Tropical Travel Trouble 005 RUQ Pain and Jaundice
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 005
Guest Post: Dr Branden Skarpiak – Global Health Fellow, Department of Emergency Medicine. UT Health San Antonio
A 35 year old male presents to your emergency room for right upper quadrant pain that has gotten worse over the last 2-3 days. He also describes associated nausea, vomiting, and fevers. He denies other abdominal pain, or change in his bowel or bladder habits. His wife notes that he has started to “look more yellow” recent...
Source: Life in the Fast Lane - March 19, 2018 Category: Emergency Medicine Authors: Neil Long Tags: Clinical Cases Tropical Medicine amebic amoeba amoebiasis amoebic dysentery amoebic liver abscess bloody diarrhoea e.dispar e.histolytica entamoeba histolytica Source Type: blogs
110 Years of Mortality Rates by Category
It is sometimes helpful to look back at recent history in order to see just how far we have come in terms of progress in medicine, wealth, and health. Ours is an era of rapid, profound change in technology and its capabilities, and that is very apparent in mortality statistics, such as the charts provided in the article noted here. The numbers change dramatically every few decades, the result of the scientific and medical communities turning their attention to the most pressing issues of their time, generation after generation.
The past century is a story of success due to advancing medical technology on the one han...
Source: Fight Aging! - March 14, 2018 Category: Research Authors: Reason Tags: Daily News Source Type: blogs
Providing Care at 10,000 Feet
Going on a medical mission with the Himalayan Health Exchange to the Himachal Pradesh region of India allowed me to see a part of the world that I had never experienced before. The patient population that we were seeing had very little access, if any, to medical care throughout the year. We had to travel on foot to their villages to provide care because of their remote location. But the trip was quite unforgettable—we spent all our off days hiking through the Himalayas, had night-time views of the Milky Way, and ate more Indian food than we could have ever imagined.The flight from Delhi to Leh was incredible. We could se...
Source: Going Global - February 27, 2018 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Poor communication between EHRs is unacceptable. Let ’s fix it.
The third year of medical school is when a student experiences the frustrations of medicine firsthand. Once, my team admitted a transfer patient from another hospital to treat a condition that was ravaging the patient’s lungs. But before we could act, we needed to rule out a dormant infection; if our patient was unknowingly infected with tuberculosis (TB), giving our first-line therapies could lead to a disseminated infection — even death.
The other hospital had already performed the necessary tests, including a TB culture from the patient’s lung fluid. Unfortunately, because the other hospital used a different elect...
Source: Kevin, M.D. - Medical Weblog - February 16, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/yoo-jung-kim" rel="tag" > Yoo Jung Kim < /a > Tags: Tech Health IT Source Type: blogs
Non-immunologic Causes of Increased Susceptibility to Disease
A prior post listed 7 assertions regarding the role of infectious organisms on the human genome. In the next few blogs we ' ll look at each assertion, in excerpts fromPrecision Medicine and the Reinvention of Human Disease. Here ' s the sixth:Cellular defects that have no direct connection to immunity may increase susceptibility to infectious organisms. If we want to understand why certain individuals are susceptible to infections and other individuals are not, we must understand that immune deficiencies cannot account for all infections. Infectious diseases, just like any other disease, develop in steps, and it stands to ...
Source: Specified Life - February 13, 2018 Category: Information Technology Tags: immune system non-immunologic precision medicine susceptibility to disease Source Type: blogs
Infection without Disease (from Precision Medicine and the Reinvention of Human Disease)
A prior post listed 7 assertions regarding the role of infectious organisms on the human genome. In the next few blogs we ' ll look at each assertion, in excerpts fromPrecision Medicine and the Reinvention of Human Disease. Here ' s the fifth:Normal defenses can block every infectious disease. Hence, every infectious disease results from a failure of our normal defenses, immunologic and otherwise. For any given infectious agent, no matter how virulent they may seem, there are always individuals who can resist infection. Moreover, as a generalization, the majority of individuals who are infected with a pathogenic microorgan...
Source: Specified Life - February 12, 2018 Category: Information Technology Tags: commensals host organisms latent infection precision medicine symbiotes symbiotic Source Type: blogs
Precision Medicine and Public Health (from Precision Medicine and the Reinvention of Human Disease)
Excerpted fromPrecision Medicine and the Reinvention of Human DiseaseDespite having the most advanced healthcare technology on the planet, life expectancy in the United States is not particularly high. Citizens from most of the European countries and the highly industrialized Asian countries enjoy longer life expectancies than the United States. According to the World Health Organization, the United States ranks 31st among nations, trailing behind Greece, Chile, and Costa Rica, and barely edging out Cuba [42]. Similar rankings are reported by the US Central Intelligence Agency [43]. These findings lead us to infer that acc...
