Aortic Dissection: Teaching Points
Case Details:48 yrs old lady with tearing pain chest on CT angiography shows large, dissection of the entire aorta , including Ascending aorta , with celiac, SMA, renal arising from true lumen (cerebral vessels showing no dissection) with cobweb sign and beak signs positive.Teaching points by Dr MGK Murthy, Dr Pritam, CT Technologist: Mr Shekhar1. Aortic dissection occurs when the blood enters medial layer through a penetrating ulcer or tear of intima 2. Two types: Acute, when clinical symptoms14 days More useful , Stanford A: involvement of ascend...
Source: Sumer's Radiology Site - January 9, 2017 Category: Radiology Authors: Sumer Sethi Source Type: blogs
MKSAP: 54-year-old woman is evaluated for fatigue, anorexia, polyuria, and nocturia
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.
A 54-year-old woman is evaluated for fatigue, anorexia, polyuria, and nocturia of several weeks’ duration. She had otherwise felt well until the onset of her current symptoms. Medical history is significant for autoimmune pancreatitis diagnosed 1 year ago, treated with a prednisone taper that was completed 8 months ago with resolution of her symptoms. She takes no medications.
On physical examination, temperature is 36.2 °C (97.2 °F), blood pressure is 110/58 mm Hg, pulse rate is 72/min, and respiration ...
Source: Kevin, M.D. - Medical Weblog - July 30, 2016 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/mksap" rel="tag" > mksap < /a > Tags: Conditions Nephrology Source Type: blogs
Wheat Belly: Self-Directed Health?
Director chair, film slate and load horn.
Here’s a proposal for you: If, by following the Wheat Belly lifestyle, a long list of conditions are reduced or reversed at no risk, almost no cost, reversing even chronic and potentially fatal conditions . . . does that mean that the notion of self-directed health might be on the horizon, i.e., putting control over health back in our own hands?
I think it does. No, we will never implant our own defibrillators or take out our own gallbladders. But so many chronic health conditions afflicting modern humans recede that I believe that it is entirely reasonable to start talking a...
Source: Wheat Belly Blog - February 16, 2016 Category: Cardiology Authors: Dr. Davis Tags: Wheat Belly Lifestyle arthritis autoimmune diabetes eating disorder gluten grains Inflammation joint Weight Loss Source Type: blogs
DM / DNB Cardiology Entrance Mock Test 11
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Congratulations - you have completed DM / DNB Cardiology Entrance Mock Test 11.You scored %%SCORE%% out of %%TOTAL%%.Your performance has ...
Source: Cardiophile MD - February 3, 2016 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiology MCQ DM / DNB Cardiology Entrance Featured Source Type: blogs
The Failing Immune System and Its Role in Pulmonary Disease
In the paper quoted below, researchers review the links between immune system dysfunction in aging and pulmonary diseases - diseases of the lungs, ranging from infections to fibrosis. This is just one of many classes of medical condition that are much more serious and frequent in the elderly.
We all know that the immune system fails in its duties with aging. The elderly are frail in large part because they have little resistance to infection, their healing is impaired, and other functions depending on components of the immune system are similarly diminished. This is partially the result of high levels of various forms of ...
Source: Fight Aging! - July 27, 2015 Category: Research Authors: Reason Tags: Medicine, Biotech, Research Source Type: blogs
Teasing Out the Characteristics of Targetoid Rashes
Targeted or targetoid rashes are one specific rash presentation that is commonly seen and occurs with at least three conditions. Other conditions have target-like lesions, but by far the most common are acute annular urticaria or urticaria multiforme, erythema multiforme, and serum sickness-like rashes (SSLR).
Unlike true serum sickness, SSLR is not a type III reaction, and frank arthritis, hypocomplementemia, vasculitis, and nephropathy are not typically seen. These rashes have significant overlap in presentation and appearance, and they are frequently confused for each other. Nevertheless, it is possible to tease out ...
Source: M2E Too! Mellick's Multimedia EduBlog - June 1, 2015 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Teasing Out the Characteristics of Targetoid Rashes
Targeted or targetoid rashes are one specific rash presentation that is commonly seen and occurs with at least three conditions. Other conditions have target-like lesions, but by far the most common are acute annular urticaria or urticaria multiforme, erythema multiforme, and serum sickness-like rashes (SSLR).
