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Peter Kimmich

20 Strange and Mysterious Medical Syndromes - 0 views

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    Doctors have come across some baffling day-to-day ailments, but few conditions are as strange as these 20 disorders, which range from biological to psychological to cultural in nature.
anonymous

Pretest Pediatrics is an essential high yield review app for board prep - 0 views

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    "Pediatrics presents its own set of challenges: memorizing different parameters of normal vital signs, learning how to interact with children and their parents, and studying a fascinating constellation of congenital anomalies and syndromes."
anonymous

Functional neurologic abnormalities due to prenatal alcohol exposure are common | Persp... - 0 views

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    Most children who are exposed to large amounts of alcohol while in the womb do not go on to develop fetal alcohol syndrome (FAS). Instead, problems that arise fall under a broader term that describes a spectrum of adverse outcomes, fetal alcohol spectrum disorders (FASD).
Ambika Kilaparthi

Oliver Sacks: What hallucination reveals about our minds | Video on TED.com - 0 views

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    charles bonnett syndrome [hallucinations in 10% of visual/hearing impaired] ; unlike psychotic hallucinations don't address/accuse/abuse/seduce/interact with the patient.
Dr.Ravichandra Karkal

West Syndrome (Infantile Spasms) | Doctor | Patient UK - 0 views

  • West Syndrome (Infantile Spasms)
  • bobbings that cause a complete heaving of the head forward towards his knees, and then immediately relaxing into the upright position... these bowings and relaxings would be repeated alternately at intervals of a few seconds, and repeated from 10 to 20 or more times at each attack, which attack would not continue more than 2 or 3 minutes; he sometimes has 2, 3 or more attacks in the day.
  • hypsarrhythmia that occurs even between attacks
    • Dr.Ravichandra Karkal
       
      classical EEG
Dr.Ravichandra Karkal

WORKUP AND DIAGNOSIS OF A SOLITARY THYROID NODULE from Townsend: Sabiston Textbook of S... - 0 views

  • Rapid growth and signs of possible invasion, such as pain or hoarseness, are most suggestive, but not conclusive of malignancy
  • Clinical groups with the highest risk for malignancy in a thyroid nodule are children, males, adults younger than 30 or older than 60 years, and those exposed to radiation therapