Funtabulously Frivolous Friday Five 269
It's Friday. Boggle your brain with FFFF challenge and some old fashioned trivia. Funtabulously Frivolous Friday Five 269
The post Funtabulously Frivolous Friday Five 269 appeared first on Life in the Fast Lane • LITFL • Medical Blog. (Source: Life in the Fast Lane)
Source: Life in the Fast Lane - January 31, 2019 Category: Emergency Medicine Authors: Dr Neil Long Tags: FFFF Alexander the great Bridegroom palsy CANS capnography CO2 curare cleft elbow dislocation GBS Guillian-Barré Syndrome PANDAS PANS Radial nerve palsy Saturday night palsy scarlet fever sore throat Streptococcal Source Type: blogs
What to do if you think your child has the flu
We are in the thick of influenza season now, and so it’s natural that if you hear your child start coughing, you wonder: could this be the flu?
The flu is different from the common cold, but it’s not always easy to tell them apart, especially at the beginning. The flu usually comes on suddenly, and its symptoms can include fever, runny nose, cough, sore throat, headache, muscle aches, feeling tired, and generally just feeling rotten. Some people have vomiting and/or diarrhea, too. Not everyone has all these symptoms, and the illness can range from mild to severe. So what do you do if you think your child might have the...
Source: Harvard Health Blog - January 30, 2019 Category: Consumer Health News Authors: Claire McCarthy, MD Tags: Children's Health Cold and Flu Infectious diseases Parenting Source Type: blogs
If I were writing sore throat guidelines
Several tweets asked me to answer this question. How would I rewrite sore throat guidelines? Obviously I am biased. So this is my opinion and I am sticking to it!
I would not change anything about pre-adolescents. Group A strep is the most important bacterial infection and using rapid tests with backup cultures makes sense.I would change the guidelines for adolescents and young adults. I would treat patients having Centor scores of 3 or 4 with either penicillin or amoxicillin (augmentin would be fine). I would probably treat some 2s if they looked very ill. I would never use macrolides. If the patient is truly penicilli...
Source: DB's Medical Rants - December 29, 2018 Category: Internal Medicine Authors: rcentor Tags: Medical Rants Source Type: blogs
Transitions: Outward Appearances Do Not Always Reflect the Struggles Within
Transitions can be hard. All of us go through many uncharted periods during our lifetime whether it is going to college; changing a career; becoming a parent; caring for parents; enduring a breakup or grieving the loss of a loved one. These life shifts are unavoidable. Acknowledging and understanding them can help you navigate the changes.
One the most difficult times in my life was transitioning out of a sport I loved. I was a professional figure skater. My commitment and love for skating was absolute for the better part of 20 years of my life. My family and friends referred to me as “the skater”; a label I proud...
Source: World of Psychology - December 25, 2018 Category: Psychiatry & Psychology Authors: Barbara Steele Martin, MA, LMHC Tags: Industrial and Workplace Motivation and Inspiration Personal Professional Self-Help Coping Skills Life Changes Resilience Source Type: blogs
Thoughts on a 23-year-old athlete dying from the Lemierre Syndrome
K-State football team to honor rower Samantha Scott, who died of Lemierre’s Syndrome
Every time I read such a story my heart breaks, a small piece each time. More physicians have become aware of the Lemierre syndrome. We must also educate patients and families that sore throats in adolescents and young adults can become life threatening.
Why did she die? The article does not have enough detail to develop a firm conclusion. I can speculate on several reasons from multiple discussions with both survivors and families of adolescents who died. We also have some unpublished survey data that informs my speculations.
Wh...
Source: DB's Medical Rants - November 3, 2018 Category: Internal Medicine Authors: rcentor Tags: Medical Rants Source Type: blogs
How Could Genomics Bring Precision Medicine To Healthcare?
By 2025, between 100 million and 2 billion human genomes will have been sequenced, researchers said. What do medical research, companies or governments do with such an incredible amount of data? How could genomics bring DNA-based targeted treatments, personalized drugs, and individualized clinical methods, in other words, precision medicine to healthcare?
Does disease categorize people?
In the previous centuries, healthcare systems focused mainly on working out generalized solutions for treating ill people in as high numbers as possible. If cough syrup was good for the majority of the coughing masses and only two people ha...
Source: The Medical Futurist - October 20, 2018 Category: Information Technology Authors: nora Tags: Biotechnology Business Genomics Healthcare Policy Medical Professionals Policy Makers Researchers future Gene genes Genetic testing genetics Genome genome sequencing Innovation personal genomics precision medicine predict Source Type: blogs
Retail Drug Stores Emerging as Healthcare Hubs for First-Tier Primary Care
Two recent articles provide additional evidence that a new type of first-tier, healthcare hub is emerging. It consists of the following: (1) a retail drug store like CVS or Walgreens; (2) a walk-in healthcare clinic like MinuteClinic; (3) direct organizational and financial ties to a major health insurance company like Aetna; and (4) a reference laboratory patient service center (PSC) for blood draws provided by a company like LabCorp. Here's the first of the two articles (see:CVS Health and Aetna $69 Billion Merger Is Approved With Conditions) with an excerpt is below:The Justice Department ’s approval of the ...
