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Hidden Heart Disease: 19 Dermatologic Clues You Should Know Rashid M Rashid, MD, PhD; Brittany Sambrano Barros, MD | June 13, 2017 Image from Medscape. Patients with cardiac disease often present with manifestations on the skin. The above image, for example, shows a patient with sarcoidosis—a multisystem, inflammatory disease—presenting with lupus pernio, appearing as nodules on the nasal tip and sidewall. Cutaneous signs such as this can play a valuable role in guiding p...
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13 Travel Diseases You Need to Know Bret A Nicks, MD, MHA, FACEP | April 20, 2017 | Contributor Information From Ebola to yellow fever, rising global travel is increasing travelers' exposure to severe and life-threatening diseases. This slideshow provides essential information on the transmission, diagnosis, prevention, and treatment of 13 key travel-related illnesses. Cholera Cholera is an intestinal illness caused by the bacterium Vibrio cholerae, serogroups O1 and O13...
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13 Travel Diseases You Need to Know Bret A Nicks, MD, MHA, FACEP | April 20, 2017 | Contributor Information From Ebola to yellow fever, rising global travel is increasing travelers' exposure to severe and life-threatening diseases. This slideshow provides essential information on the transmission, diagnosis, prevention, and treatment of 13 key travel-related illnesses. Zika The above map shows laboratory-confirmed Zika virus disease cases reported in the United States as...
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Sepsis的概念与译名:内涵重于形式 北京协和医院内科ICU 刘光云,杜斌 Sepsis是重症监护病房中危重病患者死亡的主要原因。由于缺乏特异性治疗措施,根据共识定义与诊断标准进行早期发现与早期诊断,成为降低sepsis病死率的关键。 1992年发表的欧美共识会议标准将sepsis定义为感染引起的全身炎症反应综合征(SIRS)。尽管这一定义受到质疑,但其实质是认为感染引发的过度全身反应(即sepsis)才是引起器官功能障碍甚至死亡的主因[1]。这一概念沿用至今。2001年更新的sepsis诊断标准旨在改进诊断的特异性,但由于缺乏...
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16 Anatomic Mnemonics Editor: Christine Wiebe  |  March 14, 2017 How do you remember the anatomical structures housed by the retroperitoneum? Nick Love, PhD, a second-year medical student at Stanford University, created these whimsical images to help remember parts of the human anatomy. All images courtesy of Nick Love, PhD The heart's left ventricle pumps blood throughout the entire body. After leaving the left ventricle, blood enters the aorta, brachiocephalic trunk, t...
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Takotsubo cardiomyopathy (TCM), first described in 1990 by Sato et al,[1,2] is a transient cardiac syndrome that involves left ventricular (LV) apical akinesis and basal hypercontraction that may symptomatically mimic acute coronary syndrome (ACS).[1,3] A significant emotional (eg, an unexpected death of a loved one, a divorce, bad financial news) or physical stressor (eg, motor vehicle collision, significant surgery, a stay in the intensive care unit [ICU]) typically...
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Acquired Hemophilia: Control the Bleeding, Eliminate the Inhibitor Elizabeth DelGiacco, DO; Jessica Katz, MD, PhD  |  February 8, 2017 A 70-year-old man presents with the acute onset of generalized right-arm weakness. He denies experiencing recent trauma or illness. No evidence of acute stroke is seen on computed tomography (CT) of the brain. Over 48 hours, the patient's right upper extremity becomes painful and swollen with visible ecchymosis. He has no personal or...
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11 Causes of Discolored Urine Josh Palka, DO; Christopher S Atalla, DO  |  December 19, 2016 Normal urine coloration ranges from clear to yellow. However, a multitude of pathologies and agents can change the color and/or clarity of urine. This slideshow discusses several potential causes of abnormal urine color. The neurologic imaging studies and urine samples were obtained in an elderly woman who underwent mild hypothermia therapy for an atypical intracerebral hemorrhage...
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11 Community-Acquired Infections Sandra G Gompf, MD, FACP, FIDSA  |  December 15, 2016 Influenza Seasonal influenza (flu) infects up to 20% of the US population annually, leading to an average of over 200,000 hospitalizations per year and, between the 1976-77 and 2006-07 flu seasons, resulting in approximately 3,300-49,000 deaths yearly.[33,34] Influenza vaccination offers the best available defense—even in years with lower effectiveness—and it is recommended for all indi...
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11 Community-Acquired Infections Sandra G Gompf, MD, FACP, FIDSA  |  December 15, 2016 The term "community acquired" encompasses many infections we may encounter in practice, though not always on a common basis. The range of diseases encompassed by the term continues to evolve in association with the ongoing diversification and aging of the population, climate change, and travel. From the reemergence of vaccine-preventable diseases to sporadic outbreaks of plague[1] to ch...
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