Podcasts about clinical presentation

Featuring perspectives from Dr Farshid Dayyani, Ms Caroline Kuhlman, Dr Philip A Philip and Ms Amanda K Wagner, including the following topics: Introduction: Initial Management of Pancreatic Adenocarcinoma (PAD) (0:00) Clinical Presentation and Prognosis of PAD; Recent Advances in Up-Front Treatment for Metastatic PAD (19:01) Selection and Sequencing of Therapy for Relapsed/Refractory Metastatic PAD (54:38) Importance of Palliative Care for Advanced PAD (1:06:09) Role of PARP Inhibitor Maintenance Therapy for Newly Diagnosed Metastatic PAD (1:14:59) Promising Investigational Strategies for PAD (1:26:56) NCPD information and select publications

This week we talk to Dr Amy Webster, a consultant haematologist in Leicester and head of the haemoglobinopathy service here.We talk about the pathophysiology behind the disease this week, as well as the varying ways patients present. We also cover some of the challenges patients face in hospital getting the treatment they need. Be sure to tune in!Also check out our link tree for q feedback questionnaire and our discord server!https://linktr.ee/memcast?fbclid=PAZXh0bgNhZW0CMTEAAae8FiKiVcddms52uynYTAD0AKMj3DV6RGWExS-o9nh9OfV6pffVefR0W0JzHA_aem_Az35qkAICNmbNHGPP66DPw

We dive into the recognition and management of blast crisis. Hosts: Sadakat Chowdhury, MD Brian Gilberti, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/Blast_Crisis.mp3 Download Leave a Comment Tags: Hematology, Oncology Show Notes Topic Overview Blast crisis is an oncologic emergency, most commonly seen in chronic myeloid leukemia (CML). Defined by: >20% blasts in peripheral blood or bone marrow. May include extramedullary blast proliferation. Without treatment, median survival is only 3–6 months. Pathophysiology & Associated Conditions Usually occurs in CML, but also in: Myeloproliferative neoplasms (MPNs) Myelodysplastic syndromes (MDS) Transition from chronic to blast phase often reflects disease progression or treatment resistance. Risk Factors 10% of CML patients progress to blast crisis. Risk increased in: Patients refractory to tyrosine kinase inhibitors (e.g., imatinib). Those with Philadelphia chromosome abnormalities. WBC >100,000, which increases risk for leukostasis. Clinical Presentation Symptoms often stem from pancytopenia and leukostasis: Anemia: fatigue, malaise. Functional neutropenia: high WBC count, but increased infection/sepsis risk. Thrombocytopenia: bleeding, bruising. Leukostasis/hyperviscosity effects by system: Neurologic: confusion, visual changes, stroke-like symptoms. Cardiopulmonary: ARDS, myocardial injury. Others: priapism, limb ischemia, bowel infarction.

Diarrhea is one of the more common concerns in emergency medicine worldwide and in the United States, yet we often do not spend enough time understanding the breadth of causes and considerations for this syndrome. Do you know which patients benefit from Zinc? Would you like to review HUS? Can you mixup Oral Rehydration Solution if you needed to? We cover all of this and more in this “code brown” of a chapter! So come, get dirty with Alex and Venk in this truly crappy chapter of Always on EM!   CONTACTS X - @AlwaysOnEM; @VenkBellamkonda YouTube - @AlwaysOnEM; @VenkBellamkonda Instagram – @AlwaysOnEM; @Venk_like_vancomycin; @ASFinch Email - AlwaysOnEM@gmail.com REFERENCES & LINKS Shane AL, Mody RK, Crump JA, Tarr PI, Steiner TS, Kotloff K, Langley JM, Wanke C, Warren CA, Cheng AC, Cantey J, Pickering LK. 2017 Infectious Diseases Society of America Clinical Practice Guidelines for the Diagnosis and Management of Infectious Diarrhea. Clin Infect Dis. 2017 Nov 29;65(12):e45-e80. doi: 10.1093/cid/cix669. PMID: 29053792; PMCID: PMC5850553. Gore JI, Surawicz C. Severe acute diarrhea. Gastroenterol Clin North Am. 2003 Dec;32(4):1249-67. doi: 10.1016/s0889-8553(03)00100-6. PMID: 14696306; PMCID: PMC7127018. Freedman SB, van de Kar NCAJ, Tarr PI. Shiga Toxin–Producing Escherichia coli and the Hemolytic–Uremic Syndrome. The New England Journal of Medicine. 2023;389(15):1402-1414. doi:10.1056/NEJMra2108739. Logan C, Beadsworth MB, Beeching NJ. HIV and diarrhoea: what is new? Curr Opin Infect Dis. 2016 Oct;29(5):486-94. doi: 10.1097/QCO.0000000000000305. PMID: 27472290. Chassany O, Michaux A, Bergmann JF. Drug-induced diarrhoea. Drug Saf. 2000 Jan;22(1):53-72. doi: 10.2165/00002018-200022010-00005. PMID: 10647976. Schiller LR. Secretory diarrhea. Curr Gastroenterol Rep. 1999 Oct;1(5):389-97. doi: 10.1007/s11894-999-0020-8. PMID: 10980977. Gong Z, Wang Y. Immune Checkpoint Inhibitor-Mediated Diarrhea and Colitis: A Clinical Review. JCO Oncol Pract. 2020 Aug;16(8):453-461. doi: 10.1200/OP.20.00002. Epub 2020 Jun 25. PMID: 32584703. Do C, Evans GJ, DeAguero J, Escobar GP, Lin HC, Wagner B. Dysnatremia in Gastrointestinal Disorders. Front Med (Lausanne). 2022 May 13;9:892265. doi: 10.3389/fmed.2022.892265. PMID: 35646996; PMCID: PMC9136014. Expert Panel on Gastrointestinal Imaging; Chang KJ, Marin D, Kim DH, Fowler KJ, Camacho MA, Cash BD, Garcia EM, Hatten BW, Kambadakone AR, Levy AD, Liu PS, Moreno C, Peterson CM, Pietryga JA, Siegel A, Weinstein S, Carucci LR. ACR Appropriateness Criteria® Suspected Small-Bowel Obstruction. J Am Coll Radiol. 2020 May;17(5S):S305-S314. doi: 10.1016/j.jacr.2020.01.025. PMID: 32370974. Rami Reddy SR, Cappell MS. A Systematic Review of the Clinical Presentation, Diagnosis, and Treatment of Small Bowel Obstruction. Curr Gastroenterol Rep. 2017 Jun;19(6):28. doi: 10.1007/s11894-017-0566-9. PMID: 28439845. Modahl L, Digumarthy SR, Rhea JT, Conn AK, Saini S, Lee SI. Emergency department abdominal computed tomography for nontraumatic abdominal pain: optimizing utilization. J Am Coll Radiol. 2006 Nov;3(11):860-6. doi: 10.1016/j.jacr.2006.05.011. PMID: 17412185. Scheirey CD, Fowler KJ, Therrien JA, et al. ACR Appropriateness Criteria Acute Nonlocalized Abdominal Pain. Journal of the American College of Radiology : JACR. 2018;15(11S):S217-S231. doi:10.1016/j.jacr.2018.09.010. Atia AN, Buchman AL. Oral rehydration solutions in non-cholera diarrhea: a review. Am J Gastroenterol. 2009 Oct;104(10):2596-604; quiz 2605. doi: 10.1038/ajg.2009.329. Epub 2009 Jun 23. PMID: 19550407. Musekiwa A, Volmink J. Oral rehydration salt solution for treating cholera: ≤ 270 mOsm/L solutions vs ≥ 310 mOsm/L solutions. Cochrane Database Syst Rev. 2011 Dec 7;2011(12):CD003754. doi: 10.1002/14651858.CD003754.pub3. PMID: 22161381; PMCID: PMC6532622. Centers for Disease Control and Prevention (CDC). Scombroid fish poisoning associated with tuna steaks--Louisiana and Tennessee, 2006. MMWR Morb Mortal Wkly Rep. 2007 Aug 17;56(32):817-9. PMID: 17703171. Résière D, Florentin J, Mehdaoui H, Mahi Z, Gueye P, Hommel D, Pujo J, NKontcho F, Portecop P, Nevière R, Kallel H, Mégarbane B. Clinical Characteristics of Ciguatera Poisoning in Martinique, French West Indies-A Case Series. Toxins (Basel). 2022 Aug 3;14(8):535. doi: 10.3390/toxins14080535. PMID: 36006197; PMCID: PMC9415704. Centers for Disease Control and Prevention (CDC). Ciguatera fish poisoning--Texas, 1998, and South Carolina, 2004. MMWR Morb Mortal Wkly Rep. 2006 Sep 1;55(34):935-7. PMID: 16943762. Thyroid Inferno EM Blog: https://emblog.mayo.edu/2014/11/01/thyroid-inferno/  Lazzerini M, Wanzira H. Oral zinc for treating diarrhoea in children. Cochrane Database Syst Rev. 2016 Dec 20;12(12):CD005436. doi: 10.1002/14651858.CD005436.pub5. PMID: 27996088; PMCID: PMC5450879. Dhingra U, Kisenge R, Sudfeld CR, Dhingra P, Somji S, Dutta A, Bakari M, Deb S, Devi P, Liu E, Chauhan A, Kumar J, Semwal OP, Aboud S, Bahl R, Ashorn P, Simon J, Duggan CP, Sazawal S, Manji K. Lower-Dose Zinc for Childhood Diarrhea - A Randomized, Multicenter Trial. N Engl J Med. 2020 Sep 24;383(13):1231-1241. doi: 10.1056/NEJMoa1915905. PMID: 32966722; PMCID: PMC7466932. Dalfa RA, El Aish KIA, El Raai M, El Gazaly N, Shatat A. Oral zinc supplementation for children with acute diarrhoea: a quasi-experimental study. Lancet. 2018 Feb 21;391 Suppl 2:S36. doi: 10.1016/S0140-6736(18)30402-1. Epub 2018 Feb 21. PMID: 29553435.   WANT TO WORK AT MAYO? EM Physicians: https://jobs.mayoclinic.org/emergencymedicine EM NP PAs: https://jobs.mayoclinic.org/em-nppa-jobs   Nursing/Techs/PAC: https://jobs.mayoclinic.org/Nursing-Emergency-Medicine EMTs/Paramedics: https://jobs.mayoclinic.org/ambulanceservice All groups above combined into one link: https://jobs.mayoclinic.org/EM-Jobs

I'm really excited to introduce today's guest, Dr. Pejman Katiraei!Mold exposure can have a profound impact on children's health, especially for kids with Autism Spectrum Disorder (ASD) and Pediatric Acute Neuropsychiatric Syndrome (PANS). In this episode, Dr. Pejman Katiraei shares his in-depth mold protocol designed specifically for children dealing with these complex conditions.

Which of the following is most consistent with the clinical presentation of a person with folate-deficiency anemia? A. A 45-year-old woman with uterine fibroids, menorrhagia and a microcytic, hypochromic anemia with elevated RDW B. A 35-year-old woman with newly diagnosed systemic lupus and a normocytic, normochromic anemia with NL RDW C. A 40-year-old woman with alcohol use disorder who drinks 5-6 glasses of wine per day and a macrocytic normocytic anemia with an elevated RDW D. A 65 yo woman with a 20 year-history of hypothyroidism presenting with a 6-month history of stocking-glove neuropathy and a macrocytic, normochromic anemia with an elevated RDW.  ---YouTube: https://www.youtube.com/watch?v=VsxbJMBLd4U&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=111Visit fhea.com to learn more!

