A teenager with chest pain, a troponin below the limit of detection, and " benign early repolarization "
Sent by anonymous, written by Pendell MeyersA male in his teens presented with complaints of chest discomfort and dyspnea beginning while exercising but without obvious injury. He immediately stopped exercising and symptoms started to improve. Later that evening he felt recurrent central chest discomfort, shortness of breath, and vomited. Symptoms have been constant since this second episode, and are still present on arrival, which seems to have been less than 1 to 2 hours from onset of symptoms. No similar symptoms in the past. No prior exertional complaints of chest pain, dizziness, lightheadedness, or undue shortness of...
Source: Dr. Smith's ECG Blog - January 9, 2023 Category: Cardiology Authors: Pendell Source Type: blogs
Sclerosing orbital lesions: broadening the differential diagnosis of " idiopathic sclerosing pseudotumor "
Sclerosing orbital lesion(the biopsy revealed it to be Erdheim-Chester disease)Sclerosing lesions of the orbit can present a diagnostic conundrum. Often submitted with a differential diagnosis that includes idiopathic sclerosing pseudotumor, it is incumbent upon the pathologist to rule out other diagnostic possibilities before designating the lesion as idiopathic. In order to survey the range of diagnoses for such specimens, we searched over a 10-year period for specimens submitted to the University of Colorado pathology department which either clinically or pathologically raised the possibility of idiopathic sclerosing ps...
Source: neuropathology blog - April 19, 2019 Category: Radiology Tags: ophthalmic pathology 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
Idiopathic hypertrophic pachymeningitis
Dumont AS, Clark AWm Sevick RJ, Myles ST. Idiopathic hypertrophic pachymeningitis: A report of two cases and review of the literature. Background-- Authors note entity was described by Charcot and Joffroy, and that there are three forms: spinal, intracranial and craniospinal (latter is rarer). Past cases were often attributed to specific etiologies but most recent cases are idiopathic after investigation. Authors case 1 underwent 2 surgeries for biopsy/decompression , had persistent pain and numbness, but was non progressive for 15 years after one early...
Source: neurologyminutiae - March 25, 2015 Category: Neurology Source Type: blogs
Wheat Belly transforms lives in New Zealand . . . and a bread recipe!
Annie posted this story of complete health turnarounds in her formerly ill parents involving diabetes/prediabetes and a condition called Wegener’s Granulomatosis:
I live in Christchurch, New Zealand, and saw you briefly on a programme called “60 Minutes” when they were discussing gluten sensitivity. My parents both had many health problems that were talked about, so I read your book and blog thoroughly and started them on the Wheat Belly diet a few months ago.
Mum is overweight and has struggled with diets all her life. She was on bendrofluazide and candesartan for blood pressure and about to start diabet...
Source: Wheat Belly Blog - March 25, 2013 Category: Cardiology Authors: Dr. Davis Tags: Inflammation Wheat-elimination success stories Source Type: blogs
USMLE Questions – Characteristic Disease Findings
The United States Medical Licensing Examination (USMLE) is designed to emphasize knowledge of clinical scenarios and clinical pearls, even on Step I. Listed below are some commonly encountered disease findings and characteristics.
Feature
Disease
45, X chromosome
Turner’s syndrome
5-HIAA increased in urine
Carcinoid syndrome
Aganglionic rectum
Hirschsrpung’s disease
Apple-core sign on barium enema
Colon cancer
Arched back (opisthotonos)
Tetanus
Argyll-Robertson pupil
Syphilis
Ash leaf on forehead
Tuberous sclerosis
Auer rods
Acute myelogenous leukemia
Austin Flint murmur
Aortic regurgitation...
Source: Inside Surgery - January 18, 2013 Category: Surgeons Authors: Editor Tags: Surgpedia USMLE diseases findings VMA water hammer pulse Source Type: blogs