Source: Lab Soft News - October 12, 2018 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Clinical Lab Industry News Cost of Healthcare Electronic Health Record (EHR) Healthcare Delivery Healthcare Information Technology Healthcare Innovations Healthcare Insurance Lab Industry Trends Medical Consumerism Point-of-Care Testing Source Type: blogs
Some thoughts on clinical judgement
Thus far I have recorded 8 podcasts for Annals on Call, 4 of which have already been published. The term and concept of clinical judgement enters the conversations repeatedly. Each podcast has had a different guest, yet in most of these conversations I have heard clinical judgement invoked. What is clinical judgement? Do we just use the term when we want to stray from protocol or algorithm? I found this definition which gets us part way to an understanding.
For purposes of description, it can be considered the sum total of all the cognitive processes involved in clinical decision making. It involves the appropria...
Source: DB's Medical Rants - September 20, 2018 Category: Internal Medicine Authors: rcentor Tags: Medical Rants Source Type: blogs
I ’m sorry about what happened to your son under anesthesia
It was a sunny morning in July, and I was scheduled at the outpatient center with the oral and maxillofacial surgeons for teeth extractions. One of my patients was your son, an athletic teenager, whose only medical history was asthma. According to you and him, he had not experienced any recent asthma attacks and had never been hospitalized or intubated. In terms of breathing, he said he felt “perfectly fine” for many years. The last time he took his inhaler was yesterday prior to exercising. He had not experienced any upper respiratory infections recently and was not having any difficulty breathing today. I placed my s...
Source: Kevin, M.D. - Medical Weblog - September 13, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/the-traveling-resident" rel="tag" > The Traveling Resident, MD < /a > Tags: Physician Surgery Source Type: blogs
My approach to acute pharyngitis 2018
First, we must define acute pharyngitis – no more than 3-5 days of symptoms.
Second, we should understand that pre-adolescent pharyngitis has major differences form adolescent/you adult pharyngitis.( Mitchell, M. S., Sorrentino, A., & Centor, R. M. (2011). Adolescent pharyngitis: a review of bacterial causes. Clinical Pediatrics, 50(12), 1091–1095. http://doi.org/10.1177/0009922811409571 ) Here are the differences:
Pre-adolescent pharyngitis really is group A strep vs viral
Adolescent pharyngitis has a much broader differential – GAS, Group C/G strep, Fusobacterium necrophorum, infectious mononucleosis...
Source: DB's Medical Rants - September 3, 2018 Category: Internal Medicine Authors: rcentor Tags: Medical Rants Source Type: blogs
MKSAP: 25-year-old man with dark-colored urine
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.
A 25-year-old man is evaluated for dark-colored urine for 2 days, swelling of the face and hands for 1 day, and severe headaches this morning. He reports having an upper respiratory tract infection 1 week ago with fever, sore throat, and swollen glands, but had otherwise felt well. Medical history is otherwise unremarkable, and he takes no medications.
On physical examination, temperature is 37.2 °C (99.0 °F), blood pressure is 180/90 mm Hg, pulse rate is 88/min, and respiration rate is 14/min. Cardiopulmonary...
Source: Kevin, M.D. - Medical Weblog - August 25, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/mksap" rel="tag" > mksap < /a > Tags: Conditions Infectious Disease Nephrology Source Type: blogs
LITFL Review 344
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog
Welcome to the 344th LITFL Review! Your regular and reliable source for the highest highlights, sneakiest sneak peeks and loudest shout-outs from the webbed world of emergency medicine and critical care. Each week the LITFL team casts the spotlight on the blogosphere’s best and brightest and deliver a bite-sized chunk of FOAM.
The Most Fair Dinkum Ripper Beauts of the Week
Catch up with the Curbsiders and hear Renee Dversdal talk about her passion for IMPOCUS...
Source: Life in the Fast Lane - August 20, 2018 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: LITFL review LITFL R/V Source Type: blogs
Button Battery Update
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog
Button battery ingestion is one of the leading causes of death in paediatric poisoning and this has sharply risen from 2016 despite manufacturing warnings and the addition of tape to cover the negative side (not very useful once you’ve removed that to place it in your device). See Poison.org for more statistics. What makes button battery ingestion more frightening is the fact that the ingestion may go unwitnessed, the child may have vague symptoms like ‘off...
Source: Life in the Fast Lane - June 20, 2018 Category: Emergency Medicine Authors: Neil Long Tags: Toxicology and Toxinology button battery tox library toxicology library Source Type: blogs