Episode 183: Colorectal Cancer in Young AdultsFuture Dr. Avila and Dr. Arreaza present evidence-based information about the screening and diagnosis of colorectal cancer and explain the increasing incidence among young adult and the importance to screen early in high risk groups.  Written by Jessica Avila, MS4, American University of the Caribbean School of Medicine. Edits and comments by Hector Arreaza, MD.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.IntroductionJessica: Although traditionally considered a disease only affecting older adults, colorectal cancer (CRC) has increasingly impacted younger adults (defined as those under 50) at an alarming rate. According to the American Cancer Society, CRC is now the leading cause of cancer-related death in men under 50 and the second leading cause in women under 50 (American Cancer Society, 2024). Arreaza: Why were you motivated to talk about CRC in younger patients?Jessica: Because despite advancements in early detection and treatment, younger patients are often diagnosed at later stages, resulting in poorer outcomes. We will discuss possible causes, risk factors, common symptoms, and why early screening and prevention are important. Arreaza: This will be a good reminder for everyone to screen for colorectal cancer because 1 out of every 5 cases of colorectal cancer occur in adults between the ages of 20 and 54. The Case of Chadwick BosemanJessica: Many people know Chadwick Boseman from his role as T'Challa in Black Panther. His story highlights the worrying trend of increasing CRC in young adults. He was diagnosed with stage III colorectal cancer at age 39. This diagnosis was not widely known until he passed away at 43. His case shows how silent and aggressive young-onset CRC can be. Like many young adults with CRC, his symptoms may have been missed or thought to be less serious issues. His death drew widespread attention to the rising burden of CRC among young adults and emphasized the critical need for increased awareness and early screening efforts.Arreaza: Black Panther became a hero not only in the movie, but also in real life, because he raised awareness of the problem in young AND in Black adults. EpidemiologyJessica: While rates of CRC in older populations have decreased since the 1990s, adults under 50 have seen an increase in CRC rates of nearly 50%. (Siegel et al., 2023). Currently, one in five new CRC diagnoses occurs in individuals younger than 55 (American Cancer Society, 2024).Arreaza: What did you learn about the incidence by ethnic groups? Are there any trends? Jessica: Yes, certain ethnic groups are shown to have higher rates of CRC. Black Americans, Native Americans, and Alaskan Natives have the highest incidence and mortality rates from CRC (American Cancer Society, 2024). Black Americans have a 20% higher incidence and a 40% higher mortality rate from CRC compared to White Americans, primarily due to disparities in access to screening, healthcare resources, and early diagnosis. Hispanic and Asian American populations are also experiencing increasing CRC rates, though to a lesser extent.Arreaza: It is important to highlight that Black Americans have the highest rate of both diagnoses and deaths of all groups in the United States. Who gets colorectal cancer?Risk FactorsJessica: Anyone can get colorectal cancer, but some are at higher risk. In most cases, environmental and lifestyle factors are to blame, but early-onset CRC are linked to hereditary conditions. Arreaza: There is so much to learn about colorectal cancer risk factors. Tell us more.Jessica: The following are key risk factors:Modifiable risk factors:Diet and processed foods: A diet high in processed meats, red meat, refined sugars, and low fiber is strongly associated with an increased risk of CRC. Fiber is essential for gut health, and its deficiency has been linked to increased colorectal cancer risk (Dekker et al., 2023).Obesity and sedentary lifestyle: Obesity and physical inactivity contribute to CRC risk by promoting chronic inflammation, insulin resistance, and metabolic disturbances that promote tumor growth (Stoffel & Murphy, 2023).Gut microbiome imbalance: Disruptions in gut microbiota, especially an overgrowth of Fusobacterium nucleatum, have been noted in CRC pathogenesis, potentially causing tumor development and progression (Brennan & Garrett, 2023).Arreaza: As a recap, processed foods, obesity, sedentarism, and gut microbiome. We also have to mention smoking and high alcohol consumption as major risks factors, but the strongest risk factor is a family history of the disease.Non-modifiable risk factors:Genetic predisposition: Although only 20% of early-onset CRC cases are linked to hereditary syndromes such as Lynch syndrome and familial adenomatous polyposis (FAP), individuals with a first-degree relative with CRC are at a significantly higher risk and should undergo earlier and more frequent screening (Stoffel & Murphy, 2023).Arreaza: Also, there is a difference in incidence per gender assigned at birth, which is also not modifiable. The rate in the US was 33% higher in men (41.5 per 100,000) than in women (31.2 per 100,000) during 2015-2019. So, if you are a man, your risk for CRC is slightly higher. Protective factors, according to the ACS, are physical activity (no specification about how much and how often) and dairy consumption (400g/day). Jessica, let's talk about how colon cancer presents in our younger patients.Clinical Presentation and Challenges in DiagnosisJessica: Young-onset CRC is often diagnosed at advanced stages due to delayed recognition of symptoms. Common symptoms include:Rectal bleeding (often mistaken for hemorrhoids)Young individuals may ignore it, believe they do not have time to address it, or lack insurance to cover a comprehensive evaluation.Unexplained weight lossFatigue or weaknessChanges in bowel habits (persistent diarrhea or constipation)This may also be rationalized by dietary habits.Abdominal pain or bloatingIron deficiency anemia.Arreaza: All those symptoms can also be explained by benign conditions, and colorectal cancer can often be present without clear symptoms in its early stages. Jessica: Yes, in young adults, symptoms may be dismissed by healthcare providers as benign conditions such as irritable bowel syndrome (IBS), hemorrhoids, or dietary intolerance, leading to significant diagnostic delays. Arreaza: We must keep a low threshold for ordering a colonoscopy, especially in patients with the risks we mentioned previously. Jessica: We may also be concerned about the risk/benefit of colonoscopy or diagnostic methods in younger adults, given the traditional low likelihood of CRC. Approximately 58% of young CRC patients are diagnosed at stage III or IV, compared to 43% of older adults (American Gastroenterological Association, 2024). Early recognition and prompt evaluation of persistent symptoms are crucial for improving outcomes. Empowering and informing young adults about concerning symptoms is the first step in better recognition and better outcomes for these individuals.Arreaza: This is when the word “follow up” becomes relevant. I recommend you leave the door open for patients to return if their common symptoms worsen or persist. Let's talk about screening. Screening and PreventionJessica: Due to the trend of CRC being identified in younger populations, the U.S. Preventive Services Task Force (USPSTF) lowered the recommended screening age for CRC from 50 to 45 in 2021 (USPSTF, 2021). Off the record, some Gastroenterologists also foresee the USPSTF lowering the age to 40. Arreaza: That is correct, it seems like everyone agrees now that the age to start screening for average-risk adults is 45. It took a while until everyone came to an agreement, but since 2017, the US Multi-Society Task Force had recommended screening at age 45, the American Cancer Society recommended the same age (45) in 2018, and the USPSTF recommended the same age in 2021. This podcast is a reminder that the age of onset has been decreased from 50 to 45, for average-risk patients, according to major medical associations.Jessica: For individuals with additional risk factors, including a family history of CRC or chronic gastrointestinal symptoms, screening starts at age 40 or 10 years before the diagnosis of colon cancer in a first-degree relative. Dr. Arreaza, who has the lowest and the highest rate of screening for CRC in the US? Arreaza: The best rate is in Massachusetts (70%) and the lowest is California (53%). Let's review how to screen:Jessica: Recommended Screening Methods:Colonoscopy: Considered the gold standard for CRC detection and prevention, colonoscopy allows for identifying and removing precancerous polyps.Fecal Immunochemical Test (FIT): A non-invasive stool test that detects hidden blood, recommended annually.Stool DNA Testing (e.g., Cologuard): This test detects genetic mutations associated with CRC and is recommended every three years.Arreaza: Computed tomographic colonography (CTC) is another option, it is less common because it is not covered by all insurance plans, it examines the whole colon, it is quick, with no complications. Conclusion:Colorectal cancer is rapidly emerging as a serious health threat for young adults. The increase in cases over the past three decades highlights the urgent need for increased awareness, early symptom detection, and proactive screening. While healthcare providers must weigh the risk/benefit of testing for CRC in younger adults, patients must also be equipped with knowledge of concerning signs so that they may also advocate for themselves. Early detection remains the most effective tool in preventing and treating CRC, emphasizing the importance of screening and risk factor modification.Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! _____________________References:American Cancer Society. (2024). Colorectal Cancer Statistics, 2024. Retrieved fromhttps://www.cancer.orgAmerican Gastroenterological Association. (2024). Delays in Diagnosis of Young-Onset Colorectal Cancer: A Systemic Issue. Gastroenterology Today.Brennan, C. A., & Garrett, W. S. (2023). Gut Microbiota and Colorectal Cancer: Advances and Future Directions. Gastroenterology.Dekker, E., et al. (2023). Colorectal Cancer in Adolescents and Young Adults: A Growing Concern. The Lancet Gastroenterology & Hepatology.Siegel, R. L., et al. (2023). Colorectal Cancer Statistics, 2023. CA: A Cancer Journal for Clinicians.Stoffel, E. M., & Murphy, C. C. (2023). Genetic and Environmental Risk Factors in Young-Onset Colorectal Cancer. JAMA Oncology.U.S. Preventive Services Task Force. (2021). Colorectal Cancer Screening Guidelines.Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/.

In this episode of the PFC Podcast, Dennis speaks with Dr. Ryan Maves, an infectious disease physician, about dengue fever, a significant tropical disease. They discuss the epidemiology, clinical presentation, management, and prevention strategies for dengue, emphasizing the importance of recognizing warning signs and providing supportive care. Dr. Maves shares insights from his extensive experience in tropical medicine, particularly during his time in the Navy and in Peru, where he conducted research on dengue and other vector-borne diseases. The conversation highlights the increasing relevance of dengue in both civilian and military contexts, especially in light of climate change and urbanization. Takeaways Dengue fever is part of the flavivirus family, which includes Zika and chikungunya. The disease is primarily transmitted by the Aedes aegypti mosquito, which thrives in urban areas. Dengue can cause severe morbidity, particularly in non-endemic populations. Management of dengue is largely supportive, with a focus on fluid resuscitation. Warning signs of severe dengue include persistent vomiting, abdominal pain, and altered mental status. Preventive measures include using insect repellent and controlling standing water. Dengue is endemic in many tropical regions, including parts of Latin America and Southeast Asia. Vaccines for dengue exist but are not widely available for adults. Dengue can present with a wide spectrum of symptoms, making diagnosis challenging. Public health strategies are crucial in controlling dengue outbreaks. Chapters 00:00 Introduction to Tropical Medicine and Dengue Fever 03:12 Understanding Dengue Fever: Background and Epidemiology 06:03 Clinical Presentation and Diagnosis of Dengue Fever 08:56 Management and Treatment of Dengue Fever 11:54 Warning Signs and Severe Dengue 15:13 Preventive Measures and Public Health Strategies 18:01 Final Thoughts on Dengue and Tropical Medicine Thank you to Delta Development Team for in part, sponsoring this podcast. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ For more content go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠ Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care

