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What is pericardial effusion – Cardiology Basics
What is pericardial effusion – Cardiology Basics
Pericardial effusion is collection of fluid between the visceral and parietal layers of the pericardium. If the amount of pericardial fluid is large or there is a rapid increase in the amount of pericardial fluid, compression of the heart prevents its proper filling. This reduces cardiac output and causes hypotension and is known as cardiac tamponade.
Cardiac tamponade needs urgent pericardial aspiration or surgical drainage if the fluid is very thick. Very thick fluid can be there in purulent bacterial pericarditis. Sometimes it can be a hemopericardium due to bleedin...
Source: Cardiophile MD - October 24, 2022 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs
Takayasu arteritis
Takayasu arteritis is an inflammatory disorder affecting aorta and its major branches. It is also known as aortoarteritis and pulseless disease [1]. Arteritis leads to thickening of vessel wall, fibrosis, stenosis and thrombus formation. Severe inflammation may weaken the arterial media and lead to aneurysm formation [2].
Takayasu was an ophthalmologist, who noted characteristic fundal arteriovenous anastomoses in a young female in 1905 and published it in Acta of the Opthalmic Society of Japan in 1908 (12:554–5). Onishi and Kagosha described similar cases associated with absent radial pulses in the same year [1]. ...
Source: Cardiophile MD - April 7, 2021 Category: Cardiology Authors: Prof. Dr. Johnson Francis Tags: Cardiology Source Type: blogs
Pandemic Fears: What the AIDS Battle Should Teach Us About COVID-19
By ANISH KOKA, MD
As the globe faces a novel, highly transmissible,
lethal virus, I am most struck by a medicine cabinet that is embarrassingly
empty for doctors in this battle. This
means much of the debate centers on mitigation of spread of the virus. Tempers flare over discussions on travel
bans, social distancing, and self quarantines, yet the inescapable fact remains
that the medical community can do little more than support the varying
fractions of patients who progress from mild to severe and life threatening
disease. This isn’t meant to minimize the
massive efforts brought to bear to keep pat...
Source: The Health Care Blog - March 12, 2020 Category: Consumer Health News Authors: Christina Liu Tags: CORVID-19 Health Policy Patients Physicians AIDS Anish Koka AZT coronavirus COVID-19 FDA novel coronavirus Pandemic Source Type: blogs
Why Cochrane is Wrong About Hypertension. Very Wrong.
By SWAPNIL HIREMATH, MD
Archie Cochrane and the Cochrane Collaboration
Archie Cochrane was born in Scotland, educated in London (King’s College, University College and London School of Hygiene and Tropical Medicine) and worked in Cardiff, Wales. His work as a doctor during the Spanish Civil War and World War II, especially in a prisoner of war camp in Salonica, is credited with his push towards generating higher quality evidence. In his description of the clinical trial he conducted, he mentions James Lind as his hero. Ironically, that clinical trial – with weak randomization, open allocation, non-blinding of inv...
Source: The Health Care Blog - August 29, 2018 Category: Consumer Health News Authors: at RogueRad Tags: EBM Cochrane patient population risks Source Type: blogs
EDs in Different Parts of the World but the Same Stories
BY TIM DEPP, MDI spent two weeks in India and another two weeks at the Centers for Disease Control and Prevention in Minnesota during my global health elective month. It was a great time to reflect on sustainability in developing world medicine and on my medical education and career goals.Emergency medicine in India is still in its infancy. Some might say it's only just been conceived, still waiting to be born. India is growing incredibly in numerous sectors, and several universities, including George Washington University (GWU), have partnered with established hospitals there to grow the specialty. After completi...
Source: Going Global - December 1, 2017 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Pericardial fremitus – palpable pericardial rub
Pericardial fremitus – palpable pericardial rub
A palpable pericardial rub is known as pericardial fremitus. It is due to the friction between the parietal and visceral layers of the pericardium. Some authors use the term as synonymous with pericardial rub [1,2].
Reference
Miltgen J et al. Two Cases of Pulmonary Tuberculosis Caused by Mycobacterium tuberculosis subsp. canetti. Emerg Infect Dis. 2002 Nov; 8(11): 1350–1352.
Box CR et al. Statistics of Pericarditis with Effusion, from the London Hospitals
(St. Thomas’s). Proc R Soc Med. 1910; 3(Med Sect): 104–109.
Source: Cardiophile MD - November 24, 2017 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs
Bob Wachter ’ s 2017 Penn Med Commencement Address “ Go to Radiology ”
By ROBERT WACHTER, MD
Dean Jameson, Trustees, Faculty, Family and Friends, and most of all, Graduates of the Class of 2017:
Standing before you on this wonderful day, seeing all the proud parents and significant others, I can’t help but think about my father. My dad didn’t go to college; he joined the Air Force right after high school, then entered the family business, which manufactured women’s clothing. He did reasonably well, and my folks ended up moving to a New York City suburb, where I grew up.
There were a lot of professionals in the neighborhood, but my dad admired the doctors the most. He was even a little e...
Source: The Health Care Blog - May 17, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Penn Radiology Robert Wachter Speeches UCSF Source Type: blogs
Funtabulously Frivolous Friday Five 142
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 FFFF…introducing Funtabulously Frivolous Friday Five 142
Question 1
We’ve all heard of Occam’s Razor but what is Hickam’s Dictum or the Anti-razor?
+ Reveal the Funtabulous Answer
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A patient can have as many diseases as they damn well please.
Occam’s razor can be paraphrased ‘when investigating a patient with multiple symptoms, a single uni...
Source: Life in the Fast Lane - April 22, 2016 Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five abarognosis anti-razor Crabtree's bludgeon hickam's dictum life expectancy occam's razor Rene Laennec Stethoscope Source Type: blogs
Access, Excess, And Medical Transformation: Delivering Durable Health Care In Rural Nepal
Conclusion: On Impact And Scale
We believe that Durable Healthcare can transform the health care industry away from the dominant fee-for-service paradigm and towards a model that incentivizes patient safety, patient-centeredness, and evidence-based medicine. Only then we will have a competitive marketplace of private sector providers who leverage public funds for the broader public good.
Source: Health Affairs Blog - May 21, 2015 Category: Health Management Authors: Duncan Maru and Padam Chand Tags: Global Health Innovations in Care Delivery Organization and Delivery Population Health Public Health ACOs Durable Healthcare Organization EMR health technology Nepal health care Possible triple aim Source Type: blogs
Transcript of Dr. Bihari Video
00:00 to 02.26—Dr. Bihari gives his background and credentials.
Dr. Bihari: My medical training started at Harvard Medical School. I graduated in 1957. Then I trained in Internal Medicine at one of the Harvard teaching hospitals in Boston, Beth Israel, and then in Neurology at Massachusetts General in Boston. Then I went to the National Institutes of Health for two years doing brain physiology—brain research. I did another residency training in Psychiatry in New York, at Columbia Presbyterian Medical Center and then, over the following five or six years, I got very involved in working in Drug Addiction. By 1974, I was...
Source: HONEST MEDICINE: My Dream for the Future - May 16, 2011 Category: Consumer Health News Authors: JuliaS1573 at aol.com (Julia Schopick) Tags: Anecdotal Treatments HONEST MEDICINE Integrative Medicine Low Dose Naltrexone Obituaries Source Type: blogs
