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DM / DNB Cardiology Entrance Mock Test 5
Please wait while the activity loads. If this activity does not load, try refreshing your browser. Also, this page requires javascript. Please visit using a browser with javascript enabled. If loading fails, click here to try again 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. Start Congratulations - you have completed DM / DNB Cardiology Entrance Mock Test 5. You scored %%SCORE%% out of %%TOTAL%%. Your performance has been rated ...
Source: Cardiophile MD - January 20, 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

Anatomical encounters of Aortic valve with bundle of His : An Illustration
Car tyres warrant  replacement  every  20,000 km or so .Its batteries do require periodic attention. Human heart , which runs non stop from womb to tomb . . . deserves how much ? Unfortunately no one (What about your cardiologist?) can  provide  a flawless lifetime maintenance contract to this restless bio-mechanical pump ! Fortunately still, God has  created this wonder organ ,that can with stand the stress of life for nearly 10 decades . . . if we live a proper life ! However ,there are many areas in heart that are prone for mechanical stress even if it’s structurally normal .These are  the zones where the r...
Source: Dr.S.Venkatesan MD - October 17, 2015 Category: Cardiology Authors: dr s venkatesan Tags: Anatomy of heart Complete heart block anatomy of complete heart bock aortic root valve stress aortic valve calcification aortic valve sclerosis calcific aortic stenosis mechanism of complete heart block tavr stress on his bundle Source Type: blogs

How Many More Annas Must Die?
It’s been over a year since my older sister Anna died, so I choke up less readily while speaking about it.  The raw anger is less, but the frustration of losing someone to a preventable medical mistake will always remain with me.   Anna was five years older than me, my only sister, and the one I often turned to for advice. We were close despite living 600+ miles apart.  She was smart and insightful; she was at ease in most social situations. I, on the other hand, was the nerdy kid sister who loved science, who became a physician in my early 40’s. In 2012, Anna’s world turned upside down when she was diagnosed wit...
Source: Disruptive Women in Health Care - September 29, 2015 Category: Consumer Health News Authors: dw at disruptivewomen.net Tags: Advocacy Policy Publc Health Quality Source Type: blogs

My Wheat Belly turning point
Many of you know that the Wheat Belly concepts got their start when I was trying to help patients in my cardiology practice obtain better control over risk for coronary disease. An exceptionally common combination of abnormalities in people with heart attacks, survivors of sudden cardiac death, those who have undergone stent implantation or bypass surgery, or have high coronary calcium scores (an early quantifier of coronary atherosclerotic plaque): large quantities of small LDL particles and high blood sugars (high fasting glucose and/or hemoglobin A1c, HbA1c, reflecting long-term blood sugar fluctuations). Because wheat...
Source: Wheat Belly Blog - June 11, 2015 Category: Cardiology Authors: Dr. Davis Tags: Wheat Belly Success Stories cholesterol gluten grains lipids lipoproteins ulcerative colitis Weight Loss Source Type: blogs

A powerful reminder of medicine’s humbling nature
“A thousand times we die in one life. We crumble, break and tear apart until the layers of illusion are burned away, and all that is left, is the truth of who and what we really are.” The coronary care unit (CCU) rotation is a unique place. Postoperative cardiothoracic surgery patients among many other pathologies from heart failure to heart transplant fill the unit, and it is the job of the cardiology fellow to directly participate in the management of the patients. Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how.
Source: Kevin, M.D. - Medical Weblog - May 27, 2015 Category: Journals (General) Authors: Tags: Physician Heart Intensive care Source Type: blogs

Cardiology MCQ: AV block after cardiac surgery
Complete AV block requiring permanent pacemaker implantation is more likely after: a) Coronary artery bypass grafting b) Aortic valve replacement c) Mitral valve replacement d) None of the above Correct answer: b) Aortic valve replacement Complete heart block can occur after aortic valve replacement as the conduction system is closely associated with the location of the aortic valve. Pre-existing extension of calcification from aortic valve to the conduction system can cause complete heart block. This can be accentuated by the pressure of the artificial valve on the conduction system. Injury to the conduction system can a...
Source: Cardiophile MD - May 15, 2015 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiology MCQ DM / DNB Cardiology Entrance Source Type: blogs

Medical talks in India – part 3
The trip is wonderful thus far and very interesting. Yesterday and today we are in Hyderabad in southern India. Hyderabad has a large IT presence and is famous for its biryana which we had for dinner last night. It was outstanding. Some observations thus far: 1. Internists throughout the world treat mostly the same diseases and have the same concerns. 2. Infectious diseases are decreasing in India with improved public health – cholera has become much less common. 3. Non-communicable chrnoic diseases – diabetes, heart disease, hypertension, etc are increasing rapidly in India. They have significant numbers of CK...
Source: DB's Medical Rants - May 14, 2015 Category: Internal Medicine Authors: rcentor Tags: Medical Rants Source Type: blogs

