Accumulation of fluid in body tissue
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10 episodes with Edema
5 episodes with Edema
9 episodes with Edema
5 episodes with Edema
3 episodes with Edema
3 episodes with Edema
3 episodes with Edema
3 episodes with Edema
3 episodes with Edema
If you've ever wondered why your patients with low albumin also have edema, hit play and I'll explain. You'll see that the "why" behind this connection makes total sense and it will stick with you forever. This is a quick episode that covers what albumin is and does in the body, what happens when it's low (hello edema!), where you'll most likely see this clinically and your nursing priorities when you see low albumin. ___________________ Nursing School Survival Blueprint - Feeling overwhelmed or unsure how to approach nursing school? Download this free Blueprint to understand exactly what's working against you — and what to do instead. Straight A Nursing Study Resources - Check out everything Straight A Nursing has to offer, including free resources and online courses to help you succeed!
No Bate-Pronto de hoje, a CBF confirma que Neymar sofreu uma lesão grau 2, e não apenas um edema, aumentando a preocupação sobre sua condição física. Há risco de corte da Seleção Brasileira? O programa analisa os bastidores da situação, as divergências nos laudos médicos, os possíveis impactos da lesão na preparação para a Copa do Mundo, além da gestão da convocação pela comissão técnica e das perspectivas para a recuperação do atleta. Além disso, a falha de Hugo Souza também entra em debate após repercussão entre torcedores e comentaristas.
Foot baths with Epsom salt or ionic therapy may ease edema by improving circulation and reducing fluid retention. The science, safety tips, and layered home remedies for managing uncomfortable swelling are all covered. To learn more, visit https://www.healifeco.com/blogs/news/3-best-foot-baths-for-edema-relief-in-2026 Healifeco City: Sheridan Address: 1309 Coffeen Avenue Website: https://www.healifeco.com/
No Bate-Pronto de hoje, a situação física de Neymar volta a preocupar após um edema ligar o sinal de alerta na Confederação Brasileira de Futebol. O programa também projeta os jogos de Flamengo e Palmeiras, além da estreia de Dorival Júnior no comando do São Paulo Futebol Clube. A equipe analisa os bastidores, expectativas e os principais destaques do futebol brasileiro.
00:00:35 Iowa weather history: May 1892 flooding and rare late-season snow/sleet event 00:01:17 Weekly forecast: Cooler with rain chances Thu–Fri, warming into Memorial Day weekend 00:01:40 Rainfall outlook: Light to moderate precipitation, heaviest in southwest Iowa 00:02:03 Frost update: No widespread frost, but isolated 32°F readings reported 00:02:20 8–14 day outlook: Strong signal for above-normal temperatures; slightly drier east, near-normal west 00:03:37 3–4 week outlook: Continued warm trend; mostly equal precipitation chances, slightly wetter southwest 00:04:27 El Niño discussion: Likely developing soon (82% chance), high confidence by late summer–winter 00:05:20 El Niño impacts: Weak summer correlation; possible cooler, slightly wetter Upper Midwest summers 00:08:37 Shift from ONI to RONI: New index accounts for broader ocean trends and climate change effects 00:12:22 Historical reclassification: Past El Niño events adjusted under new RONI metric 00:14:16 Recent weather recap: Active severe weather week with storms, hail, wind, and tornadoes 00:15:47 Storm impacts: 23 EF1 tornadoes, widespread wind events, heaviest activity in northwest and southwest Iowa 00:17:32 Weekly extremes: High 95°F (Sioux City), low 32°F (Emmetsburg, Sac City), heavy rainfall in Mount Ayr 00:18:00 Record rainfall: Mount Ayr logs wettest May on record with over 12 inches 00:19:34 CoCoRaHS discussion: Importance of dense rain gauge networks for accurate data and decision-making 00:22:43 Peak wind gust: 88 mph recorded in Correctionville 00:23:48 Crop planting tips: Peppers, eggplant, cucurbits, marigolds, and strawberry plug timing 00:25:31 Pest update: Low flea beetles in some areas; cucumber beetles and onion thrips active 00:26:07 Field conditions: Wet soils aiding crops but increasing weeds; cultivation timing important 00:26:19 Cover crop management: Winter rye termination strategies and timing considerations 00:27:17 Herbicide drift case: Damage to asparagus; guidance on reporting incidents to IDALS 00:28:44 Greenhouse issue: Edema in tomatillos from high humidity, not disease 00:29:12 Watermelon pollination: Grafted pollenizers improve survival and pollination success 00:30:16 SWD update: Parasitoid wasps potentially established in Minnesota 00:30:54 Disease note: Bacterial soft rot observed in lettuce after heavy rains 00:31:32 Events: Weed Control Field Day (MN) and TekFlex (MI) highlighted 00:32:11 Additional content: "Pivot Points" episode on farmer civic engagement released Podcast Summary generated using perplexity.ai
Drs. Eric Suhler and Nick Butler join host Dr. Ben Young discuss an old treatment for cystoid macular edema (CME) that may be new to many of us: interferon alpha. They review its use, side effects, and success thus far. Relevant papers discussed in this episode: Treatment of refractory cystoid macular edema with pegylated interferon alfa-2A: a retrospective chart review Interferon alpha 2b in the treatment of uveitic cystoid macular edema For all episodes or to claim CME credit for selected episodes, visit www.aao.org/podcasts
In this episode, Dr. Kathy Vidlock explores the physiology and real-world risks of pulmonary edema triggered by both intense physical exertion and high-altitude exposure. Drawing on clinical insight and wilderness medicine experience, she explains how fluid can accumulate in the lungs during extreme exercise and conditions like High-Altitude Pulmonary Edema, breaking down the underlying mechanisms in a clear and practical way. Listeners will learn how to recognize early warning signs—such as shortness of breath out of proportion to effort, cough, and decreased performance—and understand why these symptoms can rapidly become life-threatening. The episode also covers prevention strategies, including proper acclimatization, pacing, and risk awareness, along with guidance on when immediate descent or medical care is critical. Whether you're an athlete, climber, or backcountry traveler, this episode provides essential knowledge to help you stay safe in demanding environments.
Nova temporada do Pipoca TdC no ar!
