013 Category: Internists and Doctors of Medicine Tags: cardiovascular Source Type: blogs

MKSAP: 58-year old woman with fatigue and weight loss
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 58-year old woman is evaluated for a 3-week history of fatigue and weight loss. The patient has no significant medical history and takes no prescription medication, but she does take a daily over-the-counter multivitamin and a calcium supplement. She has a 50-pack-year smoking history. Physical examination reveals a lethargic, ill-appearing woman. Temperature is 37.3 °C (99.1 °F), blood pressure is 136/78 mm Hg, pulse rate is 95/min, and respiration rate is 12/min. Other physical examination findings are unre...
Source: Kevin, M.D. - Medical Weblog - August 10, 2013 Category: Family Physicians Tags: Conditions Cancer Endocrinology Source Type: blogs

Causes of pappilledema (bilateral) with good optic nerve function
  increased intracranial pressure   malignant hypertension   toxins (amiodarone,cyclosporine)   sleep apnea syndrome   uveitis, eg. sarcoidosis     (Source: neurologyminutiae)
Source: neurologyminutiae - April 8, 2013 Category: Neurologists Source Type: blogs

USMLE Questions – Characteristic Disease Findings
The United States Medical Licensing Examination (USMLE) is designed to emphasize knowledge of clinical scenarios and clinical pearls, even on Step I. Listed below are some commonly encountered disease findings and characteristics. Feature Disease 45, X chromosome Turner’s syndrome 5-HIAA increased in urine Carcinoid syndrome Aganglionic rectum Hirschsrpung’s disease Apple-core sign on barium enema Colon cancer Arched back (opisthotonos) Tetanus Argyll-Robertson pupil Syphilis Ash leaf on forehead Tuberous sclerosis Auer rods  Acute myelogenous leukemia Austin Flint murmur Aortic regurgitation...
Source: Inside Surgery - January 18, 2013 Category: Surgeons Authors: Editor Tags: Surgpedia USMLE diseases findings VMA water hammer pulse Source Type: blogs