Sydenham's Chorea - NEJM video
This article from PubMed describes the chorea epidemic:In 1518, one of the strangest epidemics in recorded history struck the city of Strasbourg. Hundreds of people were seized by an irresistible urge to dance, hop and leap into the air.In houses, halls and public spaces, as fear paralyzed the city and the members of the elite despaired, the dancing continued with mindless intensity. Seldom pausing to eat, drink or rest, 400 of them danced for days or even weeks. And before long, the chronicles agree, dozens were dying from exhaustion.References:In a spin: the mysterious dancing epidemic of 1518. Waller JC. Endea...
Source: Clinical Cases and Images - January 20, 2014 Category: Journals (General) Tags: NEJM Neurology Source Type: news
Peristaltic Waves in Pyloric Stenosis - NEJM video
Peristaltic waves, as observed in this infant, are one of the classic signs associated with pyloric stenosis.The patient underwent pyloromyotomy.See the related NEJM article: http://www.nejm.org/doi/full/10.1056/NEJMicm1214572
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Source: Clinical Cases and Images - January 18, 2014 Category: Journals (General) Tags: NEJM Pediatrics Source Type: news
How to prevent dog bites?
Not surprisingly, dog-bite injuries in children (head and neck) peak in warmer weather. The family pet is to blame in 27% of cases, and pit bulls are most commonly involved: http://is.gd/oZCrHere is a brief 2-minute summary from CNN with some practical tips how to prevent dog bites:
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Source: Clinical Cases and Images - January 16, 2014 Category: Journals (General) Tags: Pediatrics Trauma Source Type: news
The Cleveland Clinic Way - book by the Clinic's CEO Toby Cosgrove
Cleveland Clinic CEO Toby Cosgrove, MD on overcoming personal struggles: "I couldn't read or write... I was dyslexic."In the new book "The Cleveland Clinic Way: Lessons in Excellence from One of the World's Leading Healthcare Organizations", Cleveland Clinic CEO Toby Cosgrove reveals how the Clinic works and argues for why it should be the model for the nation. To learn more about "The Cleveland Clinic Way", visit http://bit.ly/ClevelandClinicWay.I was an Assistant Professor at Cleveland Clinic from 2005 to 2008, and speaking from personal experience, the Clinic is a remarkable organization.
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Source: Clinical Cases and Images - January 10, 2014 Category: Journals (General) Tags: Cleveland Clinic Source Type: news
The (imperfect) future is here: tracking gadgets are all the rage at CES 2014
Three wearable health trackers are ready for your wrist right now: Nike FuelBand, Jawbone Up and Fitbit Force. The WSJ puts them through their paces to see which may work best for you. In my case: none. Priced at $150, all them do too little for too much money:Why limit your options to a wrist band? Spark Activity Tracker can be attached to any piece of clothing and it waterproof:The connected toothbrush by Kolibree knows if you're brushing all 4 quadrants inside your mouth, and more more importantly, if your kids use the toothbrush at all (the app allows up to 5 profiles):
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Source: Clinical Cases and Images - January 9, 2014 Category: Journals (General) Tags: Technology WSJ Source Type: news
Collection of some interesting medical articles published recently
Defining Dr Livingstone, medicine man - Lancet http://buff.ly/1hQZaB3 - None of Livingstone's achievements would have been possible without his medical training that kept him alive long enough to make those discoveries.Researchers wonder whether sunlight protects children, adults from distracted behavior and ADHD http://buff.ly/1aD1NPpTips for Parenting College Students http://buff.ly/1htuFhKTalking with Patients about Other Clinicians' Errors - NEJM http://buff.ly/HxRP8s and video: http://buff.ly/16QyYl8A Second Act for Phages http://buff.ly/16QzVdkSmokers are likely to get bags under their eyes and wrinkles aro...
Source: Clinical Cases and Images - January 7, 2014 Category: Journals (General) Tags: Health News of the Day Source Type: news
Healthcare social media #HCSM - top articles
This report makes the case for "Googling a Patient" http://buff.ly/18gVq5MED physician uses Facebook photos/text posted by a patient to make a diagnosis of suicidal risk http://buff.ly/18gVNNPAcademic journals tend to lag behind significantly in #HCSM: 12% of Derm journal are on Facebook and 13% on Twitter http://buff.ly/18gW2IOSocial Media in Urology: Only 28% of U.S. respondents used social media for professional purposes http://buff.ly/1f8R0yNThe articles were selected from Twitter and RSS. Please feel free to send suggestions for articles to clinicalcases at gmail.com and you will receive an acknowledgement in the next...