In this episode, we review the high-yield topic of Pulmonary Edema from the Respiratory section.Follow Medbullets on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbullets
Do you know when to suspect edema in uveitis and how to manage it? Credit available for this activity expires: 3/18/27 Earn Credit / Learning Objectives & Disclosures: https://www.medscape.org/viewarticle/new-horizons-uveitic-macular-edema-2026a10007ij?ecd=bdc_podcast_libsyn_mscpedu
In this episode:Diving into the depths of psychological performance in sports, this episode of the TriDoc Podcast features an engaging discussion between host Jeff Sankoff and psychologist Dr. Jim Taylor. They explore the concept of mastering adversity as a way to enhance athletic performance, particularly in triathlons. The conversation kicks off with a humorous nod to Jeff's raspy voice, a remnant of his recent battle with a respiratory infection, which he cleverly ties into the theme of overcoming challenges. Dr. Taylor shares invaluable insights on resilience, emphasizing that the mental tools athletes develop through life experiences can be incredibly beneficial when facing adversity in sports. They discuss how athletes can prepare mentally for various scenarios during races, highlighting the importance of rehearsing potential challenges in advance. As they delve deeper, they touch upon the five attitudes that can hinder performance, including over-investment, perfectionism, fear of failure, preoccupation with results, and excessive expectations. By shedding light on these psychological barriers, Jeff and Dr. Taylor provide listeners with practical strategies to combat them, encouraging a mindset that prioritizes enjoyment and personal progress over rigid expectations and outcomes. This episode is a treasure trove for athletes looking to enhance their mental game while navigating the thrilling yet intimidating world of triathlons. The Medical Mailbag will be exploring the risk of swimming induced pulmonary edema in triathletes, and will investigate the data from studies done in Sweden to educate the audience on the risks and ways of ceasing the progression of pulmonary edema.Segments:[4:51]- Medical Mailbag: SIPE[36:13]- Interview: Dr. Jim TaylorLinksDr. Jim's Facebook page@drjimtaylor on Instagram@drjimtaylor on XDr. Jim on YouTube
Tune in as Alec, Mengyu, Parisa, Ethan, and Lera dissect a case of a 45 YO F presenting with 6 weeks of progressive swelling! Download CPSolvers App here RLRCPSOLVERS
I'm consistently surprised at how few CDI or IP coding professionals talk about their most basic job function. The very reason they are hired, and what most do for eight hours a day: I'm talking about chart review. Go on Linkedin or Facebook and it's rarely discussed. Yet it's ... everything. Nuanced, complex, clinical, critical to the quality of financial health of hospitals. It's how patient acuity is expressed in coded data, how hospitals get paid, and why CDI and coding professionals are employed. I've heard it described as akin to detective work, puzzling together the pieces and presenting an informed query to the provider. Yet like detective work it often remains a mystery. Dr. Tarman Aziz joined me to open up that conversation. He is founder and CEO of CDIQ Consulting, LLC, a physician-led healthcare education and consulting firm focused on closing the gap between clinical reality and coded data. On this episode of #OTR we discuss: Is chart review unique to the individual/healthcare organization/assistive tech, or are there underlying principles everyone can follow? How evolving clinical indicators in a case drive a concurrent CDI workflow—the differences of reviewing a chart at 24 vs 72 hours as clinical indicators morph How early is too early to look at an inpatient chart? Underutilized and underrated areas of the health record Review strategies for encephalopathy, dehydration, hyper- and hyponatremia, and cerebral edema/compression Tarman's work consulting and educating non-traditional CDI candidates The remarkable story of Tarman's fiancé Anna, an 11-year survivor of Stage 4 breast cancer
We discuss the diagnosis and management of SCAPE in the ED. Hosts: Naz Sarpoulaki, MD, MPH Brian Gilberti, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/SCAPEv2.mp3 Download Leave a Comment Tags: Acute Pulmonary Edema, Critical Care Show Notes Core EM Modular CME Course Maximize your commute with the new Core EM Modular CME Course, featuring the most essential content distilled from our top-rated podcast episodes. This course offers 12 audio-based modules packed with pearls! Information and link below. Course Highlights: Credit: 12.5 AMA PRA Category 1 Credits™ Curriculum: Comprehensive coverage of Core Emergency Medicine, with 12 modules spanning from Critical Care to Pediatrics. Cost: Free for NYU Learners $250 for Non-NYU Learners Click Here to Register and Begin Module 1 The Clinical Case Presentation: 60-year-old male with a history of HTN and asthma. EMS Findings: Severe respiratory distress, SpO₂ in the 60s on NRB, HR 120, BP 230/180. Exam: Diaphoretic, diffuse crackles, warm extremities, pitting edema, and significant fatigue/work of breathing. Pre-hospital meds: NRB, Duonebs, Dexamethasone, and IM Epinephrine (under the assumption of severe asthma/anaphylaxis). Differential Diagnosis for the Hypoxic/Tachypneic Patient Pulmonary: Asthma/COPD, Pneumonia, ARDS, PE, Pneumothorax, Pulmonary Edema, ILD, Anaphylaxis. Cardiac: CHF, ACS, Tamponade. Systemic: Anemia, Acidosis. Neuro: Neuromuscular weakness. What is SCAPE? Sympathetic Crashing Acute Pulmonary Edema (SCAPE) is characterized by a sudden, massive sympathetic surge leading to intense vasoconstriction and a precipitous rise in afterload. Pathophysiology: Unlike HFrEF, these patients are often euvolemic or even hypovolemic. The primary issue is fluid maldistribution (fluid shifting from the vasculature into the lungs) due to extreme afterload. Bedside Diagnosis: POCUS vs. CXR POCUS is the gold standard for rapid bedside diagnosis. Lung Ultrasound: Look for diffuse B-lines (≥3 in ≥2 bilateral zones). Cardiac: Assess LV function and check for pericardial effusion. Why not CXR? A meta-analysis shows LUS has a sensitivity of ~88% and specificity of ~90%, whereas CXR sensitivity is only ~73%. Importantly, up to 20% of patients with decompensated HF will have a normal CXR. Management Strategy 1. NIPPV (CPAP or BiPAP) Start NIPPV immediately to reduce preload/afterload and recruit alveoli. Settings: CPAP 5–8 cm H₂O or BiPAP 10/5 cm H₂O. Escalate EPAP quickly but keep pressures to avoid gastric insufflation. Evidence: NIPPV reduces mortality (NNT 17) and intubation rates (NNT 13). 2. High-Dose Nitroglycerin The goal is to drop SBP to < 140–160 mmHg within minutes. No IV Access: 3–5 SL tabs (0.4 mg each) simultaneously. IV Bolus: 500–1000 mcg over 2 minutes. IV Infusion: Start at 100–200 mcg/min; titrate up rapidly (doses > 800 mcg/min may be required). Safety: ACEP policy supports high-dose NTG as both safe and effective for hypertensive HF. Use a dedicated line/short tubing to prevent adsorption issues. 3. Refractory Hypertension If SBP remains > 160 mmHg despite NIPPV and aggressive NTG, add a second vasodilator: Clevidipine: Ultra-short-acting calcium channel blocker (titratable and rapid). Nicardipine: Effective alternative for rapid BP control. Enalaprilat: Consider if the above are unavailable. Troubleshooting & Pitfalls The “Mask Intolerant” Patient Hypoxia is the primary driver of agitation. NIPPV is the best sedative. * Pharmacology: If needed, use small doses of benzodiazepines (Midazolam 0.5–1 mg IV). AVOID Morphine: Data suggests higher rates of adverse events, invasive ventilation, and mortality. A 2022 RCT was halted early due to harm in the morphine arm (43% adverse events vs. 18% with midazolam). The Role of Diuretics In SCAPE, diuretics are not first-line. The problem is redistribution, not volume excess. Diuretics will not help in the first 15–30 minutes and may worsen kidney function in a (relatively) hypovolemic patient. Delay Diuretics until the patient is stabilized and clear systemic volume overload (edema, weight gain) is confirmed. Disposition Admission: Typically requires CCU/ICU for ongoing NIPPV and titration of vasoactive infusions. Weaning: As BP normalizes and work of breathing improves, infusions and NIPPV can be gradually tapered. Take-Home Points Recognize SCAPE: Hyperacute dyspnea + severe HTN. Trust your POCUS (B-lines) over a “clear” CXR. NIPPV Immediately: Don’t wait. It saves lives and prevents tubes. High-Dose NTG: Use boluses to “catch up” to the sympathetic surge. Don’t fear the dose. Avoid Morphine: Use small doses of benzos if the patient is struggling with the mask. Lasix Later: Prioritize afterload reduction over diuresis in the hyperacute phase. Read More