Summary In this episode of the Future of Dermatology podcast, Dr. Faranak Kamangar speaks with Mitchell Hanson, a medical student and researcher, about the intersection of dermatology, sexual health, and public health. They discuss the importance of modernizing sexual health history taking, the impact of MPOX on sexual and gender minorities, and the role of trust in patient care. The conversation also highlights the significance of vaccination efforts and the integration of art and advocacy in dermatology. Mitchell shares his vision for the future of dermatology, emphasizing the need for effective communication and engagement with the public through media. Articles mentioned in this podcast: https://practicaldermatology.com/topics/feature/advancing-sexual-health-histories-in-dermatology-a-modernized-comprehensive-approach-for-diverse-populations/28864/  https://www.greaterthan.org/campaigns/mpox/ https://www.nejm.org/doi/full/10.1056/NEJMp2407068   Takeaways Dermatology has deep roots in public health and sexual health education. Building trust with patients is essential for effective care. Modernizing sexual health history taking is crucial for accurate diagnoses. MPOX has significant implications for sexual and gender minorities. Vaccination efforts are vital in controlling public health threats like MPOX. Art can serve as a powerful tool for advocacy in dermatology. Health equity must be prioritized in dermatological practices. Education is key to dispelling misinformation about vaccines. Engaging with media can enhance public understanding of dermatology. The future of dermatology lies in innovative ideas and community involvement.   Chapters 00:00 - Introduction to Dermatology and Guest Background 02:48 - The Importance of Sexual Health in Dermatology 05:59 - Building Trust with Patients 09:08 - Modernizing Sexual Health History Taking 11:46 - Understanding MPOX and Its Impact 14:56 - Clinical Presentation and Diagnosis of MPOX 18:09 - Public Health Response and Vaccination Efforts 20:56 - Art and Advocacy in Dermatology 23:46 - Future of Dermatology and Media Engagement

We discuss the recognition and treatment of necrotizing fasciitis. Hosts: Aurnee Rahman, MD Brian Gilberti, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/Necrotizing_Fasciitis.mp3 Download Leave a Comment Tags: Critical Care, General Surgery Show Notes Table of Contents 0:00 – Introduction 0:41 – Overview 1:10 – Types of Necrotizing Fasciitis 2:21 – Pathophysiology & Risk Factors 3:16 – Clinical Presentation 4:06 – Diagnosis 5:37 – Treatment 7:09 – Prognosis and Recovery 7:37 – Take Home points Introduction Necrotizing soft tissue infections can be easily missed in routine cases of soft tissue infection. High mortality and morbidity underscore the need for vigilance. Definition A rapidly progressive, life-threatening infection of the deep soft tissues. Involves fascia and subcutaneous fat, causing fulminant tissue destruction. High mortality often due to delayed recognition and treatment. Types of Necrotizing Fasciitis Type I (Polymicrobial) Involves aerobic and anaerobic organisms (e.g., Bacteroides, Clostridium, Peptostreptococcus). Common in immunocompromised patients or those with comorbid...

Chronic fatigue and long covid symptoms explained with solutions with functional medicine and MD Dr. April Lind. (3:11) Planned Parenthood exposed negotiating with and in partnership with UCSD for research on aborted baby body parts (33:50) Phasing into Christmas/Advent and Christmas decorations to be continued... (48:16) Resources mentioned :  Dr. April Lind's website: https://mnpersonalizedmedicine.com/   Strength Training and anti aging hacks  https://omny.fm/shows/trending-with-timmerie-catholic-principles-applied/anti-aging-hacks-strength-training   Institute of functional medicine  https://www.ifm.org/find-a-practitioner/   Academy of Intregrative Health and Medicine  https://members.aihm.org/find-a-provider/   Research on long covid and MECFS Mitochondria and chronic disease Is Mitochondrial Dysfunction a Common Root of Noncommunicable Chronic Diseases? - PMC   The Key Role of Mitochondrial Function in Health and Disease - PMC   Mitochondrial dynamics in health and disease: mechanisms and potential targets | Signal Transduction and Targeted Therapy Mitochondrial dysfunction: mechanisms and advances in therapy | Signal Transduction and Targeted Therapy EBV Is there a link between long COVID and Epstein-Barr virus?   Investigation of Long COVID Prevalence and Its Relationship to Epstein-Barr Virus Reactivation - PMC   The Long COVID Puzzle: Autoimmunity, Inflammation, and Other Possible Causes > News > Yale Medicine Long covid mcas Mast cell activation symptoms are prevalent in Long-COVID - PMC Mast cell activation syndrome and the link with long COVID - PubMed Mast cell activation syndrome: An up-to-date review of literature - PMC   Long covid and me/cfs Long COVID, ME/CFS and the Importance of Studying Infection-Associated Illnesses > News > Yale Medicine Long COVID and Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS)—A Systemic Review and Comparison of Clinical Presentation and Symptomatology - PMC ME/CFS and Post-Exertional Malaise among Patients with Long COVID - PMC The overlapping conditions of Long Covid and ME/CFS | The BMJ Planned Parenthood exposed negotiating with and in partnership with UCSD for research on aborted baby body parts https://www.centerformedicalprogress.org/2024/11/breaking-viable-nonanomalous-6-month-old-fetuses-sold-from-planned-parenthood-abortions-to-university-of-california-new-documents-show/  

Mpox is an evolving global health threat, and clinicians should be aware of characteristic signs and symptoms to ensure timely diagnosis and appropriate management. Author Jason Zucker, MD, MS, of Columbia University Irving Medical Center speaks with JAMA Deputy Editor Preeti Malani, MD, MSJ, about the transmission, diagnosis, management, and prevention of mpox. Related Content: Mpox Clinical Presentation, Diagnostic Approaches, and Treatment Strategies The Resurgence of Mpox in Africa Decline of Mpox Antibody Responses After Modified Vaccinia Ankara–Bavarian Nordic Vaccination WHO Announces Mpox Global Plan, Appeals for Funding

Darshan H. Brahmbhatt, Podcast Editor of JACC: Advances, discusses a recently published original research paper on impact of the noninvasive diagnostic algorithm on clinical presentation and prognosis in cardiac amyloidosis.

Featuring perspectives from Dr Thierry Alcindor and Dr Mrinal Gounder, including the following topics: Introduction: Biology and Clinical Presentation (0:00) Case: A man in his mid 60s with desmoid fibromatosis — Dr Alcindor (12:36) Tyrosine Kinase Inhibitors (24:51) Gamma Secretase Inhibitors (31:02) Case: A woman in her early 40s with desmoid tumor treated with a gamma secretase inhibitor on a clinical trial — Dr Gounder (46:09) Case: A woman in her late 30s with a large groin desmoid tumor — Dr Gounder (51:52) Case: A woman in her early 30s with desmoid fibromatosis requiring treatment — Dr Alcindor (54:50) CME information and select publications

This activity was supported by an educational grant from Bristol Myers Squibb and Pfizer Alliance. Please go to https://academiccme.com/CKDCE1/ and complete the evaluation to receive your CE/CME Credit. Credit is available through March 24, 2025.

Drs. Avery Tung and Brittney Williams discuss the article “Sepsis-Induced Coagulopathy: A Comprehensive Narrative Review of Pathophysiology, Clinical Presentation, Diagnosis, and Management Strategies” published in the April 2024 issue of Anesthesia & Analgesia.

The extraterrestrial comedy podcast where we probe penis-snatching. Mr Moonwalker today makes the choice that Kev in the John, never, had. Twice. In 2023 Nigeria, the most awful of pandemic's broke out. Worse than life-ending disease, this pandemic resulted in people temporarily losing their penis. It's not just d*cks either, for some folks were losing nipples. These incidents have resulted in much pain and suffering via mob justice. There have also been police prosecutions related to these cases of vanishing penis. Alongside these horrific events we ponder whether a micropenis is the size of a nose? If you had the power to inflict people with a micro-organ, would you use it? Ultimately we ask whether this unusual epidemic was a case of aliens, a cryptid, demons, voodoo, a ghost, or telekinesis? Then we give Mr Moonwalker a gift he will never forget. All that and more on this week's file.     Patreon: https://www.patreon.com/butitwasaliens   Store: https://butitwasaliens.co.uk/shop/     Probe us: Email: butitwasaliens@gmail.com Instagram/Threads @ ButItWasAliens Twitter @ ButItWasAliens Facebook: @ ButItWasAliens - join Extraterrestrial Towers     Music:  Music created via Garageband. Additional music via: https://freepd.com - thank you most kindly good people. We closed out the episode with the 'Staff Roll' aka credits theme from Nintendo's 1990-1992 Super Mario World from the Super Nintendo Entertainment System, composed by Hero of Sound Kōji Kondō.    Drinking rules: Kev filled the research notes with photos and artwork of the common human penis. Many, many hogs. These hogs were not directly referenced in the research, they were just hanging around. Every time Mr Moonwalker commented on any such image, he had to do a shot aka a mini-Moonie.     Sources: New Lines Magazine article by Kingsley Charles: https://newlinesmag.com/reportage/the-curious-phenomenon-of-nigerias-disappearing-penises/   Wikipedia summary (yes, we know): https://en.m.wikipedia.org/wiki/Koro_(disease)    Strong, Y. N., Cao, D. Y., Zhou, J., Guenther, M.A., Anderson, D.J., Kaye, A. D., Blick, B. E., Anandi, P. R., Patel, H. Y. and Urits, I. (2023) Koro Syndrome: Epidemiology, Psychiatric and Physical Risk Factors, Clinical Presentation, Diagnosis, and Treatment Options. Health Psychology Research. 11: 70165. Available online at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9946797/ Accessed: 22/01/2024

Music: Spark Of Inspiration by Shane Ivers - https://www.silvermansound.comLicensed under Creative Commons Attribution 4.0 International Licensehttps://creativecommons.org/licenses/by/4.0/Music promoted by https://www.chosic.com

Referensi Yukino N. Strong, David Y. Cao, Jessica Zhou, Maya A. Guenther, Danyon J. Anderson, Alan D. Kaye, Brian E. Blick, Prathima R. Anandi, Hirni Y. Patel, and Ivan Urits. (2023 Feb 21). Koro Syndrome: Epidemiology, Psychiatric and Physical Risk Factors, Clinical Presentation, Diagnosis, and Treatment Options. Health Psychol Res. Pubmed Central. National Library of Medicine https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9946797/ Nilamadhab Kar. (2005, October 12). Chronic koro-like symptoms – two case reports. BMC Psychiatry. https://bmcpsychiatry.biomedcentral.com/articles/10.1186/1471-244x-5-34 --- Support this podcast: https://podcasters.spotify.com/pod/show/elsyanu/support

Commentary by Dr. Valentin Fuster

In this episode, Angela Branche, MD; Pamela Rockwell, DO, FAAFP; and Richard Zimmerman, MD, MPH, FAAFP, discuss the clinical presentation of RSV in older adults and available diagnostic tests for RSV, including: Comparison of RSV clinical symptoms to influenza and COVID-19, including differentiating symptoms at infection onsetRSV disease progression RSV diagnostic approaches How RSV diagnosis of adults may differ from diagnosis of childrenClinical considerations for RSV testingHow to improve RSV awareness among patientsProgram Director:Pamela Rockwell, DO, FAAFPProfessorFamily MedicineUniversity of Michigan Medical SchoolAnn Arbor, MichiganFaculty:Angela Branche, MDAssociate Professor of MedicineDivision of Infectious DiseasesDepartment of MedicineUniversity of RochesterRochester, New YorkRichard Zimmerman, MD, MPH, FAAFPProfessorDepartment of Family Medicine and Clinical Epidemiology University of PittsburghPittsburgh, PennsylvaniaContent based on an online CME program supported by an independent educational grant from GlaxoSmithKline.Link to full program:https://bit.ly/49YBZ4rLink to downloadable slides: https://bit.ly/3GocjRe

