Two Patients With More Than One Diagnosis
BY HANS DUVEFELT
I have written many times about how I have made a better diagnosis than the doctor who saw my patient in the emergency room. That doesn’t mean I’m smarter or even that I have a better batting average. I don’t know how often it is the other way around, but I do know that sometimes I’m wrong about what causes my patient’s symptoms.
We all work under certain pressures, from overbooked clinic schedules to overfilled emergency room waiting areas, from “poor historians” (patients who can’t describe their symptoms or their timeline very well) to our own mental fatigue after many hours on the...
Source: The Health Care Blog - March 16, 2023 Category: Consumer Health News Authors: Ryan Bose-Roy Tags: Medical Practice Hans Duvefelt neuralgia sinusitis Source Type: blogs
Properly Naming the Sinusitis-Otitis-Conjunctivitis Syndrome
One of our nonphysician providers recently announced, “This kid has that double-sickening thing you talk about all the time." She was referring to the sudden worsening of signs and symptoms (e.g., onset of fever) in a patient who had had an upper respiratory tract infection for several days.The majority of links in a Google search for “double-sickening" are references for sinusitis, but new-onset pneumonia is another double-sickening event. The Infectious Diseases Society of America guidelines for sinusitis acknowledge double-sickening and concur that pneumonia can present similarly. I investigate for sinusit...
Source: M2E Too! Mellick's Multimedia EduBlog - November 1, 2021 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
The 5 Levels Of Automation In Medicine
“Good morning! How may I help you today?” asks the virtual assistant as you boot your telemedicine app. After experiencing a sore throat and runny nose for a few days, you’ve decided to seek medical attention. You share your symptoms with the assistant who subsequently suggests a cause after scanning its database. “There’s an 83% chance that you are experiencing allergic symptoms,” replies the chatbot. “I will send you your prescription shortly, but if you are not satisfied or still feel unwell, please request for a human physician.”
Considering the likelihood of the diagnosis and the deductive prowess o...
Source: The Medical Futurist - March 23, 2021 Category: Information Technology Authors: Pranavsingh Dhunnoo Tags: Artificial Intelligence in Medicine Digital Health Research Future of Medicine Healthcare Design Healthcare Policy Medical Education ibm watson automation A.I. Andrew Ng A.I. assistant Journal Of Clinical Oncology Behold.ai Source Type: blogs
Antibiotic-resistant urinary tract infections are on the rise
There is a global crisis of antibiotic resistance, and urinary tract infections (UTIs) may be the canary in the coal mine. UTIs are one of the most common types of infections; at least one in two women and one in 10 men will experience a UTI in their lifetime.
Like many human infections, UTIs are usually caused by bacteria living on or in our bodies, and require treatment with antibiotics. What’s alarming the medical community now is that UTIs are becoming ever harder to treat with common antibiotics.
Antibiotic overuse leads to antibiotic resistance
At some point, most people have taken a course of trimethoprim/sulfamet...
Source: Harvard Health Blog - October 14, 2019 Category: Consumer Health News Authors: Lisa Bebell, MD Tags: Drugs and Supplements Health Infectious diseases Kidney and urinary tract Women's Health Source Type: blogs
Cilia: Tiny Cell Structures With Mighty Functions
Credit: Zvonimir Dogic, Brandeis University.
Imagine an army of tiny soldiers stationed throughout your body, lining cells from your brain to every major organ system. Rather than standing at attention, this tiny force sweeps back and forth thousands of times a minute. Their synchronized action helps move debris along the ranks to the nearest opening. Other soldiers stand as sentries, detecting changes in your environment, relaying that information to your brain, and boosting your senses of taste, smell, sight, and hearing.
Your brain may be the commander in chief, but these rank-and-file soldiers are made up of mic...
Source: Biomedical Beat Blog - National Institute of General Medical Sciences - July 3, 2019 Category: Research Authors: Matt Mills Tags: Cells Cellular Processes Cool Video Source Type: blogs
4 Healthy Practices with High ‘Reward-To-Effort’ Ratio
You're reading 4 Healthy Practices with High ‘Reward-To-Effort’ Ratio, originally posted on Pick the Brain | Motivation and Self Improvement. If you're enjoying this, please visit our site for more inspirational articles.
We might have been able to dig the surface of Mars, build artificially intelligent robots and make virtual reality a new normal but everything comes with a price and in exchange of this technologically advanced era, we have traded our health. The modern-day lifestyle looks amazing from outside as we are now equipped with many scientific and technological marvels which a decade ago, were not even imagi...
Source: PickTheBrain | Motivation and Self Improvement - April 30, 2019 Category: Consumer Health News Authors: Saurabh64cloud Tags: featured health and fitness diet good habits Source Type: blogs
Is wheat really THAT bad?
Because it has become such a frequent item in everyday meals, suggesting that something so commonplace must be fine, people often ask: Is wheat really that bad?
Let’s therefore catalog the health conditions that are associated with wheat consumption.
Health conditions we know with 100% certainty are caused by consumption of wheat and related grains:
Celiac disease, dermatitis herpetiformis, cerebellar ataxia, “idiopathic” peripheral neuropathy, temporal lobe seizures, gluten encephalopathy, type 1 diabetes, rheumatoid arthritis, autoimmune hepatitis, autoimmune pancreatitis, tooth decay
Health conditions ...