Watch Here : https://www.youtube.com/watch?v=637NmaMJBBA Website: https://vigoroussteve.com/ Consultations: https://vigoroussteve.com/consultations/ eBooks: https://vigoroussteve.com/shop/ YouTube Channel: http://www.youtube.com/user/VigorousSteve/ Workout Clips Channel: https://www.youtube.com/channel/UCWi2zZJwmQ6Mqg92FW2JbiA Instagram: https://instagram.com/vigoroussteve/ TikTok: https://www.tiktok.com/@vigoroussteve Reddit: https://www.reddit.com/r/VigorousSteve/ PodBean: https://vigoroussteve.podbean.com/ Spotify: https://open.spotify.com/show/2wR0XWY00qLq9K7tlvJ000 Patreon: https://www.patreon.com/vigoroussteve
0:00 Introduction: 11 reasons to stop weighing yourself1:07 Why you shouldn't weigh yourself2:58 Hormones and weight loss8:12 Sleep and weight loss 11:22 Healthy weight-loss tips 16:36 The best weight-loss advice Scale obsession is not helpful for weight loss. The rise in cortisol from scale anxiety alone is enough to stifle your progress! Here are 11 reasons why you shouldn't weigh yourself: 1. Water weightSome people can lose up to 11 pounds of water weight in just 2 days! Initial water weight loss can cause unrealistic expectations. Most people only lose 1 to 2 pounds per week. 2. Salt Salty foods can cause you to retain fluid, especially if you're consuming them with sugar. 3. HormonesA woman's menstrual cycle can often cause weight-loss fluctuations of around 3 to 7 pounds. A rise in cortisol can also prevent weight loss. 4. Location of fatThe worst type of fat is visceral fat, which accumulates around the organs. If you don't see weight loss right away, you could be losing some of the more dangerous types of fat first. 5. Muscle loss or gainLosing muscle isn't healthy! Your weight may be decreasing, but it could also be accompanied by serious side effects. Similarly, muscle weighs more than fat, so you won't see weight loss if you're building muscle. 6. Myxedema This type of fat is often found in people with hypothyroidism and is difficult to eliminate with diet and exercise alone. 7. Poor sleepOne week of poor sleep can increase insulin resistance! Poor sleep leads to snacking, increased visceral fat, lower testosterone levels, and higher cortisol and stress levels.8. Ozempic People lose weight with Ozempic, but typically regain it when they discontinue use. Around 20% to 40% of this weight loss is attributed to muscle loss.9. Microdamage from exercise Overtraining breaks down your muscles. Edema and swelling can cause your weight to increase after exercise. 10. MedicationMedications such as calcium channel blockers can cause weight gain. 11. ConstipationFiber intake and constipation can affect the number on the scale. Stop weighing yourself and focus on these healthy weight-loss tips instead:1. Waist-to-height ratio 2. Fasting insulin3. Appetite decreases 4. Tiny amounts of carbs can block fat burning5. Fix insulin resistanceInsulin resistance is the root cause of many chronic diseases. Fixing it is the key to getting healthy and losing weight. Dr. Eric Berg DC Bio:Dr. Berg, age 60, is a chiropractor who specializes in Healthy Ketosis & Intermittent Fasting. He is the Director of Dr. Berg Nutritionals and author of the best-selling book The Healthy Keto Plan. He no longer practices, but focuses on health education through social media.Disclaimer: Dr. Eric Berg received his Doctor of Chiropractic degree from Palmer College of Chiropractic in 1988. His use of “doctor” or “Dr.” in relation to himself solely refers to that degree. Dr. Berg is a licensed chiropractor in Virginia, California, and Louisiana, but he no longer practices chiropractic in any state and does not see patients, so he can focus on educating people as a full-time activity, yet he maintains an active license. This video is for general informational purposes only. It should not be used to self-diagnose, and it is not a substitute for a medical exam, cure, treatment, diagnosis, prescription, or recommendation. It does not create a doctor-patient relationship between Dr. Berg and you. You should not make any change in your health regimen or diet before first consulting a physician and obtaining a medical exam, diagnosis, and recommendation. Always seek the advice of a physician or other qualified health provider with any questions you may have regarding a medical condition.
Jaypirca gains expanded approval; allograft approved to restore peripheral nerve function; baxdrostat to be reviewed as an add-on treatment for hypertension; treatment for a genetic eye disorder that causes vision loss shows promise; and an autoinjector to treat edema is accepted for Priority Review.
Beyond the Pearls: Cases for Med School, Residency and Beyond (An InsideTheBoards Podcast)
About Dr. Raj Dr Raj is a quadruple board certified physician and associate professor at the University of Southern California. He was a co-host on the TNT series Chasing the Cure with Ann Curry, a regular on the TV Show The Doctors for the past 7 seasons and has a weekly medical segment on ABC news Los Angeles. More from Dr. Raj The Dr. Raj Podcast Dr. Raj on Twitter Dr. Raj on Instagram Want more board review content? USMLE Step 1 Ad-Free Bundle Crush Step 1 Step 2 Secrets Beyond the Pearls The Dr. Raj Podcast Beyond the Pearls Premium USMLE Step 3 Review MedPrepTGo Step 1 Questions MedPrepTGo Step 2 Questions Learn more about your ad choices. Visit megaphone.fm/adchoices
Beyond the Pearls: Cases for Med School, Residency and Beyond (An InsideTheBoards Podcast)
About Dr. Raj Dr Raj is a quadruple board certified physician and associate professor at the University of Southern California. He was a co-host on the TNT series Chasing the Cure with Ann Curry, a regular on the TV Show The Doctors for the past 7 seasons and has a weekly medical segment on ABC news Los Angeles. More from Dr. Raj The Dr. Raj Podcast Dr. Raj on Twitter Dr. Raj on Instagram Want more board review content? USMLE Step 1 Ad-Free Bundle Crush Step 1 Step 2 Secrets Beyond the Pearls The Dr. Raj Podcast Beyond the Pearls Premium USMLE Step 3 Review MedPrepTGo Step 1 Questions MedPrepTGo Step 2 Questions Learn more about your ad choices. Visit megaphone.fm/adchoices
Hello lovely, and welcome back to Fly to Freedom.In this episode, I'm opening up about one of the hardest, most confusing, and least-talked-about parts of eating disorder recovery: oedema (fluid retention).For 18 months, I experienced painful swelling in my legs, belly, hands, and face – and not a single professional warned me it could happen. It was frightening, uncomfortable, and made me feel like I was somehow doing recovery “wrong.”If you've been there too, you'll know the shame and panic that can come with not recognising your own body in the mirror. But I want you to know this: oedema is not failure. It's healing.In this episode, I share:What edema actually is and why it happens in recoveryThe physical and emotional symptoms nobody tells you aboutWhy some people get it severely and others don'tHow rest, nourishment, and trust are essential to support your body through itWhy fighting swelling often makes it worseHow edema can help with the fear of weight gain by forcing you to face changeWhy fluid retention is a sign of your body's deep intelligence and protectionEdema might feel overwhelming, but it's your body repairing, rebuilding, and reclaiming its health. You are not broken – you are healing.