Source: Specified Life - February 6, 2018 Category: Information Technology Tags: cancer cancer vaccines precision medicine prevention public health Source Type: blogs
How doctors add stress to the poor IVF patient's life
Being infertile is bad enough, and an IVF cycle is stressful because you are never sure whether it's going to work or not. Not only is the uncertainty difficult to handle, the fact that it's so expensive just adds to your anxiety. While we can't reduce the uncertainty which plagues IVF , the tragedy is that IVF doctors often add insult to injury , by making the treatment unnecessarily stressful .For one thing, they subject patients to lots of useless tests, which are completely unnecessary , because they don't change the treatment options we can offer to patients. They justify these by doing it under the garb of being " co...
Source: Dr.Malpani's Blog - January 28, 2018 Category: Reproduction Medicine Source Type: blogs
Depression: An Illness, Not a Choice
I am not proud of it.
A few weeks ago and for the first time in many decades, I unpredictably dipped into a depression that, to put it mildly, kicked my ass. Haha, I’m joking.
Actually I’m not.
For the most part, throughout my life, my mental health issues have stemmed from severe anxiety and agoraphobia, with moderate depression rearing its ugly head only every now and then. But not this time. This one was more than ugly, it was hideous. Blue days, black nights — the whole shebang.
According to the Mayo Clinic, depression is a “mood disorder that causes a persistent feeling of sadness and loss of...
Source: World of Psychology - January 15, 2018 Category: Psychiatry & Psychology Authors: John Tsilimparis, MFT Tags: Anxiety and Panic Depression Personal Psychology Agoraphobia Child Development Depressive Episode Source Type: blogs
Separating the Art of Medicine From Artificial Intelligence
By HUGH HARVEY, MD
Artificial intelligence requires data. Ideally that data should be clean, trustworthy and above all, accurate. Unfortunately, medical data is far from it. In fact medical data is sometimes so far removed from being clean, it’s positively dirty.
Consider the simple chest X-ray, the good old-fashioned posterior-anterior radiograph of the thorax. One of the longest standing radiological techniques in the medical diagnostic armoury, performed across the world by the billions. So many in fact, that radiologists struggle to keep up with the sheer volume, and sometimes forget to read the odd 23,000 of them. O...
Source: The Health Care Blog - January 10, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized AI Data Hugh Harvey Radiology Source Type: blogs
EDs in Different Parts of the World but the Same Stories
BY TIM DEPP, MDI spent two weeks in India and another two weeks at the Centers for Disease Control and Prevention in Minnesota during my global health elective month. It was a great time to reflect on sustainability in developing world medicine and on my medical education and career goals.Emergency medicine in India is still in its infancy. Some might say it's only just been conceived, still waiting to be born. India is growing incredibly in numerous sectors, and several universities, including George Washington University (GWU), have partnered with established hospitals there to grow the specialty. After completi...
Source: Going Global - December 1, 2017 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Fight Aging! Newsletter, November 27th 2017
We examined associations between mortality and accelerometer-measured PA using age-relevant intensity cutpoints in older women of various ethnicities.
The results support the hypothesis that higher levels of accelerometer-measured PA, even when below the moderate-intensity threshold recommended in current guidelines, are associated with lower all-cause and CVD mortality in women aged 63 to 99. Our findings expand on previous studies showing that higher self-reported PA reduces mortality in adults aged 60 and older, specifically in older women, and at less than recommended amounts. Moreover, our findings challenge th...
Source: Fight Aging! - November 26, 2017 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs
Pericardial fremitus – palpable pericardial rub
Pericardial fremitus – palpable pericardial rub
A palpable pericardial rub is known as pericardial fremitus. It is due to the friction between the parietal and visceral layers of the pericardium. Some authors use the term as synonymous with pericardial rub [1,2].
Reference
Miltgen J et al. Two Cases of Pulmonary Tuberculosis Caused by Mycobacterium tuberculosis subsp. canetti. Emerg Infect Dis. 2002 Nov; 8(11): 1350–1352.
Box CR et al. Statistics of Pericarditis with Effusion, from the London Hospitals
(St. Thomas’s). Proc R Soc Med. 1910; 3(Med Sect): 104–109.
(Source: Cardiophile MD)
Source: Cardiophile MD - November 24, 2017 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs
James Peyer at TEDxStuttgart: Can We Defeat the Diseases of Aging?
My attention was drawn today to a recently published presentation by James Peyer. He heads up Apollo Ventures, one of the new crop of investment concerns focused on funding companies that are developing means to treat aging. These include the Longevity Fund, first out of the gate some years ago, as well as Juvenescence and the Methuselah Fund, created this year, and a repurposing of existing funds, such as Michael Greve's Kizoo ventures. Apollo Ventures is the source of the Geroscience online magazine that helps to advance and explain the position taken on aging by this group; this is something that more investors should d...
Source: Fight Aging! - November 23, 2017 Category: Research Authors: Reason Tags: Healthy Life Extension Community Source Type: blogs
