Streptococcus A
There have been several deaths in the UK from invasive infections caused by this bacterium. Here is some information about it, how to spot signs, and what action to take, from UK based sites.UK Health Security Agency update on scarlet fever and invasive group A streptococcusUK Health Security Agency blog: group A strepUK government guidance and data on group A streptococcal infections (last updated April 2022)Public Health ScotlandNHS 111 Wales (English) GIG 111 Cymru (Cymraeg)On both pages (ar y ddwy dudalen) the Recite link activates text to speech -there is a user guide on the Recite Me site)The N...
Source: Browsing - December 5, 2022 Category: Databases & Libraries Tags: streptococcus A; scarlet fever Source Type: blogs
Pediatric COVID-19 and Multisystem Inflammatory Syndrome in Children
Since the start of global pandemic caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), at least four waves have occurred as mutations and variant strains have developed. During the first waves, adults were the primary target, but the highly infectious delta variant has been infecting children and unvaccinated adults with a vengeance.On this go-round, the delta variant is predominately infecting children. I am seeing reports of high school football games being canceled, schools deciding to go virtual, and occasional reports of teachers dying of COVID. I have never seen anything like this pandemic ...
Source: M2E Too! Mellick's Multimedia EduBlog - October 1, 2021 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Opening schools? The devil is in the details.
Concern There is no debate on the insurmountable value of kids needing to be in schools. CDC data shows that children account for 6% of COVID-19 cases and 0.2% of all deaths. Yet, the system can miserably fail if bullied into opening. Children could turn into potential super-spreaders or develop multi-system inflammation, Kawasaki, or toxic-shock syndrome. And once that domino falls, […]Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - July 22, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/raghav-gupta" rel="tag" > Raghav Gupta, MD < /a > < /span > Tags: Policy COVID-19 coronavirus Infectious Disease Pediatrics Source Type: blogs
A lesson in never giving up
Jim Henson, creator of the Muppets and Sesame Street, died at the age of 53. His diagnosis was toxic shock syndrome/streptococcus pneumonia — a deadly bacterial infection. We were on vacation when we heard the news: The genius who opened the imaginations and hearts of our children… maybe you too… was gone. We […]Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - January 18, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/debbie-moore-black" rel="tag" > Debbie Moore-Black, RN < /a > < /span > Tags: Conditions Critical Care Infectious Disease Pulmonology Source Type: blogs
Tropical Travel Trouble 010 Fever, Arthralgia and Rash
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 010
Peer Reviewer: Dr Jennifer Ho, ID physician QLD, Australia
You are an ED doc working in Perth over schoolies week. An 18 yo man comes into ED complaining of fever, rash a “cracking headache” and body aches. He has just hopped off the plane from Bali where he spent the last 2 weeks partying, boozing and running amok. He got bitten by “loads” of mosquitoes because he forgot to take insect repellent.
On examination he looks miserable,...
Source: Life in the Fast Lane - July 16, 2018 Category: Emergency Medicine Authors: Amanda McConnell Tags: Clinical Cases Tropical Medicine arthralgia dengue fever rash Source Type: blogs
Frankly my dear, I do give a damn
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: Paediatric Perplexity 016
An 18 month old girl is brought in by Gran after developing a very red rash over the last 2 days.
She was seen by her GP a few days before with fevers, sore throat and lethargy and was diagnosed as a viral infection.
However the rash then came up the following day and she seemed to deteriorate…
What is the diagnosis?
+ Reveal Answer
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Scarle...
Source: Life in the Fast Lane - May 2, 2017 Category: Emergency Medicine Authors: Johnny Iliff Tags: Clinical Cases Pediatrics paediatric rash scarlet Source Type: blogs
Research and Reviews in the Fastlane 101
This article reviews the evidence and concludes that the harms of prophylactic antibiotics likely outweighs the benefits and that withholding antibiotics may be very reasonable.
Recommended by: Anand Swaminathan
Pediatrics
Cohen-Silver JH et al. Autism in the emergency department. Clin Pediatr 2014; 53(12): 1134-8. PMID: 25031320
Sometimes we need adjust our approach to a patient’s management in order to avoid exacerbating the problem. There are many clinical scenarios when this is true, but is especially important to consider when dealing with patients who have autism.
Recommended by: Sean Fox
Ultrasound and Im...
Source: Life in the Fast Lane - September 23, 2015 Category: Emergency Medicine Authors: Nudrat Rashid Tags: Education Emergency Medicine Emergency Medicine Update General Surgery Infectious Disease Intensive Care Pediatrics R&R in the FASTLANE Radiology Urology critical care literature recommendations research and reviews Source Type: blogs
Healthcare Update Satellite — 02-03-2015
Thanks for the patience in putting up with my lack of regular posting. Life has been challenging lately. Still working on it.
When government pays for your care, government may try to force its values on you. Learning-disabled mother of six children in England deemed at “grave” risk if she has any more children. Now the government wants to forcibly remove her from her home and sterilize her. A lawyer representing the woman stated that sterilization was “therapeutic.”
This process will come to medicine sooner than you think. Just watch. Uber drivers now get to rate their passengers after a ride. When...
Source: WhiteCoat's Call Room - February 4, 2015 Category: Emergency Medicine Authors: WhiteCoat Tags: Healthcare Update Source Type: blogs
LITFL Review 165
Welcome to the 165th 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 chuck of FOAM.The Most Fair Dinkum Ripper Beauts of the WeekDo you re-spike IV fluid bags? The case of Ruby Chen from gravelessons.com should make us all re-think this. [SO]The Best of #FOAMed Emergency MedicineExcellent discussion of everything you need to know about AFib from EM Cases featuring Ian Stiell. ...
Source: Life in the Fast Lane - January 19, 2015 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs
LITFL Review #165
Welcome to the 165th 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 chuck of FOAM.The Most Fair Dinkum Ripper Beauts of the WeekDo you re-spike IV fluid bags? The case of Ruby Chen from gravelessons.com should make us all re-think this. [SO] The Best of #FOAMed Emergency MedicineExcellent discussion of everything you need to know about AFib from EM Cases featuring Ian St...
Source: Life in the Fast Lane - January 19, 2015 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs
Poison dew drops
Last night I dreamed of airplanes. Again. Every night I dream of airplanes. Every night for the last seven nights, anyway. Big ones. Little ones. New ones. Old ones. But my dream planes aren’t soaring high and wild in blue skies like they were built to do. There’s always something wrong with them. They’re broken down. Out of fuel. Victims of weather. My dream planes are trapped, barred from their natural environment. In my dreams, they are prisoners of the ground. This morning as the fog of dreams lifted, I put it all together. My subconscious is processing the fact that I, too, am a prisoner.Oh, Lord, where to even ...
Source: LifeAfterDx--The Guardian Chronicles - January 5, 2014 Category: Diabetes Authors: Wil Source Type: blogs
Essure birth control: Woman dies, doctor files report with the FDA . By
Lauren Gilger and Maria Tomasch
Since 2004, almost 850 women and doctors have filed Adverse Event Reports with the Food and Drug Administration (FDA) about Essure birth control.They detail extreme symptoms – from women experiencing excess bleeding, rashes and bloating to women who were forced to have their reproductive organs removed.Now, the ABC15 Investigators found a new Adverse Event Report filed with the FDA just weeks ago regarding Essure. It details a woman’s death after she was admitted to the hospital for abdominal pain. She had the Essure coils implanted this year, but it has not been determined what caused her death.‘THE LATEST AND GREAT...
Source: PharmaGossip - October 8, 2013 Category: Pharma Commentators Authors: insider 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