CardioNerds join Dr. Tony Li Yi Wei, Dr. Rodney Soh Yu Hang, and Dr. Zan Ng Zhe Yan from the National University Heart Centre Singapore for a cocktail drink on the top of marina bay sands. They discuss the following case featuring a young woman with recurrent ACS ultimately found to have Takayasu Arteritis. The ECPR for this episode is provided by Dr. Teng Gim Gee and Professor Tan Huay Cheem. Episode audio was edited by student Dr. Shivani Reddy. A 37-year-old woman presents with chest pain. She has a background history of Hashimoto thyroiditis, gestational diabetes, and anemia of chronic disease and possible iron deficiency. Her significant medical history includes ischemic heart disease with prior coronary angiogram showing triple vessel coronary artery disease for which she underwent coronary artery bypass graft surgery (CABG) with LIMA-LAD, SVG-OM, SVG-RCA. After CABG, she had recurrent admissions in the subsequent year with acute coronary syndromes where she underwent percutaneous coronary intervention (PCI) to SVG-OM, RI, proximal LAD, and distal LAD. She was a non-smoker and had been compliant with her medications. For her current presentation, she underwent myocardial perfusion imaging which showed a large sized area of inducible ischemia in the LCx territory.  Repeat coronary evaluation showed occluded SVG-OM, occluded LIMA-LAD where she underwent PCI. Clinically, she was noted to have weak brachial and radial pulses on the left side with systolic blood pressure difference between both arms. CT Thoracic Angiogram demonstrated concern for underlying large vessel vasculitis such as Takayasu arteritis. ESR was elevated at 34. Rheumatology was consulted and she was diagnosed with Takayasu arteritis and started on prednisolone and azathioprine. Given her young age, absence of traditional atherosclerotic risk factors, and progressive coronary disease, Takayasu arteritis was deemed the underlying etiology of her coronary disease. US Cardiology Review is now the official journal of CardioNerds! Submit your manuscript here. CardioNerds Case Reports PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Case Media - Recurrent ACS Pearls - Recurrent ACS Approach to accelerated CAD and/or CAD in the young: Causes of MI in young patients can be divided into four groups, although a considerable overlap exists between all groups. (1) atheromatous CAD, (2) non-atheromatous process such as spontaneous coronary artery dissection, vasculitides such as Takayasu disease, (3) hypercoagulable states leading to recurrent arterial and venous thrombosis and/or thromboembolism, and (4) recreational drug use. Clinical Presentation of Takayasu and prevalence of cardiac involvement: Takayasu's arteritis is classified as a large-vessel vasculitis because it primarily affects the aorta and its primary branches. It has a worldwide distribution; however, the greatest prevalence is seen in Asia. Women are affected in 80 to 90 percent of cases, with an age of onset that is usually between 10 and 40 years. Management of Takayasu arteritis: As for systemic anti-inflammatory therapy, the mainstay of treatment would be systemic glucocorticoids guided by the care of a rheumatologist. A steroid sparing agent may be given in conjunction for long term suppressive therapy to achieve longer-term disease control. The choice of additional agents depends on several factors including considerations regarding comorbidities, a patient's plans for conceiving a child, cost of treatments, and availability of specific agents. Options include methotrexate, azathioprine as well as mycophenolate. There are also growing studies into anti-TNF-alpha agents such as etanercept or infliximab. Show Notes - Recurrent ACS

Concussion A concussion, also known as minor or mild traumatic brain injury (mTBI), results from head trauma causing blunt injury to the brain. Clinical Presentation Labs, Studies, and Physical Exam Findings Treatment Post-concussion Syndrome (PCS) Post-concussion syndrome (PCS) is th set o symptoms that can persist for an extended period after a concussion. Clinical Presentation […] The post 118: Brain Trauma & Memorizing Medication tip appeared first on Physician Assistant Exam Review.

In this episode, we cover the following:What is Slipped Capital Femoral Epiphysis (SCFE)?What are some risk factors for developing this?What do we look for in a patient's clinical presentation?How is this identified in imaging?Support the showThe purpose of this podcast is to provide useful, condensed information for exhausted, time-crunched Physical Therapists and Student Physical Therapists who looking to build confidence in their foundational knowledge base and still have time to focus on other important aspects of life. Hit follow to make sure you never miss an episode. Have questions? Want to connect? Contact me at ptsnackspodcast@gmail.com or check out more at ptsnackspodcast.com. On Instagram? Check out the unique content on @dr.kasey.hankins! Need CEUs but low on time and resources? Go to https://www.medbridgeeducation.com/pt-snacks-podcast for over 40% off a year subscription. Use the promo code PTSNACKSPODCAST. This is an affiliate link, but I wouldn't recommend MedBridge if I didn't think they offered value. Willing to support monetarily? Follow the link below to help me continue to create free content. You can also support the show by sharing the word about this show with someone you think would benefit from it.

Dr. Joe Holley joins us on the show this week to share some clinical information with the podcast. He starts off with an update on recent Paragon Medical Group training programs around the country. Then we shift gears into some information on epidemiology issues around the country.

In this episode, Kyle Molina, PharmD, BCIDP, provides an overview of treatment of skin and soft tissue infections (SSTIs) and challenges in practice. Listen as he gives perspectives on:Guideline recommendations for treatment of purulent and nonpurulent SSTIsLogistical challenges with IV and oral antibioticsPros and cons of various locations of careData supporting the safety and efficacy of long-acting lipoglycopeptides for treatment of SSTIsUse of long-acting lipoglycopeptides in special populations of interest, including patients with obesity, diabetes, and injection drug useOverall place in therapy of long-acting lipoglycopeptides for SSTIs Faculty:Kyle Molina, PharmD, BCIDPInfectious Diseases Clinical PharmacistScripps Green HospitalLa Jolla, CaliforniaLink to full program: CCO: https://bit.ly/3J4mg8hProCE: https://bit.ly/3P0vB4E

In this episode, Martin Krsak, MD, MSc, FASAM, provides background and context on skin and soft tissue infections. Listen as he gives perspectives on:Epidemiology and clinical outcomesEconomic impactBacterial etiologyImportance of appropriate antimicrobial prescribingClinical presentationSeverity classification and distinction between purulent and nonpurulent infectionsRole of incision and debridement vs antimicrobial managementComplications to be ruled out prior to treatmentFaculty:Martin Krsak, MD, MSc, FASAMAssociate Professor of MedicineDivision of Infectious Diseases University of Colorado School of MedicineDenver, ColoradoLink to full program: CCO: https://bit.ly/3J4mg8hProCE: https://bit.ly/3P0vB4E

Link to bioRxiv paper: http://biorxiv.org/cgi/content/short/2023.04.19.537391v1?rss=1 Authors: Bracchi-Ricard, V., Nguyen, K., Ricci, D., Gaudette, B., Henao-Meija, J., Brambilla, R., Martynyuk, T., Gidalevitz, T., Allman, D., Bethea, J. R., Argon, Y. Abstract: Activation of the ER stress sensor IRE1a contributes to neuronal development and is known to induce neuronal remodeling in vitro and in vivo. On the other hand, excessive IRE1 activity is often detrimental and may contribute to neurodegeneration. To determine the consequences of increased activation of IRE1a, we used a mouse model expressing a C148S variant of IRE1a with increased and sustained activation. Surprisingly, the mutation did not affect the differentiation of highly secretory antibody-producing cells, but exhibited a strong protective effect in a mouse model of experimental autoimmune encephalomyelitis (EAE). Significant improvement in motor function was found in IRE1C148S mice with EAE relative to WT mice. Coincident with this improvement, there was reduced microgliosis in the spinal cord of IRE1C148S mice, with reduced expression of pro-inflammatory cytokine genes. This was accompanied by reduced axonal degeneration and enhanced CNPase levels, suggesting improved myelin integrity. Interestingly, while the IRE1C148S mutation is expressed in all cells, the reduction in proinflammatory cytokines and in the activation of microglial activation marker IBA1, along with preservation of phagocytic gene expression, all point to microglia as the cell type contributing to the clinical improvement in IRE1C148S animals. Our data suggest that sustained increase in IRE1a activity can be protective in vivo, and that this protection is cell type and context dependent. Considering the overwhelming but conflicting evidence for the role of the ER stress in neurological diseases, a better understanding of the function of ER stress sensors in physiological contexts is clearly needed. Copy rights belong to original authors. Visit the link for more info Podcast created by Paper Player, LLC

The fundamentals of what you need for your patient encounters and board exams. In this episode we'll discuss a little epidemiology and pathophys, but focus heavily on the clinical presentation and workup. Part 2 will come out soon and focus on the management of systemic sclerosis. Thank you for taking a couple minutes to do the survey :) Survey link here: https://docs.google.com/forms/d/e/1FAIpQLSd6QbrO0kJDzRE8t4fZPIFw1CA9nTw6Qk3Z1FVmCRpt8EdLSg/viewform?usp=sf_link

In today's episode 286, T1 Nerve Root Compression Clinical Presentation (REVISITED) I review the following:1. Pain pattern of a T1 NRC.2. Dermatomal pattern.3. Muscle groups involved.4. Deep tendon reflex affected.5. "Look-a-like" diagnoses.6. Tips to consider during your evaluation and so much more!(Video) T1 NRC evaluation of a patient(-->Get your Saunder's Cervical Traction HERE!)Welcome to our new sponsor!  Chattanooga.  To check out all they have to offer, trial modalities, have your questions answered about shockwave therapy, high level laser, radial pressure wave, connect with them HERE!Want to join the OEP community? Click HERE to jump onto our email list. SUBSCRIBE at the bottom of the page.Ask me your ortho evaluation questions and I will answer them on the show: paul@orthoevalpal.comCome visit our WEBSITE!! Click HERE to check it outGet our downloadable 1.5 hour shoulder anatomy with cadaver dissection lectureGet our downloadable 7.5 hour cervical and lumbar continuing ed courseGet our downloadable 6.0 hour shoulder continuing ed courseBe sure to "follow" us on our new Facebook PageI finally made it to Instagram. Stop by and check us outAre you looking for One on one Coaching? We have it!Be sure to check out our 500+ videos on our YouTube Channel called Ortho Eval Pal with Paul Marquis#T1 #cervicalherniateddisc #nerverootcompression #ptevaluation  #orthopedicevaluation #OrthoEvalPal #Orthopedics #physicaltherapy #physicaltherapytests #athletictraining #occupationaltherapy #chiropractic Support the show Thanks for listening! If you like our podcast, be sure to check out more of our great content at OrthoEvalPal.com, Instagram and Youtube. We'd love a rating or review on your podcast platform. And, as always, be kind to each other and take care!!

In today's episode 285, C8 Nerve Root Compression Clinical Presentation (REVISITED) I review the following:1. Pain pattern of a C8 NRC.2. Dermatomal pattern.3. Muscle groups involved.4. Deep tendon reflex affected.5. "Look-a-like" diagnoses.6. Tips to consider during your evaluation and so much more!C7 evaluation (demonstration, non patient)(-->Get your Saunder's Cervical Traction HERE!)Welcome to our new sponsor!  Chattanooga.  To check out all they have to offer, trial modalities, have your questions answered about shockwave therapy, high level laser, radial pressure wave, connect with them HERE!Want to join the OEP community? Click HERE to jump onto our email list. SUBSCRIBE at the bottom of the page.Ask me your ortho evaluation questions and I will answer them on the show: paul@orthoevalpal.comCome visit our WEBSITE!! Click HERE to check it outGet our downloadable 1.5 hour shoulder anatomy with cadaver dissection lectureGet our downloadable 7.5 hour cervical and lumbar continuing ed courseGet our downloadable 6.0 hour shoulder continuing ed courseBe sure to "follow" us on our new Facebook PageI finally made it to Instagram. Stop by and check us outAre you looking for One on one Coaching? We have it!Be sure to check out our 500+ videos on our YouTube Channel called Ortho Eval Pal with Paul Marquis#c8 #cervicalherniateddisc #nerverootcompression #ptevaluation  #orthopedicevaluation #OrthoEvalPal #Orthopedics #physicaltherapy #physicaltherapytests #athletictraining #occupationaltherapy #chiropractic  Support the show Thanks for listening! If you like our podcast, be sure to check out more of our great content at OrthoEvalPal.com, Instagram and Youtube. We'd love a rating or review on your podcast platform. And, as always, be kind to each other and take care!!