Embodying Change: Cultivating Caring and Compassionate Organisations
When the structure, pace, and purpose of humanitarian life suddenly fall away, what fills the space that's left?In this Embodying Change special, host Melissa Pitotti brings together Jennifer Lentfer and Hasangani (Hasi) Edema-Reynolds to explore the eight themes that come up again and again in peer support groups for humanitarians navigating change: identity, commitment, rhythm, balance, boundaries, resonance, joy, and connection.Through storytelling and deep reflection, they trace a path from loss to renewal, asking what it means to stay true to your purpose while rebuilding your life beyond your job title. If you've ever questioned who you are outside of your work, this conversation will help you find language, hope, and solidarity for the road ahead.Today's guestsJennifer LentferFarm girl turned aid worker turned writer, coach, and communications strategist. Jennifer runs EE Consulting, curates the blog How Matters, and shares poetry and collage at JenniferLentfer.com. Formerly named one of Foreign Policy Magazine's “100 Women to Follow on Twitter,” she supports people to usher in political courage, cultural humility, and an ethic of care within social change organizations. She recently became the Director of Communications for The Center for Rural Affairs in Lyons, Nebraska, USA.→ Connect with her on Linkedin. Hasangani (Hasi) Edema-ReynoldsA humanitarian professional and researcher bridging the humanitarian-development-peace nexus. Over nine years, particularly in fragile and post-conflict contexts, Hasi has built expertise in multi-sector response, recovery and resilience programming, humanitarian advocacy, program management/implementation, and fundraising. Currently with CDA Collaborative Learning, she supports action research on accountability, conflict sensitivity, and shifting power, and advises on responsible transitions and organizational change. She holds a Bachelor's degree in International Relations from the London School of Economics (LSE) and a Master's in Humanitarian Assistance from Tufts University. Outside work, Hasi finds joy in singing, piano, painting, and travel.→ Connect with her on LinkedIn. You'll learnWhy grieving the loss of a professional identity is a vital first stepHow to honor commitment to communities while pivotingRhythms and boundaries that sustain life after intense rolesWays to translate humanitarian experience so it resonates beyond the sectorWhy joy and connection are essential, not luxuries, for renewalSimple practices to keep peer support alive between meetingsResources recommendedConnexUs Stopping As SuccessCDA Collaborative Learning ProjectsReimagining Research Course offered by Pause and EffectWhy Resisting Urgency is the First Step in Transforming Organizational Cultures, Bridge of Hope Summit (2025)Donor Transformation Challenge, CIVICUS, 2024Visiter Genève, guided tours by Catherine Hubert-GirodPoem: The Death of the Change MakerBy Jennifer Lentfer Shared with permission. Originally published on How Matters: https://www.how-matters.org/2020/05/04/the-death-of-the-changemaker/I gaze deep into the rectangle below.There, at the bottom of the six feetlays the changemaker.The creator of grand, heroic strategy and ideasto change everything, at once,to change minds and behaviors and alignment,magically.Oh changemaker, how close you lived toconquer and capture and control and contract,how tightly you gripped, fixed,how you wrestled your longing forcertainty, comfort, convenience,how you constructed causation,how you were only taught/thought one way.How you relied on fanciful linearity,determinate, ambitious, utilitarianforce of will plodding, plotting, spent, alone!How you thought you had to carry it all…Now changemaker, laying there in this plot,unable to influence…anythingamidst the falling shovelfuls of soil.There, there, I lay — the irony of former self-elevationno longer lost on me.The earth will fill in my body,its softness, loaminess reclaimed —dismantled and expanded without all the effort.Need, renewal, security looms.It is already welded-ly woven.The maker will be rebirthed.We don't know when,but up through the dirt,the small, incremental, devoted changer may arrive.-----------------------Join the conversationIf this episode sparked something in you, share your reflections on LinkedIn and tag us!
Beyond the Pearls: Cases for Med School, Residency and Beyond (An InsideTheBoards Podcast)
About Dr. Raj Dr Raj is a quadruple board certified physician and associate professor at the University of Southern California. He was a co-host on the TNT series Chasing the Cure with Ann Curry, a regular on the TV Show The Doctors for the past 7 seasons and has a weekly medical segment on ABC news Los Angeles. More from Dr. Raj The Dr. Raj Podcast Dr. Raj on Twitter Dr. Raj on Instagram Want more board review content? USMLE Step 1 Ad-Free Bundle Crush Step 1 Step 2 Secrets Beyond the Pearls The Dr. Raj Podcast Beyond the Pearls Premium USMLE Step 3 Review MedPrepTGo Step 1 Questions MedPrepTGo Step 2 Questions Learn more about your ad choices. Visit megaphone.fm/adchoices
Episode 25:46 A Healing Protocol For Glaucoma, Gout, Edema, Excessive Sweating, and Nightmares Glaucoma, gout, edema (swelling), excessive sweating, and nightmares. What if each of these conditions had something in common? Something that contributed to their CAUSE. Wouldn't you want to know? And wouldn't you want your doctor to address THAT… the cause… instead of simply prescribing drugs that did nothing more than "silence your symptoms"? On this episode I address this common cause AND what you can do, naturally, to correct it. Give it a good listen and, as always, share it with a friend. Thanks! ———————- Want to learn more? Continue the conversation regarding this episode, and all future episodes, by signing up for our daily emails. Simply visit: GetHealthyAlabama.com Once there, download the "Symptom Survey" and you will automatically added to our email list. ———————- Also, if you haven't already, we'd appreciate it if you'd subscribe to the podcast, leave a comment and give us a rating. (Thanks!!!) * This podcast is for informational and educational purposes only. It is not intended to diagnose or treat any disease. Please consult with your health care provider before making any health-related changes.
Could a biologic that addresses uveitic macular edema (UME) change the treatment landscape for uveitis patients? Rahul Khurana, MD, joins us to review data from the MEERKAT and SANDCAT trials assessing vamikibart (Genentech/Roche) for UME. And Arshad Khanani, MD, MA, joins us to review the open-label extension study of GATHER2. What effect does avacincaptad pegol (Izervay, Astellas) have 2 years after the initial study was completed? Join us to hear details about these late-breaking presentations from AAO 2025.
The Elective Rotation: A Critical Care Hospital Pharmacy Podcast
Show notes at pharmacyjoe.com/episode1072. In this episode, I’ll discuss the balance between the risk of cerebral edema from severe hyponatremia vs osmotic demyelination from overly rapid sodium correction. The post 1072: Which is the greater risk – osmotic demyelination or cerebral edema? appeared first on Pharmacy Joe.
