What is the difference between dextrocardia and dextroposition? Cardiology Basics
Dextrocardia means heart is situated in the right hemithorax instead of the left, as a congenital anomaly. In dextroposition, the heart is either pushed to the right or pulled to the right by another abnormality, usually in the lungs. Heart can be pulled to the right when the right lung is collapsed due to some reason, leaving more space on the right side of the chest. Here we have two X-rays illustrating dextrocardia and dextroposition. First one is true dextrocardia while the second is dextroposition due to large pleural effusion on the left side.
In the first one, along with the heart, other viscera have also switched ...
Source: Cardiophile MD - October 20, 2022 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs
When should you consider surgery for scoliosis?
Most people with scoliosis will never require surgery. But who does need surgery, and how do you know? Often diagnosed in childhood, scoliosis is characterized by an abnormal curve in the spine that can range from as small as 10 degrees to more than 100 degrees. In pediatric patients, this can result in pulmonary problems
Read more…
When should you consider surgery for scoliosis? originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - August 24, 2022 Category: General Medicine Authors: Hoag Memorial Hospital Presbyterian Tags: Conditions Orthopedics Source Type: blogs
Part 5 - Why Do We Lump the Non-Cancer Pain Syndromes Together?
by Drew Rosielle (@drosielle)A Series of Observations on Opioids By a Palliative Doc Who Prescribes A Lot of Opioids But Also Has Questions.This is the 5th post in a series about opioids, with a focus on how my thinking about opioids has changed over the years. See also:Part 1 – Introduction, General Disclaimers, Hand-Wringing, and a Hand-Crafted Graph.Part 2 – We Were Wrong 20 years Ago, Our Current Response to the Opioid Crisis is Wrong, But We Should Still Be Helping Most of our Long-Term Patients Reduce Their Opioid DosesPart 3 – Opioids Have Ceiling Effects, High-Doses are Rarely Therapeutic, and Another Hand-Cr...
Source: Pallimed: A Hospice and Palliative Medicine Blog - October 6, 2019 Category: Palliative Care Tags: opioid pain rosielle The profession Source Type: blogs
Why Does The Brain Connect Pain With Emotions? : Shots - Health News : NPR
When Sterling Witt was a teenager in Missouri, he was diagnosed with scoliosis. Before long, the curvature of his spine started causing chronic pain.It was"this low-grade kind of menacing pain that ran through my spine and mostly my lower back and my upper right shoulder blade and then even into my neck a little bit," Witt says.The pain was bad. But the feeling of helplessness it produced in him was even worse."I felt like I was being attacked by this invisible enemy," Witt says."It was nothing that I asked for, and I didn't even know how to battle it."So he channeled his frustration into ...
Source: Psychology of Pain - May 20, 2019 Category: Anesthesiology Source Type: blogs
How Tiger Woods Won the Back Surgery Lottery - The New York Times
Few would have predicted that Tiger Woods would be playing in the P.G.A. Championship this week. He had three failed back surgeries, starting in 2014. He had taken opioids. His astonishing career seemed over.Then he had one more operation, a spinal fusion, the most complex of all, in 2017. And last month he won the Masters, playing the way he used to.An outcome like his from fusion surgery is so rare it is"like winning the lottery," Dr. Sohail K. Mirza, a spine surgeon at Dartmouth, said.The idea behind spinal fusion is to remove a disk — a ring of fibers filled with a nerve-cushioning jelly that joins adjacent...
Source: Psychology of Pain - May 16, 2019 Category: Anesthesiology Source Type: blogs
New CNS Drug Delivery System by Alcyone Lifesciences Given Breakthrough Designation by FDA
Alcyone Lifesciences recently obtained Breakthrough Device Designation from the FDA for their novel implantable intrathecal bolus drug delivery catheter and port system, the ThecaFlex DRx System. The system is intended for use in conditions that require prolonged medication administration directly into the cerebrospinal fluid (CSF), such as some cancers and neurodegenerative diseases. Currently, these patients require frequent, repeated spinal tap procedures in order to obtain correct dosing of medication into the central nervous system. Surgical implantation of the Alcyone ThecaFlex DRx system may obviate the need for thi...
Source: Medgadget - April 1, 2019 Category: Medical Devices Authors: Kurt Yaeger Tags: Neurology Neurosurgery Pain Management Radiology Source Type: blogs
Cauda equina mass: An Approach
- CLINICAL PRESENTATION&FINDINGS 57 yr male with h/o low back pain with no h/o trauma presents for MRI lumbar spine which shows – Large relatively well defined , regular, intradural, subtly& heterogeneously enhancing SOL, seen from lower L3 border to middle of body of L5 with compression of cauda equina fibers, displaying mostly soft tissue signals on all sequences / normal meningeal enhancement, with no significant hemorrhage / fat / cystic / necrosis/ MR demonstrable calcification components / sugarcoating / scalloping or enlargement of the posterior neural e...
