Tropical Travel Trouble 009 Humongous HIV Extravaganza
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog
aka Tropical Travel Trouble 009
The diagnosis of HIV is no longer fatal and the term AIDS is becoming less frequent. In many countries, people with HIV are living longer than those with diabetes. This post will hopefully teach the basics of a complex disease and demystify some of the potential diseases you need to consider in those who are severely immunosuppressed. While trying to be comprehensive this post can not be exhaustive (as you can imagine any patient with a low ...
Source: Life in the Fast Lane - July 7, 2018 Category: Emergency Medicine Authors: Amanda McConnell Tags: Clinical Cases Tropical Medicine AIDS art cryptococcoma cryptococcus HIV HIV1 HIV2 PEP PrEP TB toxoplasma tuberculoma Source Type: blogs
Tropical Travel Trouble 006 Watery Diarrhoea
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog
aka Tropical Travel Trouble 006
Our medical student who caught shigella on a Nepalese elective has a thirst for adventure. They plan to help at a Bangladesh refugee camp but the latest CDC report states there have been some cases of cholera. They’ve done a little bit of reading and want your help to teach them all about cholera and how they may prepare and best serve their new community.
Questions:
Q1. What is cholera and how is it transmitted?
Answer and interpreta...
Source: Life in the Fast Lane - March 27, 2018 Category: Emergency Medicine Authors: Neil Long Tags: Clinical Cases Tropical Medicine cholera diarrhoea john snow ORS rice water diarrhoea watery diarrhoea Source Type: blogs
Tropical Travel Trouble 004 Bloody Diarrhoea
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog
aka Tropical Travel Trouble 004
A medical student who has just returned from their elective in Nepal presents with 1 week of bloody diarrhoea. He has been in the lowlands and stayed with a family in the local village he was helping at. It started three days before he left and he decided to get home on the plane in the hope it would settle. He is now opening his bowels 10x a day with associated cramps, fevers and has started feeling dizzy.
Questions:
Q1. What is dysentery ...
Source: Life in the Fast Lane - March 12, 2018 Category: Emergency Medicine Authors: Neil Long Tags: Clinical Cases Tropical Medicine amoebic dysentery bacillary dysentery e.histolytica entamoeba histolytica shigellosis Source Type: blogs
Should only infectious disease specialists be allowed to prescribe antibiotics?
The WHO’s recent announcement of multi-drug resistant strains of gonorrhea raises the specter of a worldwide SuperClap Attack that even the Avengers couldn’t foil. It also comes as yet another ominous reminder of the perils of rampant and indiscriminate antibiotic use.
There’s plenty of blame to spread around. True, here in the U.S., consumers can’t buy antibiotics over the counter, but that hasn’t kept physicians and other providers from over-prescribing them with a casual “more-is-more,” “just-in-case” philosophy. As an internist colleague once warned me, facetiously, with furrowed brow, “We’re seei...
Source: Kevin, M.D. - Medical Weblog - August 9, 2017 Category: General Medicine Authors: < a href="http://www.kevinmd.com/blog/post-author/craig-bowron" rel="tag" > Craig Bowron, MD < /a > Tags: Meds Hospital Hospitalist Infectious disease Medications Source Type: blogs
Urgent Care Follies
What is it with antibiotics and steroids for upper respiratory infections at Urgent Care these days?
Over-prescribing of antibiotics has been a problem ever since the recognition that uncomplicated upper respiratory infections were almost always viral and would resolve on their own. I like to call the Z-pak (a pre-packaged 5-day course of azithromycin, a macrolide antibiotic) a “Placebo Antibiotic.” It doesn’t help a viral infection, but has relatively few side effects, and the accomplishment of making the patient feel like he’s gotten something for his handsome $15.00 co-pay. Not optimal treatment ...
Source: Musings of a Dinosaur - May 26, 2017 Category: Primary Care Authors: notdeaddinosaur Tags: Medical Source Type: blogs
Interview: International Trachoma Initiative and Pfizer On Par To Eliminate Trachoma-caused Blindness
Thanks to advances in science and technology, the world is now on the cusp of eliminating several debilitating diseases that affect the world’s most disadvantaged populations. Many experts who have dedicated their careers to ending trachoma recently attended an international summit in Geneva (April 19-22, 2017) to discuss the progress to date. There a total of 10 neglected tropical diseases (NTDs) of the 18 identified by the World Health Organization being targeted by these international organizations and partnerships.
Trachoma is a leading infectious cause of blindness currently threatening about 185 million people ...
Source: Medgadget - May 2, 2017 Category: Medical Equipment Authors: Alice Ferng Tags: Exclusive Public Health Source Type: blogs
Interview: International Trachoma Initiative and Pfizer On Par To Eliminate and Eradicate Trachoma-caused Blindness
Thanks to advances in science and technology, the world is now on the cusp of eliminating several debilitating diseases that affect the world’s most disadvantaged populations. Many experts who have dedicated their careers to ending trachoma recently attended an international summit in Geneva (April 19-22, 2017) to discuss the progress to date. There a total of 10 neglected tropical diseases (NTDs) of the 18 identified by the World Health Organization being targeted by these international organizations and partnerships.