CDC approves new immunization schedule; new treatments approved for edema, idiopathic pulmonary fibrosis, and high risk cutaneous squamous cell carcinoma; and the FDA grants Breakthrough therapy designation to a novel influenza therapy.
En este episodio del ECCpodcast, exploramos el SCAPE, o “Sympathetic Crashing Acute Pulmonary Edema”. Este síndrome representa una forma dramática de edema agudo de pulmón mediado por un colapso súbito de la función cardiopulmonar, con un componente simpático dominante que desencadena una cascada crítica de deterioro. A lo largo del episodio, desglosamos la fisiopatología, el diagnóstico diferencial, el manejo clínico y las estrategias avanzadas de intervención para SCAPE. Este artículo resume y amplía los puntos clave discutidos, con la intención de ofrecerte un recurso educativo robusto, ya seas médico, paramédico, enfermero o profesional de atención crítica. ¿Qué es SCAPE? SCAPE (Sympathetic Crashing Acute Pulmonary Edema) se refiere a una forma de edema pulmonar agudo con características distintivas: Inicio súbito: El paciente suele estar previamente normotenso o hipertenso, sin antecedentes inmediatos de insuficiencia cardiaca congestiva descompensada. Activación simpática intensa: Elevaciones abruptas en la presión arterial y frecuencia cardíaca desencadenan un círculo vicioso de congestión pulmonar y deterioro ventilatorio. Hipoxia severa y ansiedad extrema: El paciente se presenta en franca angustia respiratoria, luchando por aire y con sensación inminente de muerte. Esta condición es potencialmente reversible con un tratamiento rápido y apropiado, lo cual contrasta con otras causas de edema pulmonar en pacientes con falla sistólica crónica. Fisiopatología de SCAPE: Una tormenta simpática SCAPE no es simplemente edema pulmonar. Es el resultado de una descarga adrenérgica descontrolada, en muchos casos precipitada por un evento hipertensivo agudo o crisis de ansiedad. Hipertensión severa repentina → aumento de la poscarga → disfunción ventricular izquierda transitoria. Esto causa congestión pulmonar aguda, en minutos, con extravasación de líquido en los alvéolos. El resultado: edema pulmonar con dificultad respiratoria extrema, hipoxia, y ansiedad severa. En lugar de una descompensación progresiva de insuficiencia cardíaca, aquí vemos una crisis hemodinámica inducida por una tormenta simpática, en pacientes que usualmente tienen una fracción de eyección normal. Presentación clínica: El paciente que “se estrella” frente a ti El paciente con SCAPE puede presentarse con: Disnea súbita y severa Sibilancias generalizadas (puede confundirse con un cuadro asmático) Presión arterial muy elevada, típicamente ≥180 mmHg sistólica Frecuencia respiratoria y cardíaca elevadas Sudoración profusa, ansiedad extrema Rales bilaterales hasta vértices Uso de músculos accesorios Saturación de O₂ marcadamente reducida Estos signos deben diferenciarse de otras causas de disnea aguda como EPOC, asma, TEP, síndrome ansioso o neumonía. Diagnóstico diferencial: ¿Es SCAPE o no? El diagnóstico de SCAPE es principalmente clínico. Algunos elementos clave para distinguirlo incluyen: Diagnóstico diferencial Diferenciador clave Asma No hay historia asmática, no hay respuesta a broncodilatadores EPOC No hay hipersecreción crónica ni patrón obstructivo previo TEP No suele haber hipertensión severa ni edema pulmonar radiológico Neumonía Inicio más insidioso, fiebre, consolidación localizada Ansiedad No explica rales ni saturación baja sostenida El hallazgo de rales bilaterales, taquicardia, hipertensión severa, y signos de hipoxia crítica, especialmente en ausencia de historia de ICC, apunta fuertemente a SCAPE. Tratamiento inmediato: Qué hacer en los primeros 5 minutos En SCAPE, cada minuto cuenta. El manejo temprano es vital para revertir el curso clínico. El tratamiento se enfoca en tres pilares fundamentales: 1. Ventilación no invasiva (VNI) inmediata Iniciar CPAP o BiPAP en cuanto se identifica el cuadro. CPAP de inicio: 10 cmH₂O Mejora la oxigenación, recluta alvéolos colapsados, y reduce la precarga. Reduce la necesidad de intubación orotraqueal. 2. Nitroglicerina en bolos y goteo No es una hipertensión “de fondo” — se trata de una crisis aguda. Bolos de nitroglicerina IV de 400-800 mcg cada 2-3 minutos son preferibles al goteo lento. Luego se inicia goteo continuo a dosis altas (100-200 mcg/min). Objetivo: reducir rápidamente la poscarga. 3. Evitar intubación temprana La intubación agrava el cuadro si no se ha optimizado primero la poscarga. El uso agresivo de VNI y vasodilatadores puede evitar la necesidad de intubación en la mayoría de los casos. ¿Y los diuréticos? Un error común es administrar furosemida o torasemida como primer paso. En SCAPE: El paciente no tiene sobrecarga de volumen, sino redistribución aguda de fluidos por hipertensión. El diurético puede empeorar la hipotensión posterior. Puede considerarse después de estabilizar la presión y la oxigenación, no antes. Rol del ultrasonido en SCAPE El ultrasonido pulmonar y cardíaco a pie de cama puede ser útil: Pulmonar: líneas B difusas bilaterales, indicativas de edema intersticial. Cardíaco: disfunción ventricular izquierda, cavidades no dilatadas (útil para diferenciar de ICC crónica). El uso del ecógrafo puede reforzar el diagnóstico clínico y guiar intervenciones tempranas. Perlas prácticas del ECCpodcast Durante el episodio, se destacan múltiples “perlas clínicas” útiles para el manejo operativo de SCAPE: La mayoría de los pacientes con SCAPE tienen FEVI normal: no son pacientes con ICC descompensada. La sibilancia no siempre es asma: los rales y sibilancias en SCAPE vienen de edema, no de broncoespasmo. La nitroglicerina en bolo es tu mejor aliada: no temas usar dosis elevadas bajo monitoreo. No pierdas tiempo con diuréticos ni con salbutamol en estos casos. Usa CPAP agresivamente desde el inicio. No intubes a menos que hayas fallado en revertir el cuadro con VNI + nitro. Contexto prehospitalario: ¿Qué puede hacer el paramédico? Desde la perspectiva de atención prehospitalaria: Iniciar CPAP tan pronto como se identifique el cuadro. Administrar nitroglicerina sublingual en dosis repetidas, si no se cuenta con acceso IV. Monitorear la presión constantemente. SCAPE requiere agresividad controlada, no intervención ciega. Notificar al hospital del cuadro clínico temprano para que se preparen con VNI e intervenciones avanzadas. Conclusiones del episodio SCAPE representa una emergencia hipertensiva de alta mortalidad si no se trata de forma rápida y dirigida. El abordaje debe ser: Rápido Guiado por la fisiopatología Alejado de viejos esquemas de manejo de ICC Centrado en VNI + nitroglicerina Recursos adicionales Algoritmo de manejo de SCAPE en formato PDF Infografía resumen de SCAPE para descargas clínicas Referencias a estudios y guías clínicas mencionadas
New device approved to prevent intrauterine adhesions; oral GLP-1 receptor agonists assessed in head to head trial; nasal spray formulation of bumetanide gains approval; Capvaxive elicits immune response in children aged 2 to 17 years; and a primary biliary cholangitis treatment is withdrawn from the market.
