How I Dealt with Depression After Brain Surgery
Once again I was on the phone to my friend, sobbing. She’d put up with my tears every day since I left the hospital. Two or three daily meltdowns were the norm.
Many of my tears were over things that would have merely irritated me before: misplaced scissors, dirty socks in the middle of the living room, a brief computer glitch.
I have cavernous angiomas, tangles of malformed blood vessels, scattered throughout my brain. Two of them — one larger than a golf ball in my right parietal lobe, and the other, smaller, in my brain stem — had bled, and I underwent brain surgeries to remove them.
The bleeds and surgeri...
Source: World of Psychology - October 31, 2017 Category: Psychiatry & Psychology Authors: Psych Central Staff Tags: Antidepressant Brain and Behavior Brain Blogger Depression Disorders Health-related Medications Personal Publishers Antidepressants brain injury Brain Surgery Chemical Imbalance Clinical Depression Denial Therapy Source Type: blogs
Cardiology MCQ Test 2
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Source: Cardiophile MD - October 19, 2017 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs
A Healthy 50-something with new dyspnea on exertion and an interesting ECG
This study was on asymptomatic patients.There are other longitudinal studies which did NOT show increased long term risk. (Source: Dr. Smith's ECG Blog)
Source: Dr. Smith's ECG Blog - July 25, 2017 Category: Cardiology Authors: Steve Smith Source Type: blogs
Research and Reviews in the Fastlane 179
This study is limited by its retrospective methods and by data originating from a single center with a bedside medical toxicology service.
Recommended by: Meghan Spyres
The R&R iconoclastic sneak peek icon key
The list of contributors
The R&R ARCHIVE
R&R Hall of famer You simply MUST READ this!
R&R Hot stuff! Everyone’s going to be talking about this
R&R Landmark paper A paper that made a difference
R&R Game Changer? Might change your clinical practice
R&R Eureka! Revolutionary idea or concept
R&R Mona Lisa Brilliant writing or explanation
R&R Boffinta...
Source: Life in the Fast Lane - April 20, 2017 Category: Emergency Medicine Authors: Nudrat Rashid Tags: Emergency Medicine Intensive Care Pediatrics Pre-hospital / Retrieval R&R in the FASTLANE Resuscitation Toxicology and Toxinology critical care Education literature recommendations research and reviews Source Type: blogs
An apparent SVT that does not persistently correct with adenosine
A middle-aged woman presented for abdominal pain. She was found to have a heart rate of 150. A 12-lead was recorded:There is a regular, narrow complex tachycardia.What is it?Regular narrow complex tachycardias can be sinus tach, atrial tach, atrial flutter, AV nodal reentrant tachycardia, orthodromic AV reciprocal tachycardia [using a bypass tract (accessory pathway), that is WPW], or junctional tachycardia.Here is a one hour lecture onSupraventricular Tachycardias; everything you ever need to know.MAT and atrial fibrillation, other causes of supraventricular tachycardia, are not possible because they are always ...
Source: Dr. Smith's ECG Blog - October 30, 2016 Category: Cardiology Authors: Steve Smith Source Type: blogs
A 12 year old with Wide Complex Tachycardia
A previously healthy 12 year old presented to the ED with a "fast heart rate" that had started about 1.5 hours prior to presentation. She was reportedly a healthy child and active in several sports. She had a fairly active day and had been swimming off of a boat when her symptoms started. Her mother thought that she was just anxious, so took her home and had her try some deep breathing exercises. When this didn't help she presented to the ED and had this ECG recorded: Here is a higher resolution image, but missing V4-V6:There is regular monomorphic tachycardia with RR interval of about 0.285 ...
Source: Dr. Smith's ECG Blog - July 19, 2016 Category: Cardiology Authors: Steve Smith Source Type: blogs
DM / DNB Cardiology Entrance New Test Series 1
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Source: Cardiophile MD - June 28, 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
Digoxin toxicity – Cardiology MCQ
Factor/s enhancing the risk of digoxin toxicity:
a) Co-administration of verapamil
b) Hypokalemia
c) Hypomagnesemia
d) All of the above
Correct answer: d) All of the above
Hypokalemia which often occurs due to the diuretic therapy which is given along with digoxin for the treatment of heart failure, potentiates the problem of digitoxicity. Correction of hypokalemia is very important in the management of digoxin toxicity.