In today's episode 284, C7 Nerve Root Compression Clinical Presentation (REVISITED) I review the following:1. Pain pattern of a C7 NRC.2. Dermatomal pattern.3. Muscle groups involved.4. Deep tendon reflex affected.5. "Look-a-like" diagnoses.6. Tips to consider during your evaluation and so much more!(Video) C7 NRC eval of a Patient(Video) C7 NRC eval of a Patient(-->Get your Saunder's Cervical Traction HERE!)Welcome to our new sponsor!  Chattanooga.  To check out all they have to offer, trial modalities, have your questions answered about shockwave therapy, high level laser, radial pressure wave, connect with them HERE!Want to join the OEP community? Click HERE to jump onto our email list. SUBSCRIBE at the bottom of the page.Ask me your ortho evaluation questions and I will answer them on the show: paul@orthoevalpal.comCome visit our WEBSITE!! Click HERE to check it outGet our downloadable 1.5 hour shoulder anatomy with cadaver dissection lectureGet our downloadable 7.5 hour cervical and lumbar continuing ed courseGet our downloadable 6.0 hour shoulder continuing ed courseBe sure to "follow" us on our new Facebook PageI finally made it to Instagram. Stop by and check us outAre you looking for One on one Coaching? We have it!Be sure to check out our 500+ videos on our YouTube Channel called Ortho Eval Pal with Paul Marquis#c7 #cervicalherniateddisc #nerverootcompression #ptevaluation  #orthopedicevaluation #OrthoEvalPal #Orthopedics #physicaltherapy #physicaltherapytests #athletictraining #occupationaltherapy #chiropractic Support the show Thanks for listening! If you like our podcast, be sure to check out more of our great content at OrthoEvalPal.com, Instagram and Youtube. We'd love a rating or review on your podcast platform. And, as always, be kind to each other and take care!!

In today's episode 283, C6 Nerve Root Compression Clinical Presentation (REVISITED) I review the following:1. Pain pattern of a C6 NRC.2. Dermatomal pattern.3. Muscle groups involved.4. Deep tendon reflex affected.5. "Look-a-like" diagnoses.6. Tips to consider during your evaluation and so much more!(Video) C6 NRC eval with patient(Video) C6 Weakness in patient(-->Get your Saunder's Cervical Traction HERE!)Welcome to our new sponsor!  Chattanooga.  To check out all they have to offer, trial modalities, have your questions answered about shockwave therapy, high level laser, radial pressure wave, connect with them HERE!Want to join the OEP community? Click HERE to jump onto our email list. SUBSCRIBE at the bottom of the page.Ask me your ortho evaluation questions and I will answer them on the show: paul@orthoevalpal.comCome visit our WEBSITE!! Click HERE to check it outGet our downloadable 1.5 hour shoulder anatomy with cadaver dissection lectureGet our downloadable 7.5 hour cervical and lumbar continuing ed courseGet our downloadable 6.0 hour shoulder continuing ed courseBe sure to "follow" us on our new Facebook PageI finally made it to Instagram. Stop by and check us outAre you looking for One on one Coaching? We have it!Be sure to check out our 500+ videos on our YouTube Channel called Ortho Eval Pal with Paul Marquis#c6 #cervicalherniateddisc #nerverootcompression #ptevaluation  #orthopedicevaluation #OrthoEvalPal #Orthopedics #physicaltherapy #physicaltherapytests #athletictraining #occupationaltherapy #chiropractic  Support the show Thanks for listening! If you like our podcast, be sure to check out more of our great content at OrthoEvalPal.com, Instagram and Youtube. We'd love a rating or review on your podcast platform. And, as always, be kind to each other and take care!!

In today's episode 282, C5 Nerve Root Compression Clinical Presentation (REVISITED) I review the following:1. Pain pattern of a C5 NRC.2. Dermatomal pattern.3. Muscle groups involved.4. Deep tendon reflex affected.5. "Look-a-like" diagnoses.6. Tips to consider during your evaluation and so much more!(Video) C5 NRC patient(Video) Shingles affecting a C5 nerve root patient(Video) C5 Herniated disc patient eval(-->Get your Saunder's Cervical Traction HERE!)Welcome to our new sponsor!  Chattanooga.  To check out all they have to offer, trial modalities, have your questions answered about shockwave therapy, high level laser, radial pressure wave, connect with them HERE!Want to join the OEP community? Click HERE to jump onto our email list. SUBSCRIBE at the bottom of the page.Ask me your ortho evaluation questions and I will answer them on the show: paul@orthoevalpal.comCome visit our WEBSITE!! Click HERE to check it outGet our downloadable 1.5 hour shoulder anatomy with cadaver dissection lectureGet our downloadable 7.5 hour cervical and lumbar continuing ed courseGet our downloadable 6.0 hour shoulder continuing ed courseBe sure to "follow" us on our new Facebook PageI finally made it to Instagram. Stop by and check us outAre you looking for One on one Coaching? We have it!Be sure to check out our 500+ videos on our YouTube Channel called Ortho Eval Pal with Paul Marquis#c5 #cervicalherniateddisc #nerverootcompression #ptevaluation  #orthopedicevaluation #OrthoEvalPal #Orthopedics #physicaltherapy #physicaltherapytests #athletictraining #occupationaltherapy #chiropractic  Support the show Thanks for listening! If you like our podcast, be sure to check out more of our great content at OrthoEvalPal.com, Instagram and Youtube. We'd love a rating or review on your podcast platform. And, as always, be kind to each other and take care!!

Commentary by Associate Editor Sean Pinney

In this episode, Alba Azola, MD, and Monica Verduzco-Gutierrez, MD, discuss diagnosis and management of long COVID, including: Definitions of post COVID conditionsDiagnosis, including symptoms and clinical presentationEpidemiologyRisk factorsPossible treatment optionsClinical guidance statementsPresenters:Alba Azola, MDAssistant ProfessorDepartment of Physical Medicine and RehabilitationJohns HopkinsCo-DirectorJohns Hopkins Post Acute COVID Team ClinicBaltimore, MarylandMonica Verduzco-Gutierrez, MDProfessor and Distinguished ChairDepartment of Rehabilitation MedicineUniversity of Texas Health Science Center at San AntonioDirector, UT Health COVID-19 Recovery ClinicDepartment of Rehab MedicineUT Health San AntonioSan Antonio, TexasLink to full program:https://bit.ly/3Gn4tXOLinks to Consensus Guidance Statements on Assessment and Treatment of Post-Acute Sequelae of COVID-19:Autonomic Dysfunction:https://bit.ly/3GHeUGYCardiovascular Complications:https://bit.ly/3CmupkXCognitive Symptoms:https://bit.ly/3X9tnkwFatigue:https://bit.ly/3ihiLRQRespiratory Sequelae: https://bit.ly/3IrUkMc

(EMBARGO UNTIL MONDAY) Adequate Dosing of Hydroxychloroquine: Are Patients Getting Enough? Dr. Sheila Reyes, The Phillipines Abstract 1654. A Year in Review Dr. Jack Cush, Philadelphia Differences in Clinical Presentation and Outcomes of Early vs Late Onset PsA Dr. Olga Petryna, New York Abstract 0377 mTORC1 as a Driver of Inflammation in sJIA Connecting Pathogens of sJIA and MAS Dr. Olga Petryna, New York Abstract 0004 Patient Reported Outcomes in PsA Using Novel IL 17A Inhibitor Dr. Sims discusses abstract 0199 presented at ACR22 Convergence in Philadelphia, PA. Abstract 0199: Izokibep, a Novel IL-17A Inhibitor, Improves Patient-reported Outcomes – 16-Week Results from a Placebo-controlled Phase 2 Study in Patients with Active Psoriatic Arthritis The CONSUL Trial Dr. Sheila Reyes, The Phillipines Abstract 0526 What's Happening on the Hill? Dr. Rachel Tate talks with Dr. Angus Worthing about ACR22 Convergence Session # 12S119 about legislative updates.

DTR VII Clinical Presentation: Provider/PwD/Parent Perspectives on Proven AID Systems: Extension Results • Sustained Outcomes • Person-centered Impact with Carol J. Levy, MD, CDCES

DTR VII Clinical Presentation: Provider/PwD/Parent Perspectives on Proven AID Systems: Extension Results • Sustained Outcomes • Person-centered Impact with Lori M. Laffel, MD, MPH

Join pediatric rheumatologist Dr. Dax Rumsey from the Stollery Children's Hospital and University of Alberta, alongside patients Wendy Olsder, Asad Khan and Aamena Hameed, as they discuss the spectrum and classification of JSpA and JPsA and what it means to live with JSpA and JPsA. This is the first of three CAPES (Clinician and Patient Education Series) podcast episodes presented by NPF, GRAPPA, SPARTAN and SAA. This program is supported by an educational grant from Pfizer. For credit and disclosures, please visit: https://www.eeds.com/em/4688 

Commentary by Dr. Tazeen Jafar

We are very excited to bring you the top papers from the 2022 Society for Clinical Vascular Surgery meeting. This episode features 3 papers, discussed by the primary author with commentary provided by Dr. Caron Rockman, President of the SCVS, Professor of Surgery at NYU, and program director of Vascular Surgery training programs. Vice-President Dr. Ashraf Mansour, Professor and Chair of Surgery at Michigan State University, and Dr. Jean Bismuth, SCVS Secretary, from Houston, Texas. Clinical Presentation, Operative Management and Long-term Outcome of Rupture Following Previous Abdominal Aortic Aneurysm Repair Discussed by: Dr. Indrani Sen Authors: Indrani Sen, Irina Kanzafarova, Jennifer Yonkus, Bernardo Mendes, Jill Colglazier, Fahad Shuja, Randall DeMartino, Manju Kalra, Todd Rasmussen Utilization of Thromboelastography with Platelet Mapping Assay to Predict Graft Thrombosis in Lower Extremity Revascularization Discussed by: Dr. Monica Majumdar Authors: Monica Majumdar MD MPH, Zach M Feldman MD, Imani McElroy MD, Natalie Sumetsky MS, Harold D Waller MD, Srihari Lella MD, Ryan P Hall MD, Young Kim MD, Kathryn Nuzzolo BS, Amanda Kirshkaln MS, David Chang PhD MPH MBA, Jessica Cardenas PhD, Eric Grabowski MD, Rushad Patell MD, Matthew Eagleton MD, Anahita Dua MD MS MBA  Outcomes Of Upper Extremity Vs. Transfemoral Access For Fenestrated-branched Endovascular Aortic Repair (FB-EVAR) Discussed by: Dr. Khalil Chamseddin Authors: ​​Khalil Chamseddin MD, Carlos H. Timaran MD, Gustavo S. Oderich MD, Emanuel R. Tenorio MD, PhD, Mark A. Farber MD, F. Ezequiel Parodi MD, Darren B. Schneider MD, Andres Schanzer MD, Adam W. Beck MD, Matthew P. Sweet MD, Sara L. Zettervall MD, Bernardo Mendes MD , Matthew J. Eagleton MD, on behalf of the U.S. Aortic Research Consortium Follow us on twitter at: @audiblebleeding Dr. Amanda Fobare: @amandafobare Dr. Caron Rockman: @CaronRockman Dr. Jean Bismuth: @Jean Bismuth Dr. Indrani Sen: @IndraniSenvasc Dr. Monica Majumdar: @Monica_Majumdar

In this episode, Dr. Michael Shapiro and Dr. Pam Taub discuss the clinical presentation, natural history, and diagnosis of familial hypercholesterolemia.

Bladder carcinoma   Bladder cancer is 3x as likely in men than women Transitional cell carcinoma is > 90% of bladder cancers. Risk Factors Smoking!! Chronic irritation Clinical Presentation –  Bloody urine is the most common presenting symptom Pyuria Dysuria Labs, Studies and Physical Exam Findings   Urinalysis shows hematuria   U/S, CT, MRI   […] The post S2 E097 Genitourinary Neoplasms and a small hack to help you through school appeared first on Physician Assistant Exam Review.

