Incidentalomas Explained With Case History and someecard Humor.
Turn on the television these days and it's impossible to escape news stories describing breakthroughs in cancer diagnosis and treatment. Excluding squamous cell and basal cell cancers of the skin, over 1.6 million Americans were diagnosed with cancer last year. This cancer.org file has some great graphics and up-to-date data on America's cancer statistics from 2012. Unfortunately, I believe our cancer societies have failed to properly recognize the biggest threat to public safety since the invention of the doctor. What might that be, you ask? Incidentalomas. I searched the &...
Source: The Happy Hospitalist - January 21, 2013 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs
MKSAP: 27-year-old woman is evaluated for a 4-week history of wheals
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.A 27-year-old woman is evaluated for a 4-week history of wheals, characterized by a burning sensation without pruritus. Each individual lesion persists for 48 hours and slowly resolves, leaving a bruise. Current medications are diphenhydramine, hydroxyzine, cetirizine, and oral contraceptives. The patient’s mother has systemic lupus erythematosus.On physical examination, vital signs are normal. She has scattered edematous indurated erythematous plaques consistent with wheals. There are scattered ecchymoses a...
Source: Kevin, M.D. - Medical Weblog - January 20, 2013 Category: Family Physicians Tags: Conditions Dermatology 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
Minimal Reporting Guidelines for the Treatment of Cancer Patients
Minimal Reporting Guidelines for the Treatment of Cancer Patients As laboratory physicians, our contribution to patient care is knowledge: this is the starting point from which all informed therapeutic intervention proceeds. How that knowledge is obtained and communicated is the art and science of our profession. These minimal diagnostic guidelines are designed to be used as an aid, not a constraint, in that process. The guidelines are presented in a specific format out of necessity, but any format that effectively communicates the necessary information in a given patho...
Source: Oncopathology - September 5, 2011 Category: Cancer & Oncology Source Type: blogs
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Protocol for Synpotic reporting of Breast excision specimen with diagnosis of Ductal Carcinoma In Situ (DCIS) of the BreastProtocol applies to DCIS without invasive carcinoma or microinvasion.The complete pathology report should include following parameters.Specimen type.___ Partial breast___ Total breast (including nipple and skin)___ Other (specify): ___ Not specified Procedure ___ Excision without wire-guided localization___ Excision with wire-guided localization___ Total mastectomy (including nipple and skin)___ Other (specify): _______________________________ Not specified Lymph Nod...
Source: Oncopathology - August 25, 2011 Category: Cancer & Oncology Tags: Protocol for Synpotic reporting of Breast excision specimen with diagnosis of Ductal Carcinoma In Situ (DCIS) of the Breast Source Type: blogs
Fourth time's a charm? It better be.
About 2 weeks ago (June 8th) I had my first formal visit with the spine surgeon, along with a medical resident on the surgical team. The conversation was sobering. They admitted that it could be possible to improve my quality of life with another spinal fusion surgery. But, they said, the procedure would be a true challenge for them and the risks would be great for me. There are many factors to consider before surgery even begins, but first… what would they do in the actual surgery?
Step 1: Make an incision on my (most likely) right side, across the ribs and under the arm.
Step 2: Crack a rib or two open (to make roo...
Source: Cancer, life, and me - June 22, 2011 Category: Cancer & Oncology Authors: Chris Tags: General Source Type: blogs
Breast Core needle biopsy procedure
Patients undergo breast core biopsy generally due to one of the 3 main reasons:1) Presence of a mass or mass-like lesion either clinically palpable or diagnosed on imaging.2) Presence of suspicious calcifications on screening mammography.3) Nipple discharge or skin/nipple changes.Advantages of breast core needle biospy over Fine needle aspiration cytology (FNAC) are as follows:•Most cases can be definitely categorised•Provides architectural information•Microcalcifications can be directly visualisedThe biopsy techniques and imaging modalities used by radiologists vary and is generally dependent on the type of lesion, ...
Source: Oncopathology - September 29, 2010 Category: Cancer & Oncology Tags: Breast Biopsy Procedure Source Type: blogs
