Tropical Travel Trouble 011 Tonsillitis and the Bull
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog
aka Tropical Travel Trouble 011
Peer Reviewers: Dr Jennifer Ho, ID physician QLD, Australia and Dr Mark Little, ED physician QLD, Australia.
You are working in far North Queensland and encounter a 20 year old Indigenous man with tonsillitis on your ED short stay ward round. He has been receiving IV penicillin and metronidazole overnight but is deteriorating and now cannot open his mouth beyond 1.5cm, and has a swollen neck (some might say ‘Bull neck’). In add...
Source: Life in the Fast Lane - July 25, 2018 Category: Emergency Medicine Authors: Amanda McConnell Tags: Clinical Cases Tropical Medicine antitoxin bull neck c. diphtheriae c.ulcerans DAT pseudomembrane vaccine Source Type: blogs
Fertility-Regulating Vaccines Being Tested in India
In 2015, after his country was targeted with the fertility-regulating tetanus vaccination containing the hCG hormone, Dr. Wahome Ngare from the Kenyan Catholic Doctors Association drew our attention to a document titled National Security Study Memorandum 200 (NSSM 200) – April 1974. [1] He explained how this one paper had convinced him that the World […]
VacTruth.com (Source: vactruth.com)
Source: vactruth.com - May 30, 2018 Category: Allergy & Immunology Authors: Christina England, BA Hons Tags: Injuries & Deaths Fertility Vaccines India infertility truth about vaccines Source Type: blogs
The Ethics of Keeping Alfie Alive
By SAURABH JHA
Of my time arguing with doctors, 30 % is spent convincing British doctors that their American counterparts aren’t idiots, 30 % convincing American doctors that British doctors aren’t idiots, and 40 % convincing both that I’m not an idiot.
A British doctor once earnestly asked whether American physicians carry credit card reading machines inside their white coats. Myths about the NHS can be equally comical. British doctors don’t prostate every morning in deference to the NHS, like the citizens of Oceania sang to Big Brother in Orwell’s dystopia. Nor, in their daily rounds, do they calculate opportun...
Source: The Health Care Blog - May 21, 2018 Category: Consumer Health News Authors: at RogueRad Tags: OP-ED Uncategorized AlfieEvans Source Type: blogs
3 ways to help get more children immunized
Follow me on Twitter @drClaire
There is much to celebrate during National Infant Immunization Week this year. More than 90% of children 19 to 35 months have received all the recommended doses of vaccines for their age against polio, measles, mumps, rubella, chicken pox, and hepatitis B — and more than 80% have received all the recommended protection against diphtheria, tetanus, pertussis, pneumococcus, and Haemophilus influenzae.
But there are also reasons to be concerned. Only 72% have had all the recommended vaccines, which means one in four children is missing at least one. Even more concerning, studies show that ther...
Source: Harvard Health Blog - April 24, 2018 Category: Consumer Health News Authors: Claire McCarthy, MD Tags: Children's Health Infectious diseases Parenting Vaccines Source Type: blogs
Tropical Travel Trouble 003 Stiff in the Mouth
LITFL • Life in the Fast Lane Medical Blog
LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog
aka Tropical Travel Trouble 003
A 65 yr old woman from Ethiopia is visiting her grandchild for the first time in Europe. She is normally fit and well, physically active with a small-holding in Ethiopia. She does not take any medication and cannot remember the last time she saw a doctor. She presents to you with difficulty chewing 3 days after arriving in the UK. She describes it as being “stiff in the mouth”
Questions:
Q1. What is the differential diagnosis an...
Source: Life in the Fast Lane - March 5, 2018 Category: Emergency Medicine Authors: Neil Long Tags: Clinical Cases Tropical Medicine tetanus Source Type: blogs
Tropical Travel Trouble 002 Rabies
LITFL • Life in the Fast Lane Medical Blog
LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog
aka Tropical Travel Trouble 002
A 19 year old gap year student has returned from India to your emergency department reporting she was bitten by a monkey at a temple. A selfie gone wrong but it scored 1000+ likes on Facebook…
She is concerned because one of the Facebook comments suggested she may have rabies! A quick Google search suggested 60,000 people a year DIE from rabies.
Should she be worried? Should you be worried?
Questions
Q1. What other questions should yo...
Source: Life in the Fast Lane - February 27, 2018 Category: Emergency Medicine Authors: Neil Long Tags: Clinical Cases Tropical Medicine rabies Source Type: blogs
Vaccinations: More than just kid stuff
Follow me on Twitter @RobShmerling
This is the time of year when it’s important to think about flu vaccinations. And there’s good reason for that! The flu causes thousands of preventable hospitalizations and deaths each year.
But what about other vaccinations? Do you think of them as something for kids? You aren’t alone. And it’s true, a number of vaccinations are recommended for young children as well as preteens and teenagers. These vaccinations have provided an enormous benefit to public health by preventing diseases that were common and sometimes deadly in the past, including polio, rubella, and whooping cough....
Source: Harvard Health Blog - February 7, 2018 Category: Consumer Health News Authors: Robert H. Shmerling, MD Tags: Health Infectious diseases Prevention Vaccines Source Type: blogs
What ’s the point of a perfect patient chart?