Source: Clinical Cases and Images - December 19, 2013 Category: Journals (General) Tags: #HCSM Source Type: news
People Treat Computers and New Media as Real People and Places
A few excerpts from the articles linked below:Study: multitaskers are terrible at every aspect of multitasking. Multitasking may be creating people who are unable to think well and clearly.People relate to technological devices socially (as if they are people), and those interactions affect others. Technology and people: Do we have to bring back the saying ‘Look at me when I talk to you’?Japanese nurse robot - ACTROID-F (video):References:Clifford Nass, Who Warned of a Data Deluge, Dies at 55 - NYTimes.com http://nyti.ms/16VGF7mCollege admission officers: They Loved Your G.P.A. Then They Saw Your Tweets. 30% college ad...
Source: Clinical Cases and Images - December 12, 2013 Category: Journals (General) Tags: #HCSM NYTimes Social Media Source Type: news
White board video session: Cleveland Clinic cardiologist explains arrhythmias
An arrhythmia is a disorder of the heart rate (pulse) or heart rhythm, such as beating too fast (tachycardia), too slow (bradycardia), or irregularly. In these white board sessions, cardiologist and electrophysiologist Patrick J. Tchou, MD, describes different types of arrhythmias:
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Source: Clinical Cases and Images - December 11, 2013 Category: Journals (General) Tags: Cardiology Cleveland Clinic Video Source Type: news
Doctors disciplined for sharing examination questions - CNN report
In 2010, the American Board of Internal Medicine (ABIM) suspended or revoked the certification of 139 physicians for giving away or soliciting examination questions for a board review company.Residents taking the American Board of Radiology medical physics examination wrote down test questions ("recalls"), and shared them with future examinees. Dermatology residents also reproduced questions ("airplane notes") minutes after the certification examination.CNN reports on residents preparing for certification examinations using questions reproduced by people who took previous exams: References: Opinion: When doctors cheat...
Source: Clinical Cases and Images - December 9, 2013 Category: Journals (General) Authors: noreply at blogger.com (Ves Dimov, M.D.) Tags: Examination Source Type: news
Video contest to convince "Young Invincibles" to join ACA - Winner is "Forget about price tag"
The U.S. Department of Health & Human Services and "Young Invincibles" launched the Healthy Young America video contest, an effort to mobilize young people to help educate and inform one another about the Affordable Care Act. More than 100 videos were received: http://buff.ly/1g6qRUR Erin McDonald was named the Grand Prize winner with her video "Forget about the Price Tag":Here is the YouTube playlist with the nine finalists: http://buff.ly/1g6qSIxComments are disabled for all contest videos on YouTube, but feel free to comment on this blog post.
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Source: Clinical Cases and Images - December 4, 2013 Category: Journals (General) Source Type: news
COPD - NHS patient education video
Chronic obstructive pulmonary disease (COPD) is a chronic disorder with high mortality rates (one of the top 5 causes of death). 10% of people worldwide over the age of 40 are affected by COPD.COPD is expected to rise to the third leading cause of death worldwide by 2030. More than 25% of COPD patients have never been smokers.From NHS Choices YouTube channel: COPD (bronchitis and emphysema) affects an estimated three million people in the UK, and smoking is a major cause. There is a lot that can be done to relieve the symptoms and improve your quality of life.Differential diagnosis of cough, a simple mnemonic is GREAT BAD ...
Source: Clinical Cases and Images - December 2, 2013 Category: Journals (General) Tags: COPD Video Source Type: news
Autoimmune hepatitis - 2013 Lancet review
In common with many autoimmune diseases, autoimmune hepatitis is associated with non-organ-specific antibodies in the context of hepatic autoimmunity.Autoimmune hepatitis can present in acute or chronic forms. Remission is achievable in up to 85% of cases. For the remaining patients, immunosuppression is an option. Liver transplantation provides an excellent outcome for patients with acute liver failure or complications of end-stage liver disease, including hepatocellular carcinoma. References:Autoimmune hepatitis: The Lancet http://bit.ly/1aApnxp
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Source: Clinical Cases and Images - November 22, 2013 Category: Journals (General) Tags: Gastroenterology Hepatitis Lancet Review Source Type: news
Are toddlers taking on too much technology?
iPads are (almost) a part of the natural childhood development according to the book author Patti Summers:
"Welcome to the world of the Digitods: the young children born into the era of mobile technology. These kids are learning faster and better than any generation that has come before them. Take a look at toddlers using an iPad. They are pictures of concentration. Have you ever tried getting a Digitod's attention when he is working with an iPad? It is not easy. Often, the child is so fixated on the work that he protests when he has to move on, even to something as interesting as a snack. Good learning is addictive: the ...
Source: Clinical Cases and Images - November 13, 2013 Category: Journals (General) Tags: Technology iPad CNN Pediatrics Source Type: news
Explaining what a mini-stroke (TIA) means - CNN video
Senior Medical Correspondent Elizabeth Cohen explains what a "mini-stroke" means for Houston Texans coach Gary Kubiak:
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Source: Clinical Cases and Images - November 8, 2013 Category: Journals (General) Tags: Neurology CNN Source Type: news