Unlike true serum sickness, SSLR is not a type III reaction, and frank arthritis, hypocomplementemia, vasculitis, and nephropathy are not typically seen. These rashes have significant overlap in presentation and appearance, and they are frequently confused for each other. Nevertheless, it is possible to tease ou...
Source: M2E Too! Mellick's Multimedia EduBlog - June 1, 2015 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Flesh-Eating Vasculitis from Cocaine Adulterant
My father was a small-town preacher. I heard the Bible verse that begins with the phrase “For the wages of sin is death” many, many times. Admittedly, it comes to mind at least once every shift I work in the ED. The cyanotic and apneic heroin overdose patient dropped off by “friends,” the drunk driver who just killed someone, or the pack-a-day cigarette smoker receiving news of lung cancer are all examples of self-destructive scenarios that might stimulate this memory.
I had read about levamisole-adulterated cocaine causing a flesh-destructive vasculitis, but had not seen a patient with this condition until rece...
Source: M2E Too! Mellick's Multimedia EduBlog - May 1, 2015 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Flesh-Eating Vasculitis from Cocaine Adulterant
My father was a small-town preacher. I heard the Bible verse that begins with the phrase “For the wages of sin is death” many, many times. Admittedly, it comes to mind at least once every shift I work in the ED. The cyanotic and apneic heroin overdose patient dropped off by “friends,” the drunk driver who just killed someone, or the pack-a-day cigarette smoker receiving news of lung cancer are all examples of self-destructive scenarios that might stimulate this memory.
I had read about levamisole-adulterated cocaine causing a flesh-destructive vasculitis, but had not seen a patient with this condition until re...
Source: M2E Too! Mellick's Multimedia EduBlog - May 1, 2015 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Top stories in health and medicine, May 1, 2015
From MedPage Today:
ACP Prefers Cervical Cytology Over DNA Screens for Young Women. The American College of Physicians (ACP) said Pap smears should be the mainstay of cervical cancer screening in normal-risk women younger than 30, with molecular testing for human papilloma virus (HPV) reserved for older patients only.
FDA Wants Data to Support Antiseptic Claims. Following up on a promise made last year, the FDA is proposing new rules governing topical healthcare antiseptics that will require manufacturers to submit hard data on their safety and effectiveness.
U.S. Doctors Rush to Aid Nepal Relief Efforts. With the death ...
Source: Kevin, M.D. - Medical Weblog - May 1, 2015 Category: Journals (General) Authors: MedPage Today Tags: News OB/GYN Rheumatology Source Type: blogs
The use of ultrasound in the diagnosis of vasculitis
(Source: Notes from Dr. RW)
Source: Notes from Dr. RW - January 22, 2015 Category: Internists and Doctors of Medicine Tags: allergy and immunology cardiovascular rheumatology Source Type: blogs
Novel cutaneous and pulmonary syndrome associated with mutations in STING
Fascinating article describing a vasculopathic cutaneous and pulmonary syndrome associated with autosomal dominant mutations in TMEM173, the gene encoding stimulator of interferon genes (STING). An incredible body of work presented with numerous clinical pictures and photomicrographs in the supplementary appendix that nicely illustrate the pathologic changes. This work sheds light on an important inflammatory pathway through the description of this"experiment of nature."Liu Y, Jesus AA, Marrero B, et al. Activated STING in a Vascular and Pulmonary Syndrome. New England Journal of Medicine ...
Source: The Daily Sign-Out - August 6, 2014 Category: Cancer & Oncology Authors: Mark D. Pool, M.D. Source Type: blogs
Novel cutaneous and pulmonary syndrome associated with mutations in STING
Fascinating article describing a vasculopathic cutaneous and pulmonary syndrome associated with autosomal dominant mutations in TMEM173, the gene encoding stimulator of interferon genes (STING). An incredible body of work presented with numerous clinical pictures and photomicrographs in the supplementary appendix that nicely illustrate the pathologic changes. This work sheds light on an important inflammatory pathway through the description of this "experiment of nature."
Liu Y, Jesus AA, Marrero B, et al. Activated STING in a Vascular and Pulmonary Syndrome. New England Journal of Medic...
Source: The Daily Sign-Out - August 6, 2014 Category: Pathologists Authors: Mark D. Pool, M.D. Source Type: blogs
