CSF flow study in Chiari Malformation-Teaching Points
45 year lady with
neck pain on routine MR suggests tonsillar ectopia of approximately 8 mm (to
the level of body of C2) with phase contrast CSF flow study suggesting subtly
reduced signal intensity and flow pattern of the CSF column in the posterior
subarachnoid space, possibly representing benefit from surgical decompression
(could be deferred for periodic reviews in view of no significant neurological
deficit).
Teaching points by Dr MGK Murthy, Dr Krishna Mohan, Dr Sumer Sethi, Mr Narasimhulu:
- Chiari-I exhibits
downward displacement to the cerebellar tonsils, may bilateral et...
Source: Sumer's Radiology Site - November 4, 2013 Category: Radiologists Authors: Sumer Sethi Source Type: blogs
Millenson reminds us that we are behind
If the effectiveness of a prophet is measured by the degree to which s/he makes people uncomfortable with the status quo, we have to give Michael Millenson top honors. In 1997, he wrote Demanding Medical Excellence and gave widespread attention to the safety and quality problems in hospitals. He wrote:From ulcers to urinary tract infections, tonsils to organ transplants, back pain to breast cancer, asthma to arteriosclerosis, the evidence is irrefutable. Tens of thousands of patients have died or been injured year after year because readily available information was not used – and is not being used tod...
Source: Running a hospital - October 9, 2013 Category: Health Managers Source Type: blogs
How to Prevent and Treat Tonsil Stones
When I was a child, it was commonplace to remove tonsils. The thinking of the day was that tonsils didn’t serve much of a purpose. Much like the thinking of the day about the appendix.
Now we know the tonsils serve as filters keeping bacteria, viruses, and foreign bodies that enter the mouth from making their way into the digestive system. When they do their jobs well, the trapped bacteria or viruses can cause a great deal of discomfort. In that regard, a sore throat is a sign that the tonsils are doing their job.
For some people, especially adolescents, the tonsils can trap “mouth debris” (isn’t th...
Source: Conversations with Dr Greene - October 3, 2013 Category: Pediatricians Authors: Dr. Alan Greene Tags: Dr. Greene's Blog Diseases & Conditions Source Type: blogs
Canada’s PHD Medical Migrates Traditionally Hospital-Based Services to The Home
Credit: Tiffany L. Photography
While many of our Medgadget postings are focused on the latest technology or product approvals, we also like to focus on highlighting products/technologies that have significant impact in smaller markets. One such company is PHD Medical, founded in Canada in 2003, whose focus is on building platform-based technological solutions that migrate traditional services that are found in hospital to the home and community. Their core platforms each handle one aspect of the care spectrum; Diagnosis – Expert System (The sleep system also known as NPoses), Care Management – Etrending, and ...
Source: Medgadget - September 27, 2013 Category: Technology Consultants Authors: Janelle Chang Tags: Diagnostics Medgadget Exclusive Pediatrics apnea polysomnography sleep apnea Source Type: blogs
Angela S.
Angela, a patient of mine, wrote in with the story of her path to a gluten-free lifestyle. The journey she undertook, and how radically her life changed as a result, is proof-positive of the overwhelming health benefits of a gluten-free diet. -Dr. Perlmutter
For over the last 10-11 years I have spent a great deal of time in and out of
doctor’s offices, trying to figure out why I was having so many health issues.
At 16, I was diagnosed with Polycystic Ovary Syndrome (PCOS), at 21 I was
found to have severe candidiasis, at 22 I had to have my tonsils out, 23 I had
an emergency appendectomy, and most recently I had a 10...
Source: Renegade Neurologist - A Blog by David Perlmutter, MD, FACN - September 14, 2013 Category: Neurologists Authors: gbadmin Tags: Success Fatigue Gluten gluten free Source Type: blogs
Help with medical terminology!!
by foville1859 (Posted Sat Sep 07, 2013 7:27 pm)You can compile lists of prefixes and suffixes which always have the same meaning within medical terminology-cyte = a kind of cell (example: monocyte)-otomy = cutting a hole (example: craniotomy) -ectomy = cutting out something from the body (example: splenectomy) -itis = inflammatory condition (example: tonsillitis) -gram = radiology image (example: mammogram)Root words in medicine are very often from Latin and Greek etymologies, helps to have some background in those languages There must already be lists of common medical prefixes and suffixes, maybe you can collect lists...
Source: Med Student Guide - September 7, 2013 Category: Medical Students Source Type: forums
On Being A Grandparent
Peyton is my grand-daughter. She is three years old, and she is full of life. And I am so proud of her.
I have to say, however, that I wasn't initially prepared for the experience. But it really is rewarding to watch her grow up. When my kids were her age, I was happy to watch them grow and change as well, but this is a little bit different. First, she isn't my child; she is my child's child. Not my responsibility, but I feel just as strongly responsible for her as I did for my kids at her age, mainly because she and her mother, my daughter Kerry, both live with us. And both Martha and me have taken an active role in...
Source: Life in Manch Vegas - September 3, 2013 Category: Ambulance Crew Source Type: blogs
Here, Fishy, Fishy
The skilled ED provider always takes proper precautions before attempting fish bone removal and preparing for patient discharge. And a sensible provider never sends an anxious patient down river without a thorough exam.
Fish bones are usually slightly waxy, bendable, and sharp. These tiny bones lodge themselves in the throat with a vengeance. Common nesting sites of fish bones include the base of the tongue, tonsils, posterior pharyngeal wall, aryepiglottic fold, or upper esophagus. Late complications of leftover fish bones in the throat may cause airway obstruction or rarely esophageal perforation. The patient is alway...