Source: Wheat Belly Blog - March 2, 2019 Category: Cardiology Authors: Dr. Davis Tags: News & Updates autoimmune diabetes gluten-free grain-free grains wheat wheat belly Source Type: blogs
Pediatric Conjunctivitis a Simple Diagnosis Until It Isn’t
Conjunctivitis is a common condition and easy enough to treat, but several uncommon conjunctivitis syndromes require more care and should not be missed.Conjunctivitis is either infectious (viral or bacterial) or noninfectious (allergic or nonallergic). Viral infections are more common in adults, bacterial ones in children, usually caused by Staphylococcus aureus, Streptococcus pneumoniae, Haemophilus influenzae, and Moraxella catarrhalis. Adults tend to have more S. aureus infections, while the other pathogens are more common in children. An adenovirus is typically responsible for viral-associated infections in conjunct...
Source: M2E Too! Mellick's Multimedia EduBlog - March 1, 2019 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Bodily Fluids As The Basis For Digital Health
Blood, saliva, urine, sweat or even ear wax can carry valuable information about an individual’s medical state. Until now, even simpler tests on such bodily fluids had to be carried out at medical facilities, but with the recent uptick in the development of digital diagnostic technologies, more and more solutions appear on the market which enable the patient to do such tests at home. Here we take a look around the bodily fluid business.
From bloodletting to digital sweat measurement
Blood, yellow bile, black bile, phlegm. Although it
doesn’t sound appealing, the ancient Greek already thought that bodily fluids ma...
Source: The Medical Futurist - February 27, 2019 Category: Information Technology Authors: nora Tags: Future of Medicine Health Sensors & Trackers Portable Diagnostics blood bodily fluid digital digital health digital solutions digital tattoo saliva smart smart healthcare sweat technology urine Source Type: blogs
Manes Kartagener
(1897 - 1975) was an Austrian-Swiss physician. First to report the triad of situs inversus, chronic sinusitis and bronchiectasis in 1933 – Kartagener syndrome.
The post Manes Kartagener appeared first on Life in the Fast Lane • LITFL • Medical Blog. (Source: Life in the Fast Lane)
Source: Life in the Fast Lane - February 14, 2019 Category: Emergency Medicine Authors: Dr Gary Zhang Tags: Eponym Respiratory Kartagener disease Kartagener syndrome Manes Kartagener Source Type: blogs
Susanne: Not gluten-free, not ketogenic . . . but hugely successful in health and weight loss
Susanne learned her weight and health lessons the hard way, making many common mistakes . . . until she finally found the Wheat Belly lifestyle for restoration of magnificent health and slenderness:
“I started Wheat Belly in September of 2017. I figured I’d give it a try to see if it would work for me. I had just looked into the Keto diet but hated the fact that you had to count micros and calories. It was the one thing that always discouraged me from starting a diet. Wheat Belly sounded like something I could stick with. After all, watching your carbs and eliminating grains and sugar seemed easy enough.
“Pr...
Source: Wheat Belly Blog - February 9, 2019 Category: Cardiology Authors: Dr. Davis Tags: News & Updates gluten-free grain-free grains Weight Loss wheat belly Source Type: blogs
ECG Quiz 45
Discussion
Negative P, QRS and T in I and aVL with progressive decrease in QRS amplitude from V1-V6 is suggestive of dextrocardia with situs inversus. Along with bronchiectasis, it becomes Kartagener syndrome (also called immotile ciliary syndrome) an autosomal recessive genetic disorder. The ciliary motility of respiratory tract, paranasal sinuses, middle ear, Eustachian tube and Fallopian tube can be affected. Sperm motility can also be affected by involvement of the flagellum. Rather than being fully immotile it is inefficient or asynchronous movement of the cilia. Infertility, sinusitis and bronchiectasis are the feat...
Source: Cardiophile MD - February 4, 2019 Category: Cardiology Authors: Prof. Dr. Johnson Francis Tags: ECG / Electrophysiology ECG Library Source Type: blogs
Bad breath: What causes it and what to do about it
Almost everyone experiences bad breath once in a while. But for some people, bad breath is a daily problem, and they struggle to find a solution. Approximately 30% of the population complains of some sort of bad breath. Halitosis (Latin for “bad breath”) often occurs after a garlicky meal or in the morning after waking. Other causes of temporary halitosis include some beverages (including alcoholic drinks or coffee) and tobacco smoking.
Some people may not be aware of their own halitosis and learn about it from a relative, friend, or coworker, causing some degree of discomfort and distress. In severe cases, bad breath ...
Source: Harvard Health Blog - January 21, 2019 Category: Consumer Health News Authors: Alessandro Villa DDS, PhD, MPH Tags: Dental Health Source Type: blogs
Distinguishing between Orbital and Preseptal Cellulitis
Some medical conditions have signs and symptoms that significantly overlap, making a diagnosis a little more difficult. Epididymitis, testicular torsion, and torsion of the testicular appendage are examples, but orbital and preseptal cellulitis are others that can cause significant diagnostic confusion.Both conditions are more common in children than in adults, and preseptal or periorbital cellulitis is more common in children under 5. The preseptal and orbital spaces are separated by only a thin membranous septum that originates in the orbital periosteum and inserts into the tarsal plates. It is only this thin septum t...
Source: M2E Too! Mellick's Multimedia EduBlog - December 31, 2018 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Deja ewww!
It’s peculiar but instructive: phenomena triggered by re-exposure after being confidently wheat- and grain-free. The re-exposure can be intentional, as in “Just one can’t hurt!” or it can be inadvertent, as in “That gravy looks safe.”
Typically, someone will be wheat/grain-free for at least a week. Re-exposure from, say, salad dressing or seasoning mix then triggers re-exposure fireworks.
The most common re-exposure phenomena to are:
Gastrointestinal distress, bloating, and diarrhea that can last hours to a couple of days. (People with celiac disease can have problems for months, howev...
Source: Wheat Belly Blog - November 1, 2018 Category: Cardiology Authors: Dr. Davis Tags: News & Updates Detox Gliadin grain-free grains Inflammation joint pain re-exposure wheat belly Source Type: blogs