00:00:00 - Intro 00:00:53 - Stage 4 Colon Cancer 00:31:14 - Myelodysplastic syndrome (MDS) 00:39:48 - Eye Issues - Shingles (Herpes Zoster) - Macular Edema - ERM (Epiretinal Membrane) 00:49:59 - TMJ (Temporomandibular Joint) - Skin Issue - Stye - Neuralgia 00:58:29 - Female Reproductive Tonic 01:03:56 - Chronic Fatigue - Brain Fog - Overwhelmed - Toenail Fungus - Athlete's Foot 00:00:53 - Stage 4 Colon Cancer About 18 months later, the cancer returned—this time involving her ovaries, uterus, liver and peritoneal cavity. 00:31:14 - Myelodysplastic syndrome (MDS) It is a type that could potentially develop into acute leukemia in the future. 00:39:48 - Eye Issues - Shingles (Herpes Zoster) - Macular Edema - ERM (Epiretinal Membrane) I refused the last injection because I feel there has to be an alternative to this. 00:49:59 - TMJ (Temporomandibular Joint) - Skin Issue - Stye - Neuralgia I have near constant pain/irritation on left side of my scalp. 00:58:29 - Female Reproductive Tonic Is there an issue with a woman in menopause, age 70, taking the Female Reproductive Tonic? 01:03:56 - Chronic Fatigue - Brain Fog - Overwhelmed - Toenail Fungus - Athlete's Foot I have healed fibromyalgia, suicidal thoughts, depression and autistic tendencies.
Julia and I are back with another juicy Q&A episode, answering your most heartfelt and real questions about recovery. From brain chemistry to perfectionism, family dynamics to weight gain fears — nothing is off the table.We go deep into what it really takes to move beyond quasi recovery, why blood tests can't tell the full story, how to navigate edema, and why being a highly sensitive person is actually a gift in recovery.This one is raw, emotional, funny (as always), and packed with truth bombs to keep you moving forward.Powerful quotes from the episode
Bem amigos do Pelada na Net, chegamos em definitivo para o programa 745! E hoje temos o Príncipe Vidane, Show do Vitinho e Maidana tentando entender se o edema é real ou é migué.E neste programa falamos sobre a rodada de ida das quartas da Copa do Brasil, demos uma geral no Brasileirão e na Libertadores, destrinchamos a nova convocação de Carlo Ancelotti para a seleção brasileira, além de muito mais!#LEITADADOCALVO #TIMEEDEMASHOW DO VITINHO - DE VOLTA PRO PASSADO - BH, 12/OUTUBRO/2025 - Compre seu ingresso!OPEN MIC DO VIDANE 06/SETEMBRO NO SHOW DO PAULO MANSUR EM SP - Compre seu ingresso!site https://peladananet.com.br | bsky @peladananet.com.br | twitter @PeladaNET | instagram @PeladaNaNet | grupo no telegram https://t.me/padegostosodemaisSiga os titulares:Maidana – Twitter / Instagram / BskyShow do Vitinho – Twitter / Instagram / BskyPríncipe Vidane – Twitter / Instagram / BskyProjetos paralelos:Dentro da Minha CabeçaReinaldo JaquelineFábrica de FilmesContribua com o Peladinha:Apoia.sePatreonChave pix: podcast@peladananet.com.brColaboradores de Julho/2025!Seguem os nomes de alguns dos queridos que colaboraram com ao menos R$5. Obrigado a todos! :)[...] Gabriel Matte De Moura | George Alfradique | Guilherme Pereira Mendes | Gustavo Henrique Liebl | Gustavo Henrique Rossini | Jailson Gomes | João Pedro Machareth | Jose Wellington De Moura Melo | Luca Vianna | Lucas De Oliveira Andrade | Marcelo São Martinho Cabral | Marcio Leandro Lima Dos Santos | Marco Antônio Maassen Da Silva | Marianna Feitosa | Mario Peixoto | Matheus Andion De Souza Vitorino | Matheus Bezerra Lucas Bittencourt | Pedro Bonifácio | Pedro Henrique Tonetto Lopes | Rafael Manenti | Rafael Matis | Rainer Almeida | Raphael Piccoli | Raphael Pini Bubinick | Rodrigo Oliveira Porto | Stéfano Bellote | Thiago Nogueira Marcal | Thomas Rodrigues | Tiago Weiss | Vander Carlos Ribeiro Vilanova | Vinícius Lima Silva | Vinícius Ramalho | Vinicius Verissimo Lopes | Vitor Motta Vigerelli | Wendel Ferreira Santiago | Willy Correa | Wladimir Araújo Neto | David Gilvan | Marco Antônio Rodrigues Júnior (Markão) | Leonardo Pimentel | Danilo Da Silva Pereira | Fellipe Miranda | Henrique Zani | João Paulo Lobo Marins | Pedro Henrique De Paula Lemos | Victor Rodrigues | Bruno Macedo | Daniel Moreira | Luiz Strina | Lucas, O Fofo | Luis Beça | Mariana Barbarini | Ryan Smallman | Albert José | Yan Andrade | Raphael De Souza | Thiago Goncales | Alvaro Modesto | Daniel Ferreira De Lima Vilha | Felipe Artemio | Tatiane Oliveira Ferreira | Bruno Vieira Silva | Itallo Rossi Lucas | Maicon Feldhaus | Bruna Almeida | Felipe Duarte | Mirella AssisObrigado por acreditarem em nós!Comente!Envie sua cartinha via e-mail para podcast@peladananet.com.br e comente tanto no post do Instagram com a capa deste episódio quanto no Spotify (se batermos 50 comentários em cada, leremos comentrouxas no programa que vem)!