Source: Sumer's Radiology Site - January 12, 2019 Category: Radiology Authors: Sumer Sethi Source Type: blogs
Understanding and improving core strength
When most people think about core strength, they think about an abdominal six-pack. While it looks good, this toned outer layer of abdominal musculature is not the same as a strong core.
What is the “core” and why is core strength so important?
The core is a group of muscles that stabilizes and controls the pelvis and spine (and therefore influences the legs and upper body). Core strength is less about power and more about the subtleties of being able to maintain the body in ideal postures — to unload the joints and promote ease of movement. For the average person, this helps them maintain the ability to get on and o...
Source: Harvard Health Blog - September 4, 2018 Category: Consumer Health News Authors: Lauren Elson, MD Tags: Exercise and Fitness Health Source Type: blogs
Accuro Helps to Make Epidurals and Spinals Easier: Interview with Will Mauldin, CEO of Rivanna Medical
Performing epidural and spinal anesthesia requires a good deal of training and being able to sense when the needle reaches the desired location. This is certainly not foolproof and some patients are harder to work with than others. One issue is that a sonographer is usually required to operate the ultrasound while the anesthesiologist delivers the needle. Accuro, a new ultrasound device recently cleared by the FDA, offers capabilities that can alleviate a sonographer from having to help with epidurals and spinals. We wanted to learn more and took a chance to ask some question of Will Mauldin, CEO of Rivanna Medical, the Ch...
Source: Medgadget - April 30, 2018 Category: Medical Devices Authors: Editors Tags: Anesthesiology Neurology Pain Management Source Type: blogs
Robotic Brace Characterizes Spine Deformities, Dynamically Adjusts Therapy
This study is foundational and we believe will lead to exciting advances both in characterizing and treating spine deformities.”
The brace includes three rings that are situated on the upper-thoracic, mid-thoracic and pelvic spinal regions. A robotic actuator controlled by 12 motors is included in the system. The robot controls the movement of the upper rings and can apply controlled forces on these rings to help correct a spinal curvature, while allowing the patient to move freely in other directions.
“We built upon the principles used in conventional spine braces, i.e., to provide three-point loading at the curve ape...
Source: Medgadget - April 10, 2018 Category: Medical Devices Authors: Conn Hastings Tags: Orthopedic Surgery Pediatrics Rehab Source Type: blogs
Dextrocardia and dextroposition
Dextrocardia with situs inversus
Dextrocardia is evident as the apex is pointing to the right and the right atrial contour is on the left. The gastric air bubble is on the right (below the diaphragm) and liver shadow on the left, indicating situs inversus. The ascending aortic shadow on the left is a little prominent. There is mild scoliosis with convexity to the left which could be partly positional. Crowding of upper ribs on the right side could be due to the scoliosis.
Left sided pleural effusion with dextroposition
There is massive pleural effusion on the left side pushing the heart along with the mediastinum to the r...
Source: Cardiophile MD - October 29, 2017 Category: Cardiology Authors: Johnson Francis Tags: Cardiology X-ray Source Type: blogs
MedTech Innovator Applications Are Open!
The premiere medical technology start-up competition has just announced they are accepting applications for their next batch of world changing companies. Medgadget had the chance to be present at the last MedTech innovator finals held at AdvaMed in Minneapolis this past October, which was clearly the highlight of the entire conference. Attendees were on the edge of their seats as the finalists laid out their personal stories and health-oriented technologies. The crowd, by popular vote, laid down judgement on our hopeful finalists awarding the grand prize to Green Sun Medical.
We had a chance to sit down with some of MedTec...
Source: Medgadget - January 20, 2017 Category: Medical Equipment Authors: Justin Barad Tags: News 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
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
How Does Vaccinated Children’s Health Compare to Unvaccinated Children?
Conclusion
While government groups maintain that no studies have been done to compare the health of vaccinated to unvaccinated, the reality is that several comparative studies have been completed by independent researchers in the US and in other countries.
The Centers for Disease Control and Prevention refuses to conduct such studies, claiming they would be unethical to perform. In reality, these studies could easily be performed, since many educated parents choose to not vaccinate their children.
The evidence is overwhelming. Studies completed in New Zealand, Germany, Africa, Great Britain and the United States have come ...
Source: vactruth.com - June 3, 2016 Category: Allergy & Immunology Authors: Michelle Goldstein Tags: Logical Michelle Goldstein Top Picks Top Stories truth about vaccines vaccinated vs. unvaccinated Source Type: blogs
