Chronic thromboembolic pulmonary hypertension – Cardiology MCQ
Standard surgical treatment for chronic thromboembolic pulmonary hypertension:
a) Pulmonary thromboendarterectomy
b) Single lung transplantation
c) Pulmonary banding
d) None of the above
Correct answer: a) Pulmonary thromboendarterectomy
In selected patients, pulmonary thromboendarterectomy is curative. But residual pulmonary hypertension after surgery is common. Those with residual pulmonary hypertension need long term follow up and vasodilator therapy with sildenafil or ambrisentan. Pulmonary thromboendarterectomy is a prolonged surgical procedure and can be undertaken only in specialized centres.
Reference
Cannon JE ...
Source: Cardiophile MD - May 4, 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
IMS Releases 2016 Report on Prescription Drug Spending – Net Price Growth 2.8% in 2015
Discussion on Medicare Part B Drug Payment Model Demonstration (Source: Policy and Medicine)
Source: Policy and Medicine - May 1, 2016 Category: American Health Authors: Thomas Sullivan - Policy & Medicine Writing Staff Source Type: blogs
Why the Documentary Vaxxed is so Controversial and Important to Support
Recently Dr. Andrew Wakefield directed the documentary Vaxxed to educate the public about autism in general, and more specifically to address the coverup of the 2004 research connecting the MMR vaccine to autism. Gastroenterologist Wakefield has become a champion for the autism community, which stands behind Wakefield’s dedication and work to help the growing numbers of children suffering from autism. Dr. Wakefield’s work has focused on alleviating the gastrointestinal distress often accompanying patients of autism. [1]
The movie Vaxxed is controversial because the coverup of the MMR vaccine connection to autism has fa...
Source: vactruth.com - April 27, 2016 Category: Allergy & Immunology Authors: Michelle Goldstein Tags: Logical Michelle Goldstein Recent Articles Top Stories Dr. Andrew Wakefield Dr. William Thompson Robert DeNiro Tribeca Film Festival truth about vaccines Vaxxed Source Type: blogs
Pfizer May Own Your Penis, But Allergan, Maker of Botox & Kybella, Owns Your Face
Allergan is beginning an aggressive sales blitz for Kybella, the first injectable treatment for what the medical industry terms “submental fat.”The first stage of the "blitz" is focused on dermatologists, the specialist physicians most likely to profit greatly from the use of Kybella by focusing on women. If you do an image search on "Kybella" you'll find many images like the ones shown here currently being used by dermatologists in their online marketing (click on the collage for an enlarged view).The images are undoubtedly supplied by Allergen to its physician clients. All are of about the sam...
Source: Pharma Marketing Blog - April 22, 2016 Category: Pharmaceuticals Tags: Allergan Botox Kybella Pfizer Viagra Source Type: blogs
Pfizer May Own Your Penis, But Allergan, Maker of Botox & Kybella, Owns Your Face
< div class= " separator " style= " clear: both; text-align: center; " > < a href= " https://2.bp.blogspot.com/-cFbqTG9f_y0/VxopRxCKeSI/AAAAAAAAIps/djqCdyo8LhcG-19D81-XnCQTMwiVQuucgCLcB/s1600/Kybella-Montage.jpg " imageanchor= " 1 " style= " clear: left; float: left; margin-bottom: 1em; margin-right: 1em; " > < img border= " 0 " height= " 400 " src= " https://2.bp.blogspot.com/-cFbqTG9f_y0/VxopRxCKeSI/AAAAAAAAIps/djqCdyo8LhcG-19D81-XnCQTMwiVQuucgCLcB/s400/Kybella-Montage.jpg " width= " 185 " > < /a > < /div > Allergan is beginning an aggressive sales blitz for Kybella, the first injectable treatment for what the medi...
Source: Pharma Marketing Blog - April 22, 2016 Category: Pharmaceuticals Tags: Allergan Botox Kybella Pfizer Viagra Source Type: blogs
Why is erectile dysfunction so politically impotent?
It is open season on erectile dysfunction. First, a politician in South Carolina introduced a bill to make it hard to get Viagra and then a politician in Kentucky. If the bills pass, they will hold patients with erectile dysfunction hostage to unrelated agendas. You might think that erections would be as politically untouchable as guns. After all, erections are nearly as popular as they are common. So how can erectile dysfunction be politically impotent?
Our society has a bipolar relationship to erections. It is so extremely bipolar that it leaves little room for authentic conversation: Real men, who are neither studs nor ...
Source: Kevin, M.D. - Medical Weblog - March 23, 2016 Category: Journals (General) Authors: Arnon Krongrad, MD and Kimberly Langer Tags: Physician Primary care Source Type: blogs
DM / DNB Cardiology Entrance Mock Test 22
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Congratulations - you have completed DM / DNB Cardiology Entrance Mock Test 22.
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Source: Cardiophile MD - March 21, 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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Click on the 'Start' button to begin the mock test. After answering all questions, click on the 'Get Results' button to display your score and the explanations. There is no time limit for this mock test.
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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
This doctor won’t prescribe Addyi, the “female Viagra.” Here’s why.
Addyi (flibanserin), the drug to increase female libido had a timid entry into the market with very few prescriptions considering the “hype.” Bloomberg Business reported 227 prescriptions in the first month. That’s a pittance considering Valeant paid $1 billion for the drug.