Cryptorchidism One or both of the testes absent from the scrotum   Risk factors   Premature birth   Low birth weight Clinical Presentation   Routine pediatric exam Labs, Studies and Physical Exam Findings –  Provider is unable to palpate one or both testicles –  U/S   MRI Treatment Initially watchful waiting. The majority will descend […] The post S2 E095 Urology Problems & how to beat the PANCE appeared first on Physician Assistant Exam Review.

Not on GU? Listen to this one anyway. There’s so much to unpack here. One of the best episodes I’ve ever recorded. It doesn’t matter if your on GU or not. Give it a listen. Erectile dysfunction Clinical Presentation   Usually a routine physical exam and direct questioning Labs, Studies and Physical Exam Findings   […] The post S2 E094 Male genitalia, Studying for test questions and understanding the PANCE appeared first on Physician Assistant Exam Review.

G6PD Deficiency X- linked recessive More commonly found in Males African Americans Asians Patients of Mediterranean or Middle Eastern decent Increases RBC susceptibility to breakdown Specific triggers lead to cellular breakdown Bacterial or viral infection Fava beans which may be found in flour Drugs Aspirin Antimalarials Sulfonamides Methylene blue Diabetic ketoacidosis Clinical Presentation & Physical […] The post S2 E090 Metabolic Disorders and a new format appeared first on Physician Assistant Exam Review.

Prof. Jean-Michel Halimi provides a summary of the study, "Infection in Patients with Suspected Thrombotic Microangiopathy Based on Clinical Presentation," on behalf of his colleagues.

This is the first episode in a 3 part series on amniotic fluid embolism. In this episode we review the clinical presentation and diagnostic criteria for AFE. We also debunk some of the myths about AFE.The experts at Clinical Concepts in Obstetrics pool their decades of experience caring for critically ill pregnant women to discuss the challenges encountered in caring for these vulnerable women.Dr Stephanie Martin is the Medical Director for Clinical Concepts in Obstetrics and a Maternal Fetal Medicine specialist with expertise in critical care obstetrics.Suzanne McMurtry Baird, DNP, RN is the Nursing Director for  Clinical Concepts in Obstetrics with many years of experience caring for critically ill pregnant women.Julie Arafeh, RN, MS is the Simulation Director for Clinical Concepts in Obstetrics and a leading expert in simulation.

Clinical presentation of frozen shoulder.

In this VETgirl online veterinary CE podcast, we discuss the clinical presentation, cardiovascular findings, etiology, and outcome of myocarditis in dogs. Myocarditis, or inflammation of the myocardium, is not well studied in dogs but can occur secondary to infectious and noninfectious etiologies. Lakhdhir et al out of Iowa State University and NCSU wanted to describe the clinical and diagnostic findings in dogs with both presumptive and confirmed myocarditis, as well as to identify etiologies and evaluate treatment, and report outcome in a study entitled "Clinical presentation, cardiovascular findings, etiology, and outcome of myocarditis in dogs: 645 cases with presumptive antemortem diagnosis (26 confirmed postmortem) and 137 cases with postmortem diagnosis only (2004-2017)."

After listening to this podcast, students should be able to: Identify risk factors related to each of the two types of esophageal cancer List symptoms presented by patients with esophageal cancer. Explain recommended steps to diagnose patients with esophageal cancer List the general treatment options for patients with esophageal cancer

Dr. Waheed interviews Drs. LoRusso and Statland on their article, Guidelines on clinical presentation and management of nondystrophic myotonias.

Dr. Waheed interviews Dr. LoRusso and Dr. Statland on thier article, Guidelines on clinical presentation and management of nondystrophic myotonias.

Dr. Waheed interviews Dr. LoRusso and Dr. Statland on thier article, Guidelines on clinical presentation and management of nondystrophic myotonias.

Jennifer Laine from Gillette joins the show to discuss the International Perthes Study Group’s work on early Perthes disease. We also highlight papers from the newest editions of JBJS, Spine Deformity and JPO and discuss a case of a severely displaced lateral condyle fracture. Your hosts are Carter Clement from Children’s Hospital of New Orleans, Craig Louer from Vanderbilt, and Julia Sanders from Children’s Hospital Colorado. Music by A. A. Alto.   "Demographics and Clinical Presentation of Early-Stage Legg-Calvé-Perthes Disease: A Prospective, Multicenter, International Study." JAAOS. https://pubmed.ncbi.nlm.nih.gov/32868700/   "Can we predict the behavior of the scoliotic curve after bracing in adolescent idiopathic scoliosis? Τhe prognostic value of apical vertebra rotation." Spine Deformity. https://pubmed.ncbi.nlm.nih.gov/32839925/   "Incidence of Symptomatic Pediatric Tarsal Coalition in Olmsted County: A Population-Based Study." JBJS. https://pubmed.ncbi.nlm.nih.gov/33186000/   "The Medial Elevation Osteotomy for Late-presenting and Recurrent Infantile Blount Disease." JPO. https://pubmed.ncbi.nlm.nih.gov/33298764/ "Analysis of 280 Magnetically Controlled Growing Rod Lengthenings Comparing External Remote Control Readouts and Radiographic Measurements: Impact of Patient and Deformity Factors." JPO. https://pubmed.ncbi.nlm.nih.gov/33074922/   "Surgical Outcomes for Severe Idiopathic Toe Walkers. JPO. https://pubmed.ncbi.nlm.nih.gov/33405465/ "Part-time Abduction Bracing in Infants With Residual Acetabular Dysplasia: Does Compliance Monitoring Support a Dose-dependent Relationship? JPO. https://pubmed.ncbi.nlm.nih.gov/33165268/   "Surgical Treatment of Displaced Pediatric Lateral Condyle Fractures of the Humerus by the Posterior Approach." JPO-B. https://pubmed.ncbi.nlm.nih.gov/28704297/  

In this exclusive Pituitary World News podcast Dr. Blevins discusses the intricacies of diagnosing pituitary disorders.  He talks about how physicians sort through the myriad of symptoms and signs and make clinical decisions about how to proceed.  What goes through physicians mind and what factors they consider as they hear and observe what patients are saying.

Did you know that NOWS is the new NAS? Learn more about the new AAP Clinical Report on Neonatal Opioid Withdrawal Syndrome with lead author Dr. Stephen Patrick. Dr. Patrick is the Director of the Vanderbilt Center for Child Health Policy, an Associate Professor of Pediatrics and Health Policy, and an attending neonatologist at Monroe Carol Jr. Children’s Hospital at Vanderbilt. In this episode, he teaches us about the approach to treating withdrawal in infants, the importance of keeping moms and babies together, and the need for destigmatizing addiction in healthcare.    Time Stamps 7:48 Case from Kashlak Children’s 8:38 Definition of neonatal opioid withdrawal syndrome  9:48 Clinical Presentation of NOWS 11:30 Scoring Systems 14:34 Importance of diagnosing NOWS 15:16 Opioid Crisis and Epidemiology 16:35 Risk Factors for developing NOWS 19:16 The role of structural racism and social determinants of health 21:05 Stigma of addiction 23:10 Building a therapeutic relationship 25:32 Breastfeeding 26:40 Toxicology testing 29:16 Structural racism  30:14 Non-pharmacologic management 31:58 Pharmacologic Management 35:16 Clinical course  37:40 Treatment and taper plan 40:20 Discharge planning 43:20 Outpatient Follow up 44:26 AAP Clinical Report Changes 46:46 Advocacy and Policy 47:14 Buprenorphine  50:18 Outro

• Host Cory Smith, MD • Guest interviewee Brian C. Lau, MD, discussing his review article “Evolution in Surgical Management of Ankle Instability in Athletes” from the January 1 issue • Article summarized from January 1 issue [link to January 1 issue here] o Review article “AAOS Clinical Practice Guideline: Management of Acute Compartment Syndrome” • Article summarized from January 15 issue [link to January 15 issue here] o Research article “Demographics and Clinical Presentation of Early-Stage Legg-Calvé-Perthes Disease: A Prospective, Multicenter, International Study” o Surgical Techniques article “Staying out of Trouble With Intramedullary Nailing of Distal Tibia Fractures” Follow this link to download these and other articles from the January 1, 2021 issue of JAAOS and the January 15, 2021 issue of JAAOS. The JAAOS Unplugged podcast series is brought to you by the Journal of the American Academy of Orthopaedic Surgeons and the AAOS Resident Assembly. In addition, this podcast is brought to you by our sponsor, Modernizing Medicine: visit https://www.modmed.com/ortho-demo/.

This episode covers the clinical presentation of various functional thyroid diseases!

Anthony Yang, MD, MS, Chair, and Carmen Solorzano, MD, Vice-Chair of the SSO Endocrine Disease Site Work Group, moderate as Linwah Yip, MD, from the Endocrine DSWG presents the following practice-changing studies in endocrine surgical oncology from 2019. Executive Summary of the American Association of Endocrine Surgeons Guidelines for the Definitive Surgical Management of Thyroid Disease in Adults. Patel KN, Yip L, Lubitz CC, Grubbs EG, Miller BS, Shen W, Angelos P, Chen H, Doherty GM, Fahey TJ 3rd, Kebebew E, Livolsi VA, Perrier ND, Sipos JA, Sosa JA, Steward D, Tufano RP, McHenry CR, Carty SE.  Ann Surg. 2020 Mar;271(3):399-410. PMID: 32079828 Thyroid Lobectomy for T1b-T2 Papillary Thyroid Cancer with High-Risk Features. Suman P, Razdan SN, Wang CE, Tulchinsky M, Ahmed L, Prinz RA, Winchester DJ. J Am Coll Surg. 2020 Jan;230(1):136-144. PMID: 31672668 Five-Year Results of Radiofrequency and Laser Ablation of Benign Thyroid Nodules: A Multicenter Study from the Italian Minimally Invasive Treatments of the Thyroid Group. Bernardi S, Giudici F, Cesareo R, Antonelli G, Cavallaro M, Deandrea M, Giusti M, Mormile A, Negro R, Palermo A, Papini E, Pasqualini V, Raggiunti B, Rossi D, Sconfienza LM, Solbiati L, Spiezia S, Tina D, Vera L, Stacul F, Mauri G. Thyroid. 2020 Jul 24. PMID: 32578498 Clinical Presentation, Treatment, and Outcome of Parathyroid Carcinoma: Results of the NEKAR Retrospective International Multicenter Study. Lenschow C, Schrägle S, Kircher S, Lorenz K, Machens A, Dralle H, Riss P, Scheuba C, Pfestroff A, Spitzweg C, Zielke A, Nießen A, Dotzenrath C, Riemann B, Quinkler M, Vorländer C, Zahn A, Raue F, Chiapponi C, Iwen KA, Steinmüller T, Kroiss M, Schlegel N; NEKAR study group. Ann Surg. 2020 Jul 7. PMID: 32649472 Value of Molecular Classification for Prognostic Assessment of Adrenocortical Carcinoma. Assié G, Jouinot A, Fassnacht M, Libé R, Garinet S, Jacob L, Hamzaoui N, Neou M, Sakat J, de La Villéon B, Perlemoine K, Ragazzon B, Sibony M, Tissier F, Gaujoux S, Dousset B, Sbiera S, Ronchi CL, Kroiss M, Korpershoek E, De Krijger R, Waldmann J, Quinkler M, Haissaguerre M, Tabarin A, Chabre O, Luconi M, Mannelli M, Groussin L, Bertagna X, Baudin E, Amar L, Coste J, Beuschlein F, Bertherat J.JAMA Oncol. 2019 Jul 11;5(10). PMID: 31294750 

TB clinical presentation is complex. This is because TB may involve any tissue or organ, the severity of symptoms range from none to overwhelming, the tempo of the illness ranges from indolent to rapid, symptoms/ findings may be local or systematic, the presentation varies in immunocompromised and diagnostic tests such as TST or IGRA cannot provide an official diagnosis alone. Due to the complexity of TB, clinician's may find difficulty in recognising. TB presentation. Dr Hazel Goldberg provides an insight into understanding TB clinical presentation. Dr Hazel Goldberg is a Respiratory Consultant who runs the Tuberculosis clinic at the Prince of Wales Hospital in Randwick, Sydney. She oversees services which include diagnosing and managing active TB, screening for latent TB infection (LTBI) among health care workers, those exposed to TB, migrants and the immune suppressed and treating LTBI, organising radiology surveillance as well as BCG vaccination service. 

