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Tropical Travel Trouble 010 Fever, Arthralgia and Rash
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 010 Peer Reviewer: Dr Jennifer Ho, ID physician QLD, Australia You are an ED doc working in Perth over schoolies week. An 18 yo man comes into ED complaining of fever, rash a “cracking headache” and body aches. He has just hopped off the plane from Bali where he spent the last 2 weeks partying, boozing and running amok. He got bitten by “loads” of mosquitoes because he forgot to take insect repellent. On examination he looks miserable,...
Source: Life in the Fast Lane - July 16, 2018 Category: Emergency Medicine Authors: Amanda McConnell Tags: Clinical Cases Tropical Medicine arthralgia dengue fever rash Source Type: blogs

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 008 Total TB 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 008 Peer Reviewer Dr McBride ID physician, Wisconsin TB affects 1/3rd of the population and one patient dies every 20 seconds from TB. Without treatment 50% of pulmonary TB patients will be dead in 5 years. In low to middle income countries both TB and HIV can be ubiquitous, poor compliance can lead to drug resistance and malnourished infants are highly susceptible. TB can be very complex and this post will hopefully give you the backbone to TB m...
Source: Life in the Fast Lane - June 16, 2018 Category: Emergency Medicine Authors: Neil Long Tags: Clinical Cases Tropical Medicine Genexpert meningitis TB TB meningitis Tuberculosis Source Type: blogs

Tropical Travel Trouble 007 Mega Malaria 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 007 When you think tropical medicine, malaria has to be near the top. It can be fairly complex and fortunately treatment has become a lot simpler. This post is designed to walk you through the basic principals with links to more in depth teaching if your niche is travel medicine, laboratory diagnostics or management of severe or cerebral malaria. If you stubbled on this post while drinking a cup of tea or sitting on the throne and want a few basi...
Source: Life in the Fast Lane - April 5, 2018 Category: Emergency Medicine Authors: Neil Long Tags: Clinical Cases Tropical Medicine malaria Plasmodium plasmodium falciparum plasmodium knowles plasmodium malariae plasmodium ovale plasmodium vivax Source Type: blogs

Vaccinations: More than just kid stuff
Follow me on Twitter @RobShmerling This is the time of year when it’s important to think about flu vaccinations. And there’s good reason for that! The flu causes thousands of preventable hospitalizations and deaths each year. But what about other vaccinations? Do you think of them as something for kids? You aren’t alone. And it’s true, a number of vaccinations are recommended for young children as well as preteens and teenagers. These vaccinations have provided an enormous benefit to public health by preventing diseases that were common and sometimes deadly in the past, including polio, rubella, and whooping cough....
Source: Harvard Health Blog - February 7, 2018 Category: Consumer Health News Authors: Robert H. Shmerling, MD Tags: Health Infectious diseases Prevention Vaccines Source Type: blogs

Success stories in driving up adult immunization rates
As we continue to lead longer and healthier lives, too many Americans aren’t taking advantage of an easily accessible set of tools that could protect their well-being into old age: adult vaccines. As a nation, we’ve embraced a regular schedule of vaccines for our children. But science shows that they are proven life-savers for us grown-ups, too. The numbers are staggering: tens of thousands of Americans die each year from flu while another 200,000 people will be hospitalized with the disease. Some 19,000 people over 65 will die from pneumococcal pneumonia, which also puts 200,000 people in the hospital each year and ad...
Source: Kevin, M.D. - Medical Weblog - January 13, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/james-appleby" rel="tag" > James Appleby, RPh, MPH < /a > Tags: Conditions Geriatrics Primary Care Source Type: blogs

What Every Parent Needs to Know About Back to School Vaccine Threats and Exemptions
Conclusion Because the mainstream media has financial interest in promoting vaccines, informed parents must seek information elsewhere about back to school vaccine mandates and exemptions. Parents, as you prepare to send your child back to school, do your homework and determine which exemptions are available in your area. A list of vaccine exemptions for all fifty states is published online by the National Vaccine Information Center. Sharing this article with other parents will also help them make informed decisions about vaccines. References: http://www.nvic.org/vaccine-laws/state-vaccine-requirements.aspx http://www.oma...
Source: vactruth.com - August 17, 2017 Category: Allergy & Immunology Authors: Missy Fluegge Tags: Top Stories truth about vaccines Vaccine Exemptions Source Type: blogs

Vaccine Ingredients: America ’s Dirty Little Secret
Conclusion The increase in childhood illness must have a cause or trigger. There must be common factors when half of America’s children are chronically ill. Could vaccine ingredients be the causal factor of the increase in childhood illnesses? This question remains unanswered by the CDC. As stated above, many CDC employees have a vested financial interest in continuing to sell and market vaccines. As childhood illnesses continue to increase, logic and reason must be applied to the debate and we must identify common factors. What do American children have in common? The large majority receive vaccines per the CDC schedule...
Source: vactruth.com - June 25, 2017 Category: Allergy & Immunology Authors: Sarah Carrasco Tags: Logical Sarah Carrasco Top Stories Polysorbate 80 truth about vaccines vaccine ingredients Source Type: blogs

