A Patient with Vertigo
This patient presented with vertigo and had an ECG recordedWhat do you think?I saw this and was worried about inferior OMI due to some subtle STE in III with very worrisome reciprocal findings in aVL. But the well-formed Q-wave and the presence of a normal T-wave in inferior leads led me to believe this was Old Inferior MI with persistent ST Elevation, otherwise known as inferior LV aneurysm.Anterior LV aneurysm is much easier to recognize because the Q-wave is usually a QS-wave (no R-wave at all), in at least one lead. Or at least only a very tiny r-wave (1 mm or so).Thus, acute inferior OMI and inferior LV an...
Source: Dr. Smith's ECG Blog - July 26, 2023 Category: Cardiology Authors: Steve Smith Source Type: blogs
What Is Nystagmus?
This study has never been duplicated.
Note the estimated angle of nystagmus onset
Yup, my patient has nystagmus. What does that mean?
Big picture … it means that there’s something abnormal about the patient’s nervous system. There are a few major reasons to consider.
Drugs and alcohol
Yes, that old roadside sobriety test is a useful indicator of alcohol intoxication. People begin having nystagmus with blood alcohol levels as low as .04%. But alcohol isn’t the only drug that can cause nystagmus. Other central nervous system depressants like barbiturates, Lithium and benzodiazepines ...
Source: The EMT Spot - November 14, 2022 Category: Emergency Medicine Authors: Steve Whitehead Tags: EMT Source Type: blogs
Weekly Overseas Health IT Links –17th September, 2022.
This study adds to the evidence showing that expanded access to these services could have a longer-term positive impact if continued.”Roughly 1 in 8 beneficiaries in the pandemic group received OUD-related telehealth services compared with 1 in 800 in the prepandemic group, the research revealed. Access to telehealth services was associated with better treatment retention and lower risk of medically treated overdose in the pandemic group compared to those not receiving telehealth services.-----https://healthimaging.com/topics/management/education-training/ai-deterring-students-pursuing-radiologyConcerns about the future ...
Source: Australian Health Information Technology - September 17, 2022 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs
Secrets
It should come as no surprise that I am not a big fan of the FBI or the U.S. " intelligence " services. Historically, the FBI has been an instrument of oppression of leftist and progressive organizations, movements and individuals. The FBI murdered Fred Hampton, a man I greatly admired. They tried to murder Martin Luther King Jr. and it ' s just possible that they actually did. They infiltrated progressive organizations with provocateurs and disrupted their operations. They blackmailed people and they even ratf.ed the Hillary Clinton campaign and helped make TFG president.As for the CIA, they repeatedly engineered military...
Source: Stayin' Alive - September 1, 2022 Category: American Health Source Type: blogs
A man in his 60s with dizziness, nausea, chest pain, and LBBB
Submitted and written by Parker Hambright MD, peer reviewed by Meyers, McLaren, Grauer, SmithA man in his late 60s called EMS for acute dizziness, nausea, vomiting, and chest pain shortly after beginning his morning exercise. The symptoms lasted for only about 15 minutes and then resolved spontaneously. He was brought to the ED and evaluated in less than one hour from onset of symptoms. His history included known CAD, HTN, HLD, prior MI with LAD stent, AAA repair, and reported dizziness/vertigo.Here are his EMS and ED triage ECGs (unclear whether symptoms still present or resolved at time of these ECGs, but it seems that s...
Source: Dr. Smith's ECG Blog - August 1, 2022 Category: Cardiology Authors: Pendell Source Type: blogs
What to use instead of NICE Evidence Search - some recommendations (sort of)
In an earlier post I searched NICE Evidence Search (closing at the end of March 2022) and then a number of other sources to see which other sources would find the material.I found 27 results (vertigo epley was the search) in NICE Evidence Search. 5 were systematic reviews from DARE, which I decided I was not too worried about, as DARE has not been updated for some timeThen there were results from PubMed, Cochrane, BestBets, CKS, four health organisations, Patient.info, NICE and the Royal Australian College of GPs.SearchingCochraneitself found one more Cochrane review than NICE Evidence Search did. So, more...
Source: Browsing - March 10, 2022 Category: Databases & Libraries Tags: NICE Evidence Search Source Type: blogs
What to use instead of NICE Evidence Search - a first thought
I have been promoting NICE Evidence Search much more systematically this year to " my " first year undergraduates in their first library session. It is also on the resource lists I ' ve made for each of their courses. I like the idea that there is one source, where all the results have been evaluated by health information professionals, and I ' ve suggested it ' s a good first place to search for any health topic. But NICE Evidence Search is closing at the end of March 2022. So what to use instead?NICE Evidence Search has two lists of sources, one of sites where some of the content is...
Source: Browsing - February 9, 2022 Category: Databases & Libraries Tags: NICE Evidence Search Source Type: blogs
poem
The Truth about Black HolesMy son read somewhere on The internet that a giant blackHole is hurtling through spaceHoovering up everything in its path.He ’d read it may approach Earth,That if we fall into this trapWhere even light cannot escapeIt will be a fate worse than death.You can imagine his distress.He envisions a lightless awarenessWithout the passage of time.Physical stillness, meaningless silence,Like being buried aliveOnly paralyzed and unableTo hear the sound of your own nailsScratching against the lid of a coffin.I told him black holes certainly existBut they generally don ’t move.They don't wande...