This week, we are revisiting the topics of insulin resistance and equine metabolic syndrome (EMS).Those issues have been on my mind recently due to the many questions I have received, and because I am currently working on a project with an insulin-resistant mare that is struggling to make any progress at the facility I manage.Join me as I share my insights on how these recoveries typically unfold.Act Early and Monitor ProgressRecognize any changes in your horse before they become serious problems. Prevention is always the key, as long-term, unmanaged insulin resistance can lead to laminitis and permanent damage. The Danger of Repeated RelapsesEach time a horse swings between recovery and relapse, it becomes harder to reverse insulin resistance. Aim for consistent recovery, with no symptoms and healthy blood work. After that, you will need to maintain those results through controlled management.Safe Grass ReintroductionHorses benefit from a natural herd life and grazing, but returning to pasture should be gradual. Monitor the horse closely for swelling, fat pads, or any early sign of regression, and adjust its turnout times accordingly.Key Physical SignsFat pads behind the shoulders or on the tail dock, and a crested neck, are usually indicators of insulin resistance, even before blood work confirms it. Unexpected weight gain or puffiness can also signal trouble.Behavioral CluesFood aggression and irritability can result from poor satiety-hormone regulation and blood sugar swings. That is often mistaken for personality, but improving the metabolic balance usually reduces that behavior.Thirst and Urination ChangesIncreased thirst and urination may indicate that the horse's body is working hard to flush out excess sugar. That often tends to occur in spring or when grass intake increases.Edema and Fluid RetentionSwelling in the sheath, udder, legs, or above the eyes often links to high sugar intake and reduced movement. Increasing the horse's daily activity can quickly improve that.Laminitis RisksHigh insulin can damage hoof tissues, and reduced movement worsens the problem. Support hoof comfort, but keep the horse moving to break the inflammation–insulin cycle.General Inflammation and SorenessInsulin resistance can cause full-body soreness, joint stiffness, and mobility issues, which can sometimes be mistaken for aging. Addressing diet and movement can often reverse those symptoms, even in older horses.Consistent ManagementRecovery is not always linear. Track the symptoms over 30, 60, and 90 days, and adapt your management, if necessary, for any setbacks caused by weather, limited movement, or dietary slips.Final ThoughtsInsulin resistance and equine metabolic syndrome require early recognition, consistent management, and ongoing monitoring. Watching for key physical and behavioral signs, addressing issues before there are any changes in the blood work, and maintaining a steady diet and movement routine will allow you to break the cycle of relapse and protect the long-term health of your horse.Links and resources:Connect with Elisha Edwards on her website Join my email list to be notified about new podcast releases and upcoming webinars.Free Webinar Masterclass: Four Steps to Solving Equine Metabolic Syndrome...
Untreated edema can lead to more severe problems such as stasis dermatitis, discomfort/pain, venous ulcerations, progressed lymphedema and decreased mobility. By recognizing and intervening early, we as clinicians can make a significant impact on quality of life for our clients and possibly prevent the progression of this disease. Through improving your assessment skills at the bedside, you can empower your patients to make a significant change in the trajectory of their livelihood. Clinicians that are involved in rehabilitative medicine are a critical piece to guiding their patients to add wellness into their lifespan and demonstrate the impact early intervention can make in our clients' lives. This course will aim to improve the bedside assessment skills of edema, give practical intervention guidance and guide the clinician on specialist referral needs. Through step-by-step descriptions, this education aims to be applicable immediately after learning for edema assessment, interventions and goal setting. To view accreditation information and access completion requirements to receive a certificate for completing this course, please click here. The content of this Summit podcast is provided only for educational and training purposes for licensed physical therapists and occupational therapists. This content should not be used as medical advice to treat any medical condition in either yourself or others.
To have your question featured in a future video, please email: questions@morses.tv Please include at least: Age, Weight and as much history as possible.
Chapter 21:Pulmonary Edema to Small Animal Critical Care Medicine, 2e 2nd Edition by Deborah Silverstein DVM DACVECC, Kate Hopper BVSc MVSc DACVECC Host: Dr. Bobbi Conner Producer: Topher Conlan
Welcome to the emDOCs.net podcast! Join us as we review our high-yield posts from our website emDOCs.net. Today on the emDOCs cast with Brit Long, MD (@long_brit), we cover sympathetic crashing acute pulmonary edema (SCAPE). To continue to make this a worthwhile podcast for you to listen to, we appreciate any feedback and comments you may have for us. Please let us know!Subscribe to the podcast on one of the many platforms below:Apple iTunesSpotifyGoogle Play
The Fyre Festival brand sold for $245 K on eBay! A man is arrested after placing a teddy bear that appeared to have human skin on it at a gas station. The Superman movie is driving dog adoptions up. Wellness influencers are promoting coffee edemas. A new dating app called Single Riders is aimed at Disney Land lovers.See omnystudio.com/listener for privacy information.
Evaluation of a child with edema can be stress-inducing given the differential diagnoses invoked including nephrotic syndrome, liver disease, and heart failure. Determining the cause involves dusting off some principles of physics. Protein, namely albumin, hangs onto water to maintain intravascular osmotic pressure. Not having enough protein causes leakage into surrounding tissues to create characteristic puffiness, begging the question: are we losing protein or not making enough? If protein and osmosis are not the primary drivers, we must also consider capillary hydrostatic pressure as we see with the engorged vessels of heart disease or the retention of fluids with chronic kidney disease. This case investigates a toddler with an initial complaint of periorbital edema and abdominal distention to frame an approach to edema in pediatrics.
Welcome to episode 156 of Growers Daily! We cover: a unique nightshade disease, does vermicompost lead to damping off, and weeding gear. We are a Non-Profit!
Dr. Martin answers questions sent in by our listeners. Some of today's topics include: Over-the-counter pain meds Edema & swollen ankles Low doses of statin drugs NAD supplements Floaters in eyes Preparing for pulmonary test Zinc & Alzheimer's NMR lipoprofile tests
Original Air Date: 05-17-24Host: Jasmine T. Kency, M.D., Associate Professor of Internal Medicine and Pediatrics at the University of Mississippi Medical Center.Topic: Neuropathy and EdemaEmail the show any time women@mpbonline.org. Hosted on Acast. See acast.com/privacy for more information.
https://www.tiktok.com/@natureback.docIn this episode, we dive into a common yet often confusing part of pregnancy: edema and swelling. From puffy ankles to swollen hands, many expectant parents experience some degree of swelling—but how do you know what's normal and when it's time to call your doctor? We break it all down for you with expert insights, practical tips, and clear guidance. What You'll Learn: What is Edema? A quick look at why swelling happens during pregnancy, including the role of increased blood volume and pressure on veins. Normal vs. Concerning: How much swelling is typical, and what signs (like sudden swelling or headaches) might signal something more serious, such as preeclampsia. Real-Life Scenarios: Common areas of swelling (feet, ankles, hands) and when it's just discomfort versus a red flag. Tips for Relief: Simple, safe ways to manage swelling—like elevating your legs, staying hydrated, and wearing compression socks. When to Seek Help: Clear advice on when to contact your healthcare provider and why it's better to be cautious. Highlights: The surprising connection between salt intake and swelling—myth or fact? Why the third trimester often brings the most puffiness. A listener Q&A: “My rings don't fit anymore—is this normal?” Whether you're a first-time parent or a seasoned pro, this episode will help you navigate the ups and downs (and swells!) of pregnancy with confidence. Tune in for a mix of science, stories, and actionable advice! Connect With Us: YouTube: Dive deeper into pregnancy tips and stories at youtube.com/maternalresources. Instagram: Follow us for daily inspiration and updates at @maternalresources. Facebook: Join our community at facebook.com/IntegrativeOB Tiktok: NatureBack Doc on TikTok A Big Thank You: We're so grateful you're part of this journey! Let's keep supporting, uplifting, and celebrating working moms and parenthood—together, we're building a more nurturing, equitable world for everyone. Grab Our Book! Check out The NatureBack Method for Birth—your guide to a empowered pregnancy and delivery. Shop now at naturebackbook.myshopify.com.
