The Link Between DOACs and Cancer
A middle-aged woman was started on a direct oral anticoagulant (DOAC) for an upper-extremity deep venous thrombosis two weeks before presenting to the emergency department. She reported that she had coughed up some blood. She had never had blood clots before and had no other testing.The whole thing was strange and concerning.Only about 10 percent of DVTs are in the upper extremity. (Circulation 2012;126[6]:768.) One can divide them into primary (or provoked), secondary, or idiopathic. Primary ones are usually related to effort, particularly those who are performing repetitive overhead movement or have thoracic ou...
Source: Lions and Tigers and Bears - January 2, 2018 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Quiz on deep vein thrombosis
Short quiz on DVT
Quiz on DVT
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Question 1Risk factor/s for upper limb venous thrombosis:AVigorous arm exerciseBCentral venous catheter...
Source: Cardiophile MD - December 27, 2016 Category: Cardiology Authors: Johnson Francis Tags: Cardiology Cardiology MCQ DM / DNB Cardiology Entrance Source Type: blogs
Guiding Faculty Toward Their Aspirations
By: Julie Ann Freischlag, MD, Vice Chancellor for Human Health Sciences and Dean of the School of Medicine at UC Davis
Mentoring and elevating the next generation of faculty and physicians are two of the most important–and enjoyable–aspects of my career. Part of these efforts involves helping them find professional satisfaction and pursue their passions.
I appreciated the article in the August issue by Jones et al, entitled “A Mixed-Methods Investigation of the Motivations, Goals, and Aspirations of Male and Female Academic Medical Faculty,” because it sheds light on the desires faculty have around their ca...
Source: Academic Medicine Blog - August 9, 2016 Category: Universities & Medical Training Authors: Guest Author Tags: Featured Guest Perspective mentoring professional satisfaction wellbeing women in academic medicine work-life balance Source Type: blogs
DM / DNB Cardiology Entrance Mock Test 8
This study found that though it is often associated with coronary artery disease (CAD), it can also occur in those without significant CAD. It was not specifically associated with disease of right coronary artery disease.
This cardioinhibitory response may be a manifestation of the Bezold-Jarisch reflex. Bezold-Jarisch reflex inhibits sympathetic activity (sympathetic withdrawal) and increases parasympathetic activity, resulting in bradycardia, which may be associated with vasodilatation, nausea and hypotension. Bezold-Jarisch has been described in the setting of inferior wall infarction and coronary angiography. Origin...
Source: Cardiophile MD - January 26, 2016 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiology MCQ Cardiology X-ray Featured Source Type: blogs
Cardiology MCQ 346: Paget-Schroetter syndrome
Paget-Schroetter syndrome is:
a) Compression of the left iliac vein
b) Thrombosis of deep veins of upper limb
c) Thrombosis of deep veins of lower limb
d) Thoracic outlet syndrome
["Click here for the answer with explanation", "Correct Answer:"]
b) Thrombosis of the deep veins of the upper limb
Paget-Schroetter syndrome is the spontaneous thrombosis of the deep veins of the upper limb – axillary or subclavian vein. The syndrome was described independently by Von-Schrotter in 1884 and by Paget in 1875. Read more..
The post Cardiology MCQ 346: Paget-Schroetter syndrome appeared first on Cardiophile MD. (So...
Source: Cardiophile MD - October 15, 2014 Category: Cardiology Authors: Prof. Dr. Johnson Francis MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiology MCQ DM / DNB Cardiology Entrance Source Type: blogs
When Waking Up Becomes the Nightmare: Hypnopompic Hallucinatory Pain
In conclusion, to our knowledge this is the first report of a NREM parasomnia associated with painful paroxysms, for which we postulate the following underlying pathophysiological mechanism: an internal or external stimulus triggers arousal, facilitating the activation of innate motor pattern generators in the brainstem and activating somatosensory cortical areas to produce hypnopompic hallucinatory pain.So instead of the more typical visual hallucinations, the patient experiences pain hallucinations that originate.... where?? It seems to me that the sleep EEG could be analyzed more thoroughly, beyond merely ruling out sei...
Source: The Neurocritic - December 21, 2013 Category: Psychiatrists and Psychologists Authors: The Neurocritic Source Type: blogs