Trachoma is a leading infectious cause of blindness currently threatening about 185 million people ...
Source: Medgadget - May 2, 2017 Category: Medical Equipment Authors: Alice Ferng Tags: Exclusive Public Health Source Type: blogs
Interview: International Trachoma Initiative and Pfizer On Par To Eliminate and Eradicate Trachoma-caused Blindness
Thanks to advances in science and technology, the world is now on the cusp of eliminating several debilitating diseases that affect the world’s most disadvantaged populations. Many experts who have dedicated their careers to ending trachoma recently attended an international summit in Geneva (April 19-22, 2017) to discuss the progress to date. There a total of 10 neglected tropical diseases (NTDs) of the 18 identified by the World Health Organization being targeted by these international organizations and partnerships.
Trachoma is a leading infectious cause of blindness currently threatening about 185 million people ...
Source: Medgadget - May 2, 2017 Category: Medical Equipment Authors: Alice Ferng Tags: Exclusive Public Health Source Type: blogs
Antibiotics don ’t speed recovery from asthma attacks
Does winter in the Northeast make you think of snowmen, warm fires, and hot chocolate? Or, does it instead inspire visions of runny noses, congestion, and cough? Although it is less rosy, I know readers with asthma may be picturing the latter.
People with asthma get respiratory infections more often
In general, people with asthma tend to get sick more easily, and illnesses can trigger asthma attacks. In my practice, we generally start seeing an increase in the number of asthma attacks, or asthma flares, once the ground frosts. If you are fortunate enough not to have asthma, chances are that you know somebody who does. The ...
Source: Harvard Health Blog - January 4, 2017 Category: Consumer Health News Authors: Nandini Mani, MD Tags: Asthma and Allergies Cold and Flu Health Lung disease Source Type: blogs
Azithromycin Prophylaxis for Cesarean Delivery via Now@NEJM
Posted oninfosnack. (Source: Kidney Notes)
Source: Kidney Notes - September 28, 2016 Category: Urology & Nephrology Authors: Joshua Schwimmer Source Type: blogs
Longing for the QT
A 58-year-old man presented to the ED with a reported overdose of an unknown medication. The patient was agitated, combative, and altered. Initial vital signs included a heart rate of 115 beats/min, blood pressure of 154/93 mm Hg, respirations of 22/min, and temperature of 99.5°F. The patient was difficult to evaluate because he was agitated, and he was given 5 mg of haloperidol IV and 2 mg of lorazepam IV. The patient continued to be agitated, and was given another 10 mg of haloperidol IV, followed by a repeat dose of 10 mg IV 15 minutes later. The patient then became unresponsive, and his cardiac monitor demonstrated th...
Source: The Tox Cave - March 1, 2016 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Funtabulously Frivolous Friday Five 129
Just when you thought your brain could unwind on a Friday, you realise that it would rather be challenged with some good old fashioned medical trivia…introducing Funtabulously Frivolous Friday Five 129
Question 1
A young male presents to the ED with recurrent urethritis. What common causative organism should be considered in addition to chlamydia and gonorrhea?
+ Reveal the Funtabulous Answer
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Mycoplasma genitalium
A recognized cause of male urethritis, is, in most settings, more common than N. gonorrhoeae. It is r...
Source: Life in the Fast Lane - December 11, 2015 Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five syphilis Malaria Mycoplasma genitalium Driver ants acute renal failure nintendinitis Pyrotherapy Source Type: blogs
LITFL Review #207
Welcome to the 207th 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 Week
Brilliant talk by Roger Harris from SMACCUS weaves the pillars of medical ethics with space-time continuum theorem to explore When to Stop Resuscitation. [JS]
The Best of #FOAMed Emergency Medicine
EMUpdates features an excellent talk from Reub...
Source: Life in the Fast Lane - November 23, 2015 Category: Emergency Medicine Authors: Anand Swaminathan Tags: Education LITFL review Source Type: blogs
Treating Cancer as Though It Were an Infectious Disease
Here researchers propose an interesting approach to destroying cancer stem cells via targeted antibiotics. Cancer stem cells have been shown to be the driving force behind many types of cancer: without their presence, tumors would halt their growth or wither. At this point cancer research as a whole is far too slow and expensive. Faster progress towards meaningful treatments will arise from identifying and focusing on common points of attack that are essentially the same in many different types of cancer. However all too many of today's expensive and time-consuming research programs are entirely specific to the genetics an...
Source: Fight Aging! - July 23, 2015 Category: Research Authors: Reason Tags: Daily News Source Type: blogs