Last week I made a patient’s chart perfect.
Not bragging, but ultimately it ended up being pretty easy, and I’ll explain how and why in a little bit.
This was a patient I had not seen in several years, with a number of chronic medical problems, for which he had been taking less than optimal care of himself since I had seen him last.
Here for a “checkup,” we talked about his health conditions and how he had been over the past few years. I got a little update on his family and all the things he had been up to, and then he and I — along with his wife, who was here with him for the appointment ...
Source: Kevin, M.D. - Medical Weblog - January 18, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/fred-n-pelzman" rel="tag" > Fred N. Pelzman, MD < /a > Tags: Physician Health IT Primary Care Source Type: blogs
Forever Damaged From An Untested 8-in-1 Vaccine, Help Needed As Jodie ’s Legal Battle Continues
Conclusion
We don’t know how many other children were given this experimental vaccine, but Jodie Marchant is the only one known to have survived this and her family is the only family in the world to hold the records proving this vaccine corruption has gone on.
In recent times, due to immense pressure regarding informed consent not being provided often enough to parents by doctors, the Supreme Court Montgomery ruling was passed.
This ruling will help change the way doctors provide informed consent and should help families receive compensation for their child’s vaccine injury. This ruling might also help the Marchants w...
Source: vactruth.com - October 28, 2017 Category: Allergy & Immunology Authors: Augustina Ursino Tags: Augustina Ursino Case Reports on Vaccine Injury Human Top Stories truth about vaccines Source Type: blogs
What Every Parent Needs to Know About Back to School Vaccine Threats and Exemptions
Conclusion
Because the mainstream media has financial interest in promoting vaccines, informed parents must seek information elsewhere about back to school vaccine mandates and exemptions. Parents, as you prepare to send your child back to school, do your homework and determine which exemptions are available in your area. A list of vaccine exemptions for all fifty states is published online by the National Vaccine Information Center.
Sharing this article with other parents will also help them make informed decisions about vaccines.
References:
http://www.nvic.org/vaccine-laws/state-vaccine-requirements.aspx
http://www.oma...
Source: vactruth.com - August 17, 2017 Category: Allergy & Immunology Authors: Missy Fluegge Tags: Top Stories truth about vaccines Vaccine Exemptions Source Type: blogs
The Failed MMR Vaccine Policies on College Campuses
Conclusions
The current policy on most college campuses requires verification that incoming students have received two doses of the MMR vaccination. The goal of this policy is to prevent the diseases measles and mumps. A longstanding federal trial against Merck, the pharmaceutical company responsible for making the MMR vaccine, accuses Merck of manipulating data to show the MMR to be more effective against mumps than it is.
Recent outbreaks of mumps on college campuses by students vaccinated with the MMR vaccine provides additional evidence that the MMR vaccine is ineffective. Data from the Vaccine Adverse Events Reporting...
Source: vactruth.com - July 25, 2017 Category: Allergy & Immunology Authors: Michelle Goldstein Tags: Michelle Goldstein Top Stories college vaccination Mandatory Vaccination MMR vaccine truth about vaccines Source Type: blogs
Why vaccines are important for our country ’s financial health, too
Follow me on Twitter @drClaire
Imagine there was a simple treatment that could be given to babies and toddlers that was not only remarkably effective in preventing illness, but also inexpensive. And imagine that this treatment was not only inexpensive, but also lowered overall health care costs.
There’s no need to imagine; the treatment exists. It’s called immunization.
It’s National Infant Immunization Week, a time to recognize and celebrate immunization. It’s during infancy that we give the most vaccines, but the benefits extend far beyond infancy and beyond those babies. The protection lasts for years, keeping b...
Source: Harvard Health Blog - April 25, 2017 Category: Consumer Health News Authors: Claire McCarthy, MD Tags: Children's Health Health policy Infectious diseases Managing your health care Parenting Prevention Vaccines Source Type: blogs
Solution for Difficult Problems: Thumb Dislocation
Finger dislocations in general are relatively simple to identify and treat, but ligament, tendon, or volar plate injuries are often missed. Thumb dislocations can present with or without lacerations, and are often associated with ligamentous injuries. An injured thumb is almost always treated with splinting. Follow-up for these injuries is crucial. Radiographs are useful in locating the areas of injury and identifying avulsion fractures.Thumb dislocation in a 24-year-old man 12 hours after injury.Listen to the patient's story to identify the mechanism by which the injury occurred because mimicking this mechanism is typi...
Source: The Procedural Pause - April 1, 2017 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Solution for Difficult Problems: Thumb Dislocation
Finger dislocations in general are relatively simple to identify and treat, but ligament, tendon, or volar plate injuries are often missed. Thumb dislocations can present with or without lacerations, and are often associated with ligamentous injuries. An injured thumb is almost always treated with splinting. Follow-up for these injuries is crucial. Radiographs are useful in locating the areas of injury and identifying avulsion fractures.Thumb dislocation in a 24-year-old man 12 hours after injury.Listen to the patient's story to identify the mechanism by which the injury occurred because mimicking this mechanism is typi...
Source: The Procedural Pause - March 31, 2017 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