I am unlikely to help Valeant recoup their investment, because the more I read about this drug, the worse it looks. Here’s why:
It barely works
One of the study endpoints (meaning what you hope the drug will do) is increasing the feeling of desire. How Sprout measured desire is very controversial, but regardless even with their special scale t...
Source: Kevin, M.D. - Medical Weblog - January 9, 2016 Category: Journals (General) Authors: Jennifer Gunter, MD Tags: Meds Medications OB/GYN Source Type: blogs
Natural drugs aren’t necessary safe. Don’t make that mistake.
According to a study published in the New England Journal of Medicine, the use of dietary supplements sends an estimated 23,000 Americans to the emergency department each year. Approximately 25 percent of the ER visits that were supplement related were by adults who were using herbal weight loss products. Another 10 percent were caused by adults consuming “energy products” (although people using energy drinks were excluded from the study). Most of the people came in complaining of cardiac symptoms: palpitations, chest pain or rapid heart rate.
Not all preparations that caused problems were for weight loss or improved e...
Source: Kevin, M.D. - Medical Weblog - November 17, 2015 Category: Journals (General) Authors: Stephen Kamelgarn, MD Tags: Meds Medications Primary care Source Type: blogs
Why are you here?
{walking into a patient's room}Me: "Hi Mr. Smith, I'm Dr. Gilman and will be taking care of you today in the ER. So, I reviewed your chart, and I don't see any significant past medical history. The nurses tell me you don't feel well. Tell me, what's the matter today?"Smith: "I'm sick"Me: "Okay, but what's wrong"Smith: "I don't f*ckin' know, you're the doctor."I hate, hate, it when a patient doesn't have a chief complaint when they come to the ER.Why are you here? Today? Right now? (i.e. why couldn't this wait until you could see your primary doctor). What changed? What are you afraid of? Specifically, what part of your bod...
Source: EM Physician - Backstage Pass - September 8, 2015 Category: Emergency Medicine Authors: Taylor Source Type: blogs
Why are you here?
{walking into a patient's room}Me: "Hi Mr. Smith, I'm Dr. Gilman and will be taking care of you today in the ER. So, I reviewed your chart, and I don't see any significant past medical history. The nurses tell me you don't feel well. Tell me, what's the matter today?"Smith: "I'm sick"Me: "Okay, but what's wrong"Smith: "I don't f*ckin' know, you're the doctor."I hate,hate, it when a patient doesn't have a chief complaint when they come to the ER.Why are you here? Today? Right now? (i.e.why couldn't this wait until you could see your primary doctor). What changed? What are you afraid of? Specifically, what part of your body ...
Source: EM Physician - Backstage Pass - September 8, 2015 Category: Emergency Medicine Authors: Taylor Source Type: blogs
The FDA approved Addyi. But was there a hidden agenda?
Ladies, the moment you have all been waiting for is here! No, not affordable childcare. Not equal pay for equal work. Not gun control. Not abortion rights or paid maternity leave or a female majority in Congress or a constitutional ban on the words “chick lit.” Girls, it is so much better than all that. We got pink Viagra!
Flibanserin. Catchy name. Addyi for short. Approved by the FDA for hypoactive sexual desire or, for clarification, inhibited sexual desire, sexual aversion, or sexual apathy. The New York Times defines this disorder as follows:
Inhibited sexual desire refers to a low level of sexua...
Source: Kevin, M.D. - Medical Weblog - September 1, 2015 Category: Journals (General) Authors: Shirie Leng, MD Tags: Meds Medications OB/GYN Source Type: blogs
TBT: Blind to women’s sexual health
Today’s TBT post ran over two years ago and addressed female dysfunction. Given the FDA’s recent approval of flibanserin, a pill that aims to increase a woman’s desire for sex, we thought it would be helpful to review some of the early conversations on the issue.
A recent article published in partnership with The Investigative Fund and Newsweek questioned the existence of “female dysfunction,” as if to say, who cares about women’s sexual health? If you can’t “see” it, apparently it doesn’t exist. This is one-sided, inaccurate and disparaging of women.
Why is it that when men are impotent it ...
Source: Disruptive Women in Health Care - August 20, 2015 Category: Consumer Health News Authors: dw at disruptivewomen.net Tags: Aging Choice gender Women's Health Flibanserin Food and Drug Administration Sexual desire Sexual dysfunction Source Type: blogs
Top stories in health and medicine, May 25, 2015
From MedPage Today:
Time to Retire Lithotripsy for Kidney Stones? More than 30 years ago, extracorporeal shock wave lithotripsy (ESWL) had a highly anticipated, much-ballyhooed introduction as a nonsurgical therapy for kidney stones. Obviating the need to cut the skin or insert a device into the body, ESWL would use acoustic shock waves to pulverize stones into dust that would be washed out of the kidneys.
Senate Committee Mulls Medicare Hospital Observation Stays. Hospital observation stays for Medicare patients can be problematic, but finding solutions is also tricky.
Sildenafil May Help Heal Scleroderma Ulcers. Silden...
Source: Kevin, M.D. - Medical Weblog - May 25, 2015 Category: Journals (General) Authors: MedPage Today Tags: News Nephrology Pulmonology Source Type: blogs