Severe hypomagnesemia can precipitate digoxin induced cardiac arrhythmia with normal serum digoxin and potassium levels and respond to correction of hypomagnesemia.
Important drugs which can increase the ...
Source: Cardiophile MD - May 11, 2016 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiology MCQ DM / DNB Cardiology Entrance Source Type: blogs
Wide Complex Tachycardia
An otherwise healthy woman in her 20's with no past medical history presented with tachycardia. She had experienced palpitations and called 911. Prehospital rhythm strips were at a rate of at least 200 (unavailable) and the medics gave adenosine at both 6 mg and 12 mg with no effect. She was stable, with no CP, SOB, hypotension or evidence of shock.Here is the initial ED ECG:What is the diagnosis (this is pathognomonic)? See below. (Notice that the computer incorrectly read ***Acute MI***)1. The rhythm is irregularly irregular, therefore it is atrial fibrillation2. The complexes are wide (so on...
Source: Dr. Smith's ECG Blog - March 28, 2016 Category: Cardiology Authors: Steve Smith Source Type: blogs
DM / DNB Cardiology Entrance Mock Test 12
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Source: Cardiophile MD - February 4, 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
DM / DNB Cardiology Entrance Mock Test 6
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Source: Cardiophile MD - January 22, 2016 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiology MCQ DM / DNB Cardiology Entrance Source Type: blogs
LITFL Review – Best of 2015
Welcome to the Best of 2015 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 Year
SMACC Podcast: Crack the Chest Get Crucified (John Hinds)
John’s talk from the opening plenary at SMACC Chicago had a furious battle with David Newman’s talk for the number one spot. Both were clear front runners given the shear numb...
Source: Life in the Fast Lane - January 8, 2016 Category: Emergency Medicine Authors: Anand Swaminathan Tags: Education LITFL review Source Type: blogs
Cardiology MCQ Test 1
Correct answer earns 4 points while a wrong answer carries a negative mark. Total score is the sum of positive and negative points.
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1. Which of the following rhythms is taken as a marker of successful ablation of atrioventricular nodal re-entrant tachycardia (AVNRT)?
Sinus rhythm
Ventricular tachycardia
Atrial fibrillation
Junctional rhythm
2. All of the following are true of Belhassen’s tachycardia except:
Originates in the right ventricular outflow tract
Responds to verapamil
Relatively narrow QRS complex
Also known as idi...
Source: Cardiophile MD - November 29, 2015 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: General Cardiology Source Type: blogs
Digoxin toxicity (digitoxicity)
Brief Review
Digoxin toxicity has become far less common as the use of digoxin, especially that of the loading dose has come down. Still an occasional case can occur due to renal dysfunction or drug interactions. Almost any type of arrhythmia can occur in digoxin toxicity except Mobitz type II second degree AV block and atrial fibrillation with a fast ventricular rate. On the contrary, a slow ventricular rate in atrial fibrillation could be a manifestation of digitoxicity. Ventricular ectopic beats in bigeminy is one of the common arrhythmias of digoxin toxicity. The most characteristic arrhythmia of digitoxicity is bidire...
Source: Cardiophile MD - November 16, 2015 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: ECG / Electrophysiology digitoxicity digoxin antibody digoxin toxicity Fab fragments of digoxin antibody Source Type: blogs
RVOT ventricular tachycardia
(Click on the image for an enlarged view)
Ventricular ectopic beats originating from the right ventricular outflow tract (RVOT) is one of the commonest forms of benign ventricular ectopy. But at times RVOT can be the origin of a ventricular tachycardia (VT) which could be either paroxysms of nonsustained ventricular tachycardia (NSVT) or sustained ventricular tachycardia. RVOT VT can be induced by exercise and has a left bundle branch block morphology with inferior axis.
RVOT tachycardia in children responsive to adenosine has been described [1]. In these children, after termination of tachycardia with adenosine, verapami...
Source: Cardiophile MD - November 15, 2015 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: ECG / Electrophysiology ECG Library nonsustained ventricular tachycardia NSVT RVOT tachycardia in children RVOT VT Source Type: blogs