I hope you learned as much as I did from Dr. Nakra. It makes a lot of sense as we figure this illness out to think about MIS-C in kids with other features such as GI symptoms, rashes early in the illness AND to pursue evaluation in those with fever of 5 days without any other symptoms. If you find elevated inflammatory markers with a history of COVID exposure or in areas with high prevalence admit. Also if they are hypotensive give fluids cautiously, consider pressers pearlier than you would in other kids because you might have cariogenic shock.  Transfer to a pediatric center with multi-disciplinary resources. I don’t know about you but that is something new for me and will change the way I approach my kiddos on my next shift.  Show notes: MIS-C—What do we do??? Has MIS-C changed the way you approach a febrile child? I know I struggle to understand this new disease. Fortunately Dr. Natasha Nakra, a Pediatric Infectious Disease Specialist, joins us this month to clarify what we know about MIS-C, when we should think about it, and what we should do. Have you seen a child with MIS-C? What tipped you off? Send us your answer via on social media, @empulsepodcast, or through our website, ucdavisem.com. ***Please rate us and leave us a review on iTunes! It helps us reach more people.*** Host: Dr. Julia Magaña, Assistant Professor of Pediatric Emergency Medicine at UC Davis Guest: Dr. Natasha Nakra, MS Associate professor of pediatrics, Pediatric Infectious Disease Specialist at UC Davis  Resources:  Nakra, N.A.; Blumberg, D.A.; Herrera-Guerra, A.; Lakshminrusimha, S. Multi-System Inflammatory Syndrome in Children (MIS-C) Following SARS-CoV-2 Infection: Review of Clinical Presentation, Hypothetical Pathogenesis, and Proposed Management. Children 2020, 7, 69. CDC Multi-inflammatory syndrome: for healthcare providers. https://www.cdc.gov/mis-c/hcp/index.html

Eosinophilic granulomatosis with polyangiitis (EGPA), formerly called Churg-Strauss syndrome, is a rare form of vasculitis that primarily affects the small blood vessels. Individuals diagnosed with EGPA commonly have a history of asthma and/or allergies. Inflammation associated with EGPA can lead to injury in multiple organ systems, including the sinuses, lungs, gastrointestinal system, heart, and kidneys. Early diagnosis and treatment are critical when managing EGPA to improve patient outcomes and reduce symptom burden. Education is needed to provide clinicians with the latest information regarding optimal diagnostic and management strategies, including newer steroid-sparing therapy options. In this CME podcast series, experts will provide guidance on differentiating EGPA from related vasculitides or eosinophilic conditions, highlight recent clinical data, and discuss therapeutic advancements. Transcript available here: https://tinyurl.com/EGPA1

Prof. Sam McConkey is a doctor and researcher specializing in the prevention and control of infectious diseases. Currently he is Associate Professor and Head of the Department of International Health and Tropical Medicine at the Royal College of Surgeons in Ireland. He is also a Consultant in General Medicine, Tropical Medicine and Infectious Diseases at Beaumont Hospital Dublin. Previously Prof. McConkey was a Research Fellow in Infectious Disease at Washington University School of Medicine in St. Louis, Missouri and an Honorary Consultant in Infectious Diseases at Oxford Radcliffe Trust. Show Notes: https://sigmanutrition.com/episode332/

MH: clinical presentation

Myself and my colleague speaking about pain in the ball of the foot including mortons neuroma, stress fractures of the ball of the foot, metatarsalgia, etc. In this episode, we discuss Ball of Foot Pain which can be due to Morton's Neuroma, Capsulitis, Stress Fracture, Plantar Plate Injury, and Avascular Necrosis. Time Stamp. Ball Of foot Pain - Capsulitis & Plantar Plate Tear 10:00 Stress Fracture 22:01 Freiburg Osteochondrosis 26:58 Morton's Neuroma Introduction & Clinical Presentation 28:22 Morton's Neuroma Treatment 32:51 Final Thoughts 49:33 Abid Hussain Youtube Channel: https://www.youtube.com/channel/UCCdCyH2x2bIR0dInDweGp1w/ Dr Foot Live Video Stream: https://www.youtube.com/user/TheDrFoot/live Email - info@drfoot.co.uk Visit Abid Hussain websites: https://www.drfoot.co.uk http://birminghamchiropodist.co.uk/ http://www.uksportspodiatry.co.uk/ https://www.abidhussain.co.uk/ http://internationalpodiatricmedicalassociation.com/ Follow Abid Hussain @: Facebook: https://www.facebook.com/drfootpodiatrysurgery/ Twitter: https://twitter.com/drfoot9 LinkedIn: https://www.linkedin.com/in/drfoot Pinterest: https://www.pinterest.co.uk/drfoot/ Instagram: https://www.instagram.com/drfoot1/ Youtube: https://www.youtube.com/channel/UCCdCyH2x2bIR0dInDweGp1w/ Snapchat: https://www.snapchat.com/add/drfootclinic TikTok: https://vm.tiktok.com/4T33d9/ Book an Appointment to visit Abid in Clinic for your foot or leg problem: https://my.setmore.com/bookingpage/9d80f85b-c2d2-4cf2-bd0e-e497e738c32d Podcasts: https://open.spotify.com/show/4gJ4s9kT5xMI1gArc5ZGUq Message or WhatsApp Abid on : (+44) 07446 583531 Who is Abid? Abid Hussain qualified with a BSc (hons) in Podiatric Medicine in 1995 has over 25 years of experience in the foot care sector and with many continual professional development accreditations including PGc in Podiatric Sports Medicine & FIFA Diploma in Football Medicine, he provides the necessary expertise to ensure Dr Foot Podiatry Surgery provides an excellent level of care to its patients.He is currently studying towards a MSc in Sports & Exercise Medicine. He is also a member of the Institute of Chiropodists and Podiatrists and a affiliate member of the prestigious Royal College of Physicians and Surgeons of Glasgow, as a affiliate member of the Royal College of Physicians and Surgeons of Glasgow he is committed to practicing to the highest possible clinical standards, accessing cutting edge education and training. Affiliate Members are committed to raising standards of care and providing the highest possible clinical services to their patients. Abid is also the founder and CEO of DrFoot.co.uk which for the past 20 years is the UK's leading podiatry website with over 1 million unique visitors per month. Abid is an internationally acclaimed inventor who has been responsible for inventing a range of Dr Foot orthotics and patented an adjustable Dr Foot orthotic sandal. Other products which he has developed from idea to the shelf include Dr Foot cream, Dr Foot shoe spray and Dr Foot shoes. Abid has also founded the Dr Foot Foundation which has provided over 10,000 pairs of shoes to third world countries and supported the construction of deep water wells in african villages. He has also co-founded the International Podiatric Medical Association which is a charitable organization which has been established by four UK podiatrists with a commitment to reducing foot amputations due to diabetic foot complications in third world countries.

In this episode, we discuss Ball of Foot Pain which can be due to Morton's Neuroms, Capsulitis, Stress Fracture, Plantar Plate Injury, and Avascular Necrosis. Time Stamp. Ball Of foot Pain - Capsulitis & Plantar Plate Tear 10:00 Stress Fracture 22:01 Freiburg Osteochondrosis 26:58 Morton's Neuroma Introduction & Clinical Presentation 28:22 Morton's Neuroma Treatment 32:51 Final Thoughts 49:33 Contact Us: Phone/WhatsApp: 07888119090 Email: hello@thepodiatryclinics.co.uk Website: www.thepodiatryclinics.co.uk Website: https://movementtherapy.wufoo.com/forms/p1swciid1jdgbv2/ Book Online Appointment: https://the-podiatry-clinics.cliniko.... For more information Click here: https://www.thepodiatryclinics.co.uk/... Follow us: Youtube:https://www.youtube.com/channel/UCnz5... Twitter: https://twitter.com/ThePodClinics Facebook: https://www.facebook.com/ThePodClinics/ Instagram: https://www.instagram.com/thepodclinics/ Linkedin: https://www.linkedin.com/feed/

12 Traits Of A Narcissist - Narcissistic Personality Disorder Clinical Presentation https://lauriehollmanphd.com/biography/ https://www.intrinsicmotivation.life/ Laurie Hollman, Ph.D. is a psychoanalyst with specialized clinical training in infant-parent, child, adolescent and adult psychotherapy, a unique practice that covers the life span. She is particularly adept at helping parents and children relate well together in today's complex family environment. This sensibility helps each family member understand their own emotional experiences while simultaneously being receptive to others' points of view. ============= Jan 31, 2019 - Keywords: Narcissism, narcissistic traits, positive psychotherapy ... to be linked with some variables such as self-confidence (12), anger (5,13), ... Jul 12, 2019 - Wondering if you are dealing with a narcissist? ... Here are 25 characteristic traits of a narcissist to look out for. ... 12 – Likes Annoying Others. May 26, 2017 - There's nothing wrong with having self-confidence, but how do you tell the difference between high self-esteem and a personality disorder? According to a 2009 study at least 6% of people suffer from narcissistic personality disorder. ... The stereotype of a narcissist is that they are ... What are the pathologic personality traits in patients with narcissistic personality disorder (NPD)?. Updated: May 16, 2018. Author: Sheenie Ambardar, MD; Chief ... Oct 4, 2019 - In its extreme, narcissism can become dysfunctional. This can happen when narcissistic personality traits cause problems in someone's ... Aug 22, 2016 - traits, which are narcissism, psychopathy and Machiavellianism, are ... This scale distinguishes three factors, namely centrifugal narcissism (12. January 16, 2018 12:29AM (UTC). This story was brought to ... Perhaps one of the most overlooked qualities narcissists look for is the ability to be conscientious. The various traits of narcissists as told by Paul form a comprehensive understanding of these kinds of people that will destroy your life if you let them. Narcissistic personality disorder (NPD) is a personality disorder characterized by a long-term ... 9 Society and culture; 10 Criticism; 11 See also; 12 References; 13 Further reading; 14 External links ... Self-confidence (a strong sense of self) is a personality trait different from the traits of narcissistic personality disorder; thus, ... #narcissisticmothersymptoms #12traitsofanarcissist #definitionofanarcissistman #lovinganarcissistman #signsofanarcissistman #therapistspecializinginnarcissism #definitionofanarcissisticperson #vulnerablenarcissismsymptoms #covertnarcissistsymptoms --- Support this podcast: https://anchor.fm/intrinsic-motivation/support

12 Traits Of A Narcissist - Narcissistic Personality Disorder Clinical Presentation https://lauriehollmanphd.com/biography/ https://www.intrinsicmotivation.life/ Laurie Hollman, Ph.D. is a psychoanalyst with specialized clinical training in infant-parent, child, adolescent and adult psychotherapy, a unique practice that covers the life span. She is particularly adept at helping parents and children relate well together in today’s complex family environment. This sensibility helps each family member understand their own emotional experiences while simultaneously being receptive to others’ points of view.