Source: Buckeye Surgeon - December 1, 2021 Category: Surgery Authors: Jeffrey Parks MD FACS Source Type: blogs
Fictional patients as literature search examples
Not simulated patients used in exams, but fictional patients as literature search topics.I have used fictional patients for some years. I looked back to see if I have ever given them names, and can ' t find any evidence of that. That is good, as perhaps there is a danger the names would not be diverse. For the medical students who started in 2017, I had this:" Your patient is a five year old with head lice. Their parent asks if they should use an insecticide lotion to eradicate the lice. Will this work, and better than the alternatives? Are there any adver...
Source: Browsing - November 30, 2020 Category: Databases & Libraries Tags: literature searching Source Type: blogs
The Vitamin That Reduces Vertigo (M)
Many people experience vertigo when both feet are firmly on the ground.
→ Support PsyBlog for just $5 per month. Enables access to articles marked (M) and removes ads.
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Source: PsyBlog | Psychology Blog - August 11, 2020 Category: Psychiatry & Psychology Authors: Jeremy Dean Tags: Nutrition subscribers-only Source Type: blogs
Podcast: Hiding Panic Attacks in the Bathroom
At the thought of losing a job or missing a mortgage payment, Gabe is an anxious discombobulated mess, while Lisa is cool as a cucumber. In today’s Not Crazy podcast, Gabe and Lisa ponder: Why do people have such vastly different ways of reacting to the world? They also discuss — with the special flare that only a divorced couple has — the good old days when Gabe would have full-blown panic attacks and Lisa had to get them through it.
How did they handle these scary moments? Is it ever OK to feel anger toward the panicky person? And what if the panicky person accidentally causes harm — should...
Source: World of Psychology - June 2, 2020 Category: Psychiatry & Psychology Authors: Not Crazy Podcast Tags: Anxiety and Panic General LifeHelper Mental Health and Wellness Not Crazy Podcast Source Type: blogs
Adverse effects of hydroxychloroquine
In case you were ever stupid enough to follow Trump’s lead you would have already injected ultraviolets in your eyeballs by now to save you from Covid and maybe bathed in Domestos or sulfuric acid or both! Anyway, his latest bullshine claim is that he’s been taking the antimalarial drug hydroxychloroquine to keep Covid at bay.
Well, for starters there is no evidence that this drug acts as a prophylactic against infection with SARS CoV-2 or indeed any pathogen other than the causative agent of otherwise drug-resistant malaria. It’s primary use is in treating lupus. There was some testing done weeks ago to...
Source: David Bradley Sciencebase - Songs, Snaps, Science - May 19, 2020 Category: Science Authors: David Bradley Tags: Health and Medicine Source Type: blogs
When should I be concerned about ringing in my ears?
What is tinnitus?
Tinnitus is a generic term used to describe a ringing or noise in the ears that occurs in the absence of external sound. This is a very common condition that is thought to occur in up to 15% of people. It can occur in one or both ears, and often people will describe the sound as “coming from their head.” There are a variety of descriptions that people use for their tinnitus such as whooshing, ringing, pulsing, and/or buzzing, and the quality of the sound varies by individual.
Symptoms of tinnitus can cause great distress
While tinnitus can be caused by conditions that require medical attention, it is ...
Source: Harvard Health Blog - February 8, 2020 Category: Consumer Health News Authors: James Naples, MD Tags: Ear, nose, and throat Hearing Loss Tests and procedures Source Type: blogs
Feeling Sad After Sex? Postcoital Dysphoria & Symptoms
For most people, sex is fun. Whether you engage in it with a partner or by yourself, sexual activity usually results in feelings of satisfaction and positive feelings (Sadock & Sadock, 2008).
But some people feel sad after sexual activity. Researchers call these kinds of negative feelings “postcoital dysphoria” or just postcoital symptoms. A new study sheds further light on these symptoms.
Postcoital dysphoria is characterized by “inexplicable feelings of tearfulness, sadness, and/or irritability” according to the new research (Burri & Hilpert, in press). According to prior research, men ap...
Source: World of Psychology - January 28, 2020 Category: Psychiatry & Psychology Authors: John M. Grohol, Psy.D. Tags: Brain and Behavior General Psychology Research Sexuality after-sex after-sex depression postcoital dysphoria postcoital symptoms Source Type: blogs
Vestibular migraine: Progress in the search for treatments
Nearly 15% of the world’s population has migraine, a condition in which moderate-to-severe headache is associated with neurological abnormalities such as visual dysfunction, sensitivity to light, disordered speech, nausea, vomiting, or dizziness. While we now have many options to treat the head pain associated with migraine, we are often helpless in treating these other associated neurological symptoms.
One of the most bothersome neurological symptoms patients report is vertigo or dizziness-associated with migraine, a condition we call vestibular migraine, and in which patients feel as though they, or the environment aro...
Source: Harvard Health Blog - January 6, 2020 Category: Consumer Health News Authors: William Renthal, MD, PhD Tags: Headache Source Type: blogs