The Broken Doctors Hotel
After a particularly bad winter, with trolley bound patients waiting hours for a bed and colleagues calling in sick as they became increasingly physically and mentally run down…I close my eyes and dream of a new life running a bar, restaurant and hotel…The Broken Doctors HotelConciergeGeneral Practitioner/Primary Care Physician: Responsible for taking the bookings for the hotel and restaurant. This is a high quality establishment and they are kept busy managing demand, maintaining flow, redirecting clients to other venues as appropriate, arranging a later sitting at the restaurant as required, directin...
Source: Life in the Fast Lane - April 29, 2015 Category: Emergency Medicine Authors: Tor Ercleve Tags: Arcanum Veritas Graham Johnson The Broken Doctors Source Type: blogs

Maintenance of Certification Debate Goes Mainstream
Last week, Newsweek published an article entitled “The Ugly Civil War in American Medicine,” in which the author derided the American Board of Internal Medicine’s (ABIM) certification process for doctors. The author accused the ABIM of requiring unnecessary testing requirements “to fatten the board’s bloated coffers.” The ABIM quickly fired back that the Newsweek article contained "numerous and serious misstatements, selective omissions, inaccurate information and erroneous reporting.” Newsweek writer Kurt Eichenwald framed the problem like this: For decades, doctors took one exam, usually just after finishin...
Source: Policy and Medicine - March 20, 2015 Category: American Health Authors: Thomas Sullivan Source Type: blogs

Cartoons in cardiology : Options for end stage heart failure :
This cartoon succinctly  depict all the options we have in our fight against end stage heart failure .We know , a failing heart is often compared to a sick , aged and tired horse. Image courtesy Heart Physiology: From Cell to Circulation :Lionel H. Opie Lippincott Williams & Wilkins, 2004   1.Don’t whip the horse (Except in emergency) Avoid all Inotropics ( Doubutamine and Milrinone were shown to improve quality of life marginally but  with dramatic reduction in quantity of life ! However , the same thing does not apply for Digoxin as it is the  the only Inotropic with a soothing para-sympathetic comfort...
Source: Dr.S.Venkatesan MD - December 19, 2014 Category: Cardiology Authors: dr s venkatesan Tags: cardiac drugs cardiac failure Cardiology - Pioneers Cardiology -Hemodynamics Cardiology -Mechnisms of disease cardiac failure management cardiac failure ppt Cartoon based cardiology dig trial great cartoons in cardiology illustrations Source Type: blogs

ECMO – Extracorporeal membrane oxygenation
ECMO (extracorporeal membrane oxygenation) Extracorporeal membrane oxygenation (ECMO) has been in use for the past four decades to support persons who are unlikely to survive with mechanical ventilation. ECMO is used in both adult and pediatric practice, though in the initial years, use of ECMO was restricted to pediatric intensive care. The enthusiasm for use of ECMO in adults have been triggered by the beneficial effect noted during the last H1N1 influenza pandemic [Australia and New Zealand Extracorporeal Membrane Oxygenation (ANZ ECMO) Influenza Investigators. Extracorporeal Membrane Oxygenation for 2009 Influenza A(H1...
Source: Cardiophile MD - December 7, 2014 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiac Surgery Source Type: blogs

OMG ! . . . this defibrillator comes flying !
Human beings can defy fate  in a regular fashion as the  modern science is exploding and creating   infinite possibilities ! We can give a fresh  life to a dying man by  multiple organ transplants just like changing  a crashed mother board in a PC ! We can isolate vital germ cells , fuse them, clone them and even  create new form of life ! We can  keep a man in deep coma  for years and bring back to life ! Still , a sudden cardiac death that happens in a remote place in an unexpected manner is still in the God’s domain ! Cardiac arrest and sudden cardiac death is the  most common mode of acute human loss...
Source: Dr.S.Venkatesan MD - November 23, 2014 Category: Cardiology Authors: dr s venkatesan Tags: Breakthrough technology cardio pulmonary resusitation cpr defibrillator delivered in drones drones in medicine medical technology Source Type: blogs

LITFL Review 152
The LITFL Review is 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. Welcome to the 152nd edition, brought to you by: Anand Swaminathan [AS] (EM Lyceum, iTeachEM) Brent Thoma [BT] (BoringEM and Academic Life in EM) Chris Connolly [CC] Chris Nickson [CN] ( iTeachEM, RAGE, INTENSIVE and SMACC) Joe-Anthony Rotella [JAR] Kane Guthrie [KG] Mat Goebel [MG] Segun Olusany...
Source: Life in the Fast Lane - October 14, 2014 Category: Emergency Medicine Authors: Anand Swaminathan Tags: Review LITFL R/V Source Type: blogs

Physician Payments Sunshine Act: Organizations Respond to CMS
  September 2nd marked the last day for comments on CMS’ proposed rule to eliminate the accredited continuing medical education (CME) exemption from Sunshine Act reporting.  In an overwhelming display of support for the exemption, over 800 comments were submitted encouraging the agency to either maintain or expand the current exclusion. -Total comments supporting maintenance or expansion of the CME exemption:  820 -Total comments supporting elimination of the CME exemption:  approximately 20 -Percentage of comments supporting the CME exemption: 98% We have followed this issue closely, and recentl...
Source: Policy and Medicine - September 8, 2014 Category: American Health Authors: Thomas Sullivan Source Type: blogs