This week's episode is co-branded with SADS.ORG and we review a paper on the clinical presentation of those who have conditions associated with sudden cardiac death. Are there questions about the patient and family history and physical examination signs that can improve the identification of those at risk before an event of cardiac arrest? We review this important question and others with Assistant Professor of Pediatrics at Washington University in St. Louis, Dr. Aarti Dalal. Referenced also in this discussion is the following webpage: https://www.sads.org/Library/School-Materials/Risk-Assessment#.XW25gy2ZOu4.DOI:10.1016/j.jpeds.2016.06.088

This week's episode is co-branded with SADS.ORG and we review a paper on the clinical presentation of those who have conditions associated with sudden cardiac death. Are there questions about the patient and family history and physical examination signs that can improve the identification of those at risk before an event of cardiac arrest? We review this important question and others with Assistant Professor of Pediatrics at Washington University in St. Louis, Dr. Aarti Dalal. Referenced also in this discussion is the following webpage: https://www.sads.org/Library/School-Materials/Risk-Assessment#.XW25gy2ZOu4.DOI:10.1016/j.jpeds.2016.06.088

A review for the emergency physician of this common tick-borne illness. Hosts: Audrey Bree Tse, MD Brian Gilberti, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/Lyme_Disease.mp3 Download Leave a Comment Tags: Infectious Diseases Show Notes Episode Produced by Audrey Bree Tse, MD Background Most common tick-born illness in North America Endemic in Northeast, Upper Midwest, northwest California 80% to 90% in summer months Pathophysiology Ixodes tick (deer tick) has a 3-stage life cycle (larvae, nymph, adult) & takes 1 blood meal per stage Deer tick feeds on an infected wild animal (infected with spirochete Borrelia burgodrferi) then bites humans On humans, they typically move until they encounter resistance (e.g. hairline, waistband, elastic, skin fold).  It takes 24-48 hrs for B. Burgdorferi to move from the tick to the host Pathogenesis: organism induced local inflammation, cytokine release, autoimmunity No person to person transmission Clinical Presentation Stage 1: Early Symptom onset few days to a month after tick bite Erythema migrans rash: bulls eye rash seen in more than 90% of patients with Lyme disease (Irregular expanding annular lesion(s)) Regional adenopathy, intermittent fevers, headache, myalgias, arthralgia, fatigue, malaise Stage 2: disseminated/ secondary Days to weeks after tick bite Intermittent fluctuating sx that eventually resolve Triad of aseptic meningitis, cranial neuritis, and radiculoneuritis: bell palsy most common Cardiac symptoms: tachycardia, bradycardia, AV block, myopericarditis

A review for the emergency physician of this common tick-borne illness. Hosts: Audrey Bree Tse, MD Brian Gilberti, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/Lyme_Disease.mp3 Download Leave a Comment Tags: Infectious Diseases Show Notes Episode Produced by Audrey Bree Tse, MD Background Most common tick-born illness in North America Endemic in Northeast, Upper Midwest, northwest California 80% to 90% in summer months Pathophysiology Ixodes tick (deer tick) has a 3-stage life cycle (larvae, nymph, adult) & takes 1 blood meal per stage Deer tick feeds on an infected wild animal (infected with spirochete Borrelia burgodrferi) then bites humans On humans, they typically move until they encounter resistance (e.g. hairline, waistband, elastic, skin fold).  It takes 24-48 hrs for B. Burgdorferi to move from the tick to the host Pathogenesis: organism induced local inflammation, cytokine release, autoimmunity No person to person transmission Clinical Presentation Stage 1: Early Symptom onset few days to a month after tick bite Erythema migrans rash: bulls eye rash seen in more than 90% of patients with Lyme disease (Irregular expanding annular lesion(s)) Regional adenopathy, intermittent fevers, headache, myalgias, arthralgia, fatigue, malaise Stage 2: disseminated/ secondary Days to weeks after tick bite Intermittent fluctuating sx that eventually resolve Triad of aseptic meningitis, cranial neuritis, and radiculoneuritis: bell palsy most common Cardiac symptoms: tachycardia, bradycardia, AV block, myopericarditis Stage 3: tertiary/ late

Interview with Bohdan Pomahac, MD, author of The Evolving Clinical Presentation of Acute Rejection in Facial Transplantation

Interview with Bohdan Pomahac, MD, author of The Evolving Clinical Presentation of Acute Rejection in Facial Transplantation

Papulosquamous disorders Conditions which present with both papule and scales Lichen simplex chronicus (not on 2019 blueprint) A skin disorder characterized by repetitive itching and scratching. This may be secondary to eczema, psoriasis, bug bites, psych disorders etc. Clinical Presentation & Physical Exam findings Itching Lichenified (leathery) skin with well defined borders Labs, Studies and […] The post S2 E039 Dermatology part 2 appeared first on Physician Assistant Exam Review.

Please join us in welcoming Dr. Paul Keith, a leading allergist/immunologist, in discussing the clinical presentation and burden of allergic rhinitis.  

Dr. Michael Freed gives an introduction to common newborn arrhythmias. Initial publication: August 22, 2016 Last reviewed: October 30, 2019. Please visit: www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open access-and thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu Please note: OPENPediatrics does not support nor control any related videos in the sidebar, these are placed by Youtube. We apologize for any inconvenience this may cause.

Dr. Michael Freed reviews the clinical presentation of congestive heart failure in the newborn period. Initial publication: August 22, 2016. Last reviewed: October 30, 2019. Please visit: www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open access-and thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu

Dr. Michael Freed gives an overview on how cyanotic congenital heart disease presents in the first week of life. Initial publication: August 22, 2016. Last reviewed: October 30, 2019. Please visit: www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open access-and thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu Please note: OPENPediatrics does not support nor control any related videos in the sidebar, these are placed by Youtube. We apologize for any inconvenience this may cause.

Rwanda , Clinical Presentation Of Congenital Heart Disease In The First- Murmurs Podcast 081916 by OPENPediatrics

Learn about the three different pathophysiological states that infants with congenital heart disease may display. Initial publication: June 02, 2015. Last reviewed: April 3, 2019. Please visit: www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open access-and thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu Please note: OPENPediatrics does not support nor control any related videos in the sidebar, these are placed by Youtube. We apologize for any inconvenience this may cause.

In this second part of the Clinical Presentation and Acquired Causes of Rhabdomyolysis podcast, Dr. Ted Burns interviews Drs. Jessica Nance and Andrew Mammen about their paper Diagnostic evaluation of rhabdomyolysis from the June 2015 issue of Muscle and Nerve. Rhabdomyolysis is characterized by severe acute muscle injury resulting in muscle pain, weakness, and/or swelling with release of myofiber contents into the bloodstream. Symptoms develop over hours to days after an inciting factor and may be associated with dark pigmentation of the urine. This podcast focuses on the inherited etiologies. For the article in Muscle and Nerve refer to Muscle Nerve 51: 793-810, 2015.

In this second part of the Clinical Presentation and Acquired Causes of Rhabdomyolysis podcast, Dr. Ted Burns interviews Drs. Jessica Nance and Andrew Mammen about their paper Diagnostic evaluation of rhabdomyolysis from the June 2015 issue of Muscle and Nerve. Rhabdomyolysis is characterized by severe acute muscle injury resulting in muscle pain, weakness, and/or swelling with release of myofiber contents into the bloodstream. Symptoms develop over hours to days after an inciting factor and may be associated with dark pigmentation of the urine. This podcast focuses on the inherited etiologies. For the article in Muscle and Nerve refer to Muscle Nerve 51: 793-810, 2015.

In this second part of the Clinical Presentation and Acquired Causes of Rhabdomyolysis podcast, Dr. Ted Burns interviews Drs. Jessica Nance and Andrew Mammen about their paper Diagnostic evaluation of rhabdomyolysis from the June 2015 issue of Muscle and Nerve. Rhabdomyolysis is characterized by severe acute muscle injury resulting in muscle pain, weakness, and/or swelling with release of myofiber contents into the bloodstream. Symptoms develop over hours to days after an inciting factor and may be associated with dark pigmentation of the urine. This podcast focuses on the inherited etiologies. For the article in Muscle and Nerve refer to Muscle Nerve 51: 793-810, 2015.

Dr. Ted Burns interviews Drs. Jessica Nance and Andrew Mammen about their paper Diagnostic evaluation of rhabdomyolysis from the June 2015 issue of Muscle and Nerve. This podcast focuses on the clinical presentation and acquired causes which can include substance abuse, medication or toxic exposures, electrolyte abnormalities, endocrine disturbances, and autoimmune myopathies. For the article in Muscle and Nerve refer to Muscle Nerve 51: 793-810, 2015.

Dr. Ted Burns interviews Drs. Jessica Nance and Andrew Mammen about their paper Diagnostic evaluation of rhabdomyolysis from the June 2015 issue of Muscle and Nerve. This podcast focuses on the clinical presentation and acquired causes which can include substance abuse, medication or toxic exposures, electrolyte abnormalities, endocrine disturbances, and autoimmune myopathies. For the article in Muscle and Nerve refer to Muscle Nerve 51: 793-810, 2015.

Dr. Ted Burns interviews Drs. Jessica Nance and Andrew Mammen about their paper Diagnostic evaluation of rhabdomyolysis from the June 2015 issue of Muscle and Nerve. This podcast focuses on the clinical presentation and acquired causes which can include substance abuse, medication or toxic exposures, electrolyte abnormalities, endocrine disturbances, and autoimmune myopathies. For the article in Muscle and Nerve refer to Muscle Nerve 51: 793-810, 2015.

Introduction: Osteoradionecrosis (ORN) of the jaws is defined as exposed irradiated bone that fails to heal over a period of 3 months without the evidence of a persisting or recurrent tumor. In the previous decades, numerous factors were associated with the risk of ORN development and severity. Aims: The purposes of this study were to present the data of the patients that were treated for ORN in the Department of Oral and Maxillofacial Surgery in Munich (LMU), to detect factors that contributed to the onset of ORN, to identify risk factors associated with the severity of ORN and finally, to delineate and correlate these factors with the personal, health and treatment characteristics of the patients. Material and Methods: A retrospective study was conducted during the period from January 2003 until December 2012 that included all ORN cases having been treated in the Department of Oral and Maxillofacial Surgery in Munich (LMU). The total sample was categorized in three groups according to stage and several variables were evaluated in an attempt to identify possible correlations between them and the necrosis severity. Results: One hundred and fifty three cases of ORN were documented. Among them, 23 (15.1%) cases were stage I, 31 (20.2%) were stage II and 99 (64.7%) were stage III and all localised in the mandible. There was a predominance of the disease in the posterior region when compared to the anterior region. The majority of cases was addicted to alcohol and tobacco abuse and was suffering from Diabetes Mellitus (DM). All cases were treated with RT and 80.4% of them with concomitant chemotherapy. The initial tumor was predominantly located in the floor of the mouth, the tongue and the pharynx. Αpproximately two thirds of the cases occured either after dental treatment or due to a local pathological condition. Logistic regression analysis identified Diabetes Mellitus (OR: 4.955, 95% Cl: 1.965-12.495), active smoking (OR: 13.542, 95% Cl: 2.085-87.947), excessive alcohol consumption (OR: 5.428, 95% Cl: 1.622-18.171) and dental treatment/ local pathological condition (OR: 0.237, 95% Cl: 0.086-0.655) as significant predictors for stage III necrosis. Tumor size (T) (p

MDS presents the latest research and findings from the field of Movement Disorders. Abstracts of articles from the Society Journal, Movement Disorders, are taken from the December 2013 (Vol. 28, Issue 14) issue.

Medical Grand Rounds with Faramarz H. Samie, MD, PhD