Why vaccines are important for our country ’s financial health, too
Follow me on Twitter @drClaire Imagine there was a simple treatment that could be given to babies and toddlers that was not only remarkably effective in preventing illness, but also inexpensive. And imagine that this treatment was not only inexpensive, but also lowered overall health care costs. There’s no need to imagine; the treatment exists. It’s called immunization. It’s National Infant Immunization Week, a time to recognize and celebrate immunization. It’s during infancy that we give the most vaccines, but the benefits extend far beyond infancy and beyond those babies. The protection lasts for years, keeping b...
Source: Harvard Health Blog - April 25, 2017 Category: Consumer Health News Authors: Claire McCarthy, MD Tags: Children's Health Health policy Infectious diseases Managing your health care Parenting Prevention Vaccines Source Type: blogs

Finding the tick in time could save you from Lyme!
“Doesn’t it typically happen during the summer?” asked a worried lady that had walked into my clinic in November with a growing circular rash on her wrist. She was referring, of course, to Lyme disease, that scourge of outdoor enthusiasts. While the peak season for Lyme disease is indeed summer, the ticks that transmit it are active March through December. And, while this may be off-season for the ticks, it is a good time to catch up on how to stay safe in the not-so-distant spring. What is Lyme disease, and how do you treat it? Lyme disease is caused by a bacterium called Borrelia burgdorferi which is spread to peop...
Source: Harvard Health Blog - February 24, 2017 Category: Consumer Health News Authors: Meera Sunder, MBBS, MRCOG Tags: Health Infectious diseases Prevention Source Type: blogs

2017 update to the immunization schedule for kids
Follow me on Twitter @drClaire Every year, the Centers for Disease Control and Prevention (CDC) and the American Academy of Pediatrics (AAP) update the recommendations for immunizing children from birth to 18 years. This past week, the latest changes were published. The changes are usually small, and this year is no exception. But they are important — and they are a sign of how these organizations, and all the scientists who study immunization, take immunization effectiveness and safety very seriously. There is ongoing research to be sure that vaccines do everything we want them to do. As that research is done, discoveri...
Source: Harvard Health Blog - February 14, 2017 Category: Consumer Health News Authors: Claire McCarthy, MD Tags: Children's Health Infectious diseases Parenting Prevention Vaccines Source Type: blogs

Meningitis FAQ
You know when they say the symptoms of meningitis are commonly a headache and a stiff neck and perhaps purple blotches on the skin that don’t pale when pressed…well…it can be far worse than that and can kill. If you’re in a vulnerable group, make sure you’re vaccinated. It is highly recommended that new university and college students are vaccinated because meningitis is far worse than a spot of “fresher’s flu” (usually just a cold) and can be passed on through coughs and sneezes, close contact and kissing infected people and even just sharing kitchen utensils. If it doesn...
Source: David Bradley Sciencebase - Songs, Snaps, Science - October 6, 2016 Category: Science Authors: David Bradley Tags: Science Source Type: blogs

The Dangerous Expansion of Adult Vaccinations
Conclusion The vaccination comprises a misguided and unsafe national health care program which claims to prevent disease. Many significant health injuries are associated with vaccinating adults. Government resources are being spent researching and developing new and different vaccinations. Subjecting adults to more vaccinations is likely to cause more health injury and illness. References: http://www.vaccinationcouncil.org/2012/07/05/herd-immunity… http://www.cdc.gov/chronicdisease/overview/ http://www.vaccinationcouncil.org/2011/02/18/60-lab-studies… http://www.cdc.gov/vaccines/schedules/hcp/adult.html http:...
Source: vactruth.com - September 10, 2016 Category: Allergy & Immunology Authors: Michelle Goldstein Tags: Logical Michelle Goldstein Recent Articles Top Stories adult vaccination adult vaccines new vaccines shingles vaccine truth about vaccines Source Type: blogs

How to Protect Yourself if You are Force-Vaccinated
Conclusions Avoiding vaccines is the best line of defense against exposure to dangerous toxins. If one is faced with the necessity to vaccinate, there are several important health measures which may reduce damage. Not vaccinating when ill, and spreading out vaccinations as much as possible can reduce likelihood of vaccine damage. Use of a cold pack immediately following vaccination can help block an immune reaction. Use of vitamin C before and after vaccination is considered critical. Deciding on a protocol inclusive of several antioxidants including vitamins D3 and E is important. Smoothies made with celery and parsley an...
Source: vactruth.com - August 27, 2016 Category: Allergy & Immunology Authors: Michelle Goldstein Tags: Logical Michelle Goldstein Recent Articles Top Stories Dr. Blaylock force vaccinated Mandatory Vaccination Neil Miller truth about vaccines Source Type: blogs

MKSAP: 62-year-old man is evaluated for declining exercise capacity
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 62-year-old man is evaluated for declining exercise capacity over the past year. He was diagnosed with moderate COPD 3 years ago. His symptoms had previously been well controlled with tiotropium and as-needed albuterol. He has not had any hospitalizations. He is adherent to his medication regimen, and his inhaler technique is good. He quit smoking 2 years ago. All immunizations are up to date, including influenza and pneumococcal vaccination. A chest radiograph performed 3 months ago for increased cough and sp...
Source: Kevin, M.D. - Medical Weblog - August 13, 2016 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/mksap" rel="tag" > mksap < /a > Tags: Conditions Pulmonology Source Type: blogs