Justin has gathered all the strangest listeners (questions) to quiz Dr. Sydnee with all of your weird and fun medical questions! Is Gatorade actually salty and NOT sweet? Are people with cat allergies allergic to big cats? Can you fart and spread norovirus? Can a fetus taste? And the most important question of all: who are Justin and Dr. Sydnee's favorite fictional doctors?Music: "Medicines" by The Taxpayers https://taxpayers.bandcamp.com/National Immigration Project: https://nipnlg.org/about/who-we-are
Contributor: Jorge Chalit-Hernandez, OMS3 Educational Pearls: Acute mountain sickness (AMS) is the term given to what is otherwise colloquially known as altitude sickness High altitude cerebral edema (HACE) is a severe form of AMS marked by encephalopathic changes Symptoms begin at elevations as low as 6500 feet above sea level for people who ascend rapidly May develop more severe symptoms at higher altitudes The pathophysiology involves cerebral vasodilation Occurs in everyone ascending to high altitudes but is more pronounces in those that develop symptoms The reduced partial pressure of oxygen induces hypoxic vasodilation in the brain, which results in edema and, ultimately, HACE in some patients Symptomatic presentation Headache, nausea, and sleeping difficulties occur within 2-24 hours of arrival at altitude HACE may occur between 12-72 hours after AMS and presents with ataxia, confusion, irritability, and ultimately results in coma if left untreated Clinical presentation may be mistaken for simple exhaustion, so clinicians should maintain a high index of suspicion Notably, if symptoms occur more than 2 days after arrival at altitude, clinicians should seek an alternative diagnosis but maintain AMS/HACE on the differential Treatment and management AMS Adjunctive oxygen and descent to lower altitude Acetazolamide is used as a preventive measure but is not helpful in acute treatment +/- dexamethasone HACE Patients with HACE should receive dexamethasone to help reduce cerebral edema Immediate descent to a lower altitude References Burtscher M, Wille M, Menz V, Faulhaber M, Gatterer H. Symptom progression in acute mountain sickness during a 12-hour exposure to normobaric hypoxia equivalent to 4500 m. High Alt Med Biol. 2014;15(4):446-451. doi:10.1089/ham.2014.1039 Levine BD, Yoshimura K, Kobayashi T, Fukushima M, Shibamoto T, Ueda G. Dexamethasone in the treatment of acute mountain sickness. N Engl J Med. 1989;321(25):1707-1713. doi:10.1056/NEJM198912213212504 Luks AM, Beidleman BA, Freer L, et al. Wilderness Medical Society Clinical Practice Guidelines for the Prevention, Diagnosis, and Treatment of Acute Altitude Illness: 2024 Update. Wilderness Environ Med. 2024;35(1_suppl):2S-19S. doi:10.1016/j.wem.2023.05.013 Summarized & Edited by Jorge Chalit, OMS3 Donate: https://emergencymedicalminute.org/donate/
Exam Room Nutrition: Nutrition Education for Health Professionals
Welcome to Deficiency Detective!A mini-series for you to solve today's nutrition mystery. Join me as I share a puzzling patient case every Wednesday, Thursday, and Friday during December.Here's how to play:
In this episode, we review the high-yield topic of Pulmonary Edema from the Pulmonary section at Medbullets.com Follow Medbullets on social media: Facebook: www.facebook.com/medbullets Instagram: www.instagram.com/medbulletsofficial Twitter: www.twitter.com/medbullets Linkedin: https://www.linkedin.com/company/medbullets
BestPodcastintheMetaverse.com Canary Cry News Talk #781 - 10.09.2024 - Recorded Live to 1s and 0s FEMA EDEMA | Debunking Fact Checks, Weather Mod Prog, Hillary 230 Deconstructing Corporate Mainstream Media News from a Biblical Worldview Declaring Jesus as Lord amidst the Fifth Generation War! TJT Youtube (backup) Channel: https://www.youtube.com/@TheJoyspiracyTheory The Show Operates on the Value 4 Value Model: http://CanaryCry.Support Join the Supply Drop: https://CanaryCrySupplyDrop.com Submit Articles: https://CanaryCry.Report Submit Art: https://CanaryCry.Art Join the T-Shirt Council: https://CanaryCryTShirtCouncil.com Podcasting 2.0: https://PodcastIndex.org Resource: Index of MSM Ownership (Harvard.edu) Resource: Aliens Demons Doc (feat. Dr. Heiser, Unseen Realm) Resource: False Christ: Will the Antichrist Claim to be the Jewish Messiah Tree of Links: https://CanaryCry.Party SHOW NOTES/TIMESTAMPS Podcast T- 06:21 by Rumble HELLO, RUN DOWN NEWSOM SCIENCE 17:05 V / 10:44 P CA outlaws voter ID requirements. Here's what Western states say about voter ID (KSI) AZ Failure to document citizenship 218,000 (WAPO) GEOENGINEERING 32:01 V / 25:40 P Will semiconductor production be derailed by Hurricane Helene? (cnbc) → Hurricane Helene is hitting America's IV fluid supply (Quartz) → Category 5 status on path to Florida: Live updates (USA Today) →KAMALA 55:31 V / 49:10 P Fact Check: Did Kamala Offer Hurricane Helene Victims $750? (Newsweek) Clip: Kamala Harris Gets Stuck on Repeat in Teleprompter Glitch (Newsweek) BBB 01:02:13 V / 55:52 P Clip: FEMA 3 months apart (X) No, Biden didn't take FEMA relief money to use on migrants — but Trump did (Wapo) Clip: KJP before and after FEMA money (X) BIDEN 01:14:34 V / 01:08:13 P Biden crashes press briefing (Politico) TRUMP/ELON 01:19:17 V / 01:12:56 P Elon Musk makes first appearance at a Trump rally and casts the election in dire terms (AP) HAPPY BIRTHDAY VLADIMIR PUTIN/CYBERPANDEMIC 01:33:58 V / 01:27:37 P Hacker attack disrupts Russian state media on Putin's birthday (Reuters) OUTRO 01:43:27 V / 01:37:06 P END 01:45:01 V / 01:38:40 P
Your swell guide to the swollen leg We're taking a short summer break, but we'll be back at the end of August with brand new episodes. We have seen our esteemed guests, and they are us! Paul Williams (@PaulNWilliamz) leads the discussion with Matt Watto (@DoctorWatto) and Beth “Garbs” Garbitelli (@bethgarbitelli) on the evaluation and management of common causes of edema. Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME! Show Segments Intro, disclaimer Picks of the Week* The case of Lynn Fedema Pathophysiology of edema Differential diagnosis of chronic edema Chronic edema work-up Management of chronic edema Calvin Fedema and acute edema Evaluation of acute edema Outro Credits Written and produced by: Paul Williams, MD, FACP Infographic and Cover Art: Matthew Watto, MD, FACP Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP; Beth Garbitelli Reviewer: Emi Okamoto, MD Executive Producer: Beth Garbitelli Showrunner: Matthew Watto, MD, FACP Editor: Clair Morgan of nodderly.com Sponsor: Freed You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code CURB50 for $50 off their first month. Sponsor: Rocket Money Cancel your unwanted subscriptions by going to RocketMoney.com/CURB. Sponsor: Grammarly Get AI writing support that works where you work. Sign up and download for FREE at grammarly.com/PODCAST
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