Source: The Procedural Pause - August 29, 2013 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Everyday miracles: A day in the life of a special needs mom
Patience is passion tamed. (Lyman Abbott)My third daughter was born on a Monday, after a long and exhausting labor. Her appearance was a little shocking: she had large olive-colored eyes and a rug of dark blond hair sticking straight out from her head."Monday's child is fair of face." Yes, she was a little beauty and drew admiring remarks from many strangers as an infant. You could tell just by looking at her that she had a mind of her own - from the very day of her birth. As soon as I saw her, I thought there was something special about this baby. For three years, I marveled at her tenacity, her passion, and her precociou...
Source: Turquoise Gates - August 12, 2013 Category: Cancer Tags: vaccine related encephalitis special needs mothering homeschool 1000 gifts learning Source Type: blogs
Guest Blogger Simple Citizen on The Suicidal Patient's Right to Have Advance Directives Honored
Simple Citizen is a psychiatrist reader with his own blog (see our sidebar). This started as a comment, but I asked to use it as a stand-alone post. Dr. Citizen writes:
We have the right to die, but not the right to commit suicide. This
makes my life in Consult Psychiatry extremely difficult, especially
when someone has an Advance Directive that states "Do-Not-Resusciate"
and then they try to kill themselves.They arrive at the hospital
in critical condition, the medical team knows the need to be intubated
and they are likely going to go into cardiac arrest. Should they
intubate them and save the...
Source: Shrink Rap - July 26, 2013 Category: Psychiatrists and Psychologists Authors: Dinah Source Type: blogs
Healthcare social media #HCSM - top articles
Here are my suggestions for some of the top articles related to healthcare social media (#HCSM) in the past 4-6 weeks:
An Introduction to Social Media for Scientists: In academia, there is often a stigma attached to online activities. http://buff.ly/17tGkKj
Twitter helps busy academics keep up with new research, and prepare teaching materials for graduate students. An Introduction to Social Media for Scientists: Online Visibility Helps Track and Improve Scientific Metrics. Researcher: Tweeting and blogging about papers leads to spikes in the number of article downloads http://buff.ly/10y1heu
Giving a TED presentation h...
Source: Clinical Cases and Images - Blog - July 8, 2013 Category: Professors and Educators Tags: #HCSM Source Type: blogs
Summa Time
Most years involve some sort of surgery/body organ failure. (It's just how I roll, apparently) In 2012 it was my thyroid(6 months post C-Section). Nothing in 2011. In 2010, it was ulnar nerve surgery on my left arm,& the year before that I think was the Tonsillectomy. And the year before that I had an intestinal intussesseption & spent the later part of the year A.twice in the hospital and B.getting magnesium 2-3x a week.So it comes as no surprise to me that something else has popped up. I've had lower right abdominal pain issues for a month...and my doc sent me in for a CT scan with contrast die. The results of that were ...
Source: The D-Log Cabin - June 26, 2013 Category: Diabetes Authors: HVS Source Type: blogs
Revealed Government Documents Show Vaccine Injured Children in Small African Village Used Like Lab Rats
Conclusion
The parents’ requests are simple and the same as any other parent left in this impossible situation. They feel deserted and betrayed by the Chadian government, who have left their children to die, while at the same time announcing the vaccination program to be a success. All the parents are very angry and are pleading with the world to help. They state they need lawyers, doctors, medication and above all, support.
This whole debacle has been a coverup from the very beginning. One of the children’s relatives has told me that there has never been a case of meningitis in this part of Africa. So, why vaccina...
Source: vactruth.com - May 19, 2013 Category: Health Medicine and Bioethics Commentators Authors: Christina England Tags: Christina England Top Stories Adverse Reaction MenAfriVac Meningitis Vaccine Project (MVP) PATH United Nations Children’s Fund (UNICEF) World Health Organization (WHO) Source Type: blogs
Syringomyelia without hindbrain herniation: possible tight cisterna magna
This is 54 year old male. There is a long segment syringomyelia but no signficant hindbrain herniation. However, if you note the subarachnoid space anterior to the brainstem at the level of the foramen magnum is open but the cisterna magna is impacted by the tonsils, a condition which has been termed "tight cisterna magna." Syringomyelia associated with tight cisterna magna should not be classified as idiopathic syringomyelia; rather, it belongs to the category of organic syringomyelia such as Chiari malformation. Contrast study was also suggested in this case to r/o alternate etiologies.
...
Source: Sumer's Radiology Site - April 15, 2013 Category: Radiologists Authors: Sumer Sethi Source Type: blogs
Smoke, Mirrors, and the “Disappearance” of Polio
Suzanne Humphries, MD, Internist and Nephrologist speaking on Polio at the Association of Natural Health Conference, November 2012.
You can get more information about Dr. Suzanne Humphries here.
References
Additional Bibliography (Other references in slides)
Suzanne Humphries, 2012, Polio lecture. AONH
NFIP quote on firing scientists:
Marks H., A conversation with Paul Meier, Clin Trials. 2004: (1) 131 ‐138 PMID:16281468
Boulianne N,Pediatr Infect Dis J. 2001 Nov;20(11):1087‐8.
Most ten‐year‐old children with negative or unknown histories of chickenpox are immune. PMID:11734718
Neel JV et. al, 1964. “Studi...
Source: vactruth.com - February 15, 2013 Category: Health Medicine and Bioethics Commentators Authors: Suzanne Humphries, M.D. Tags: Suzanne Humphries MD Top Stories Polio Vaccine poliomyelitis Vaccine Contamination Vaccine Safety Source Type: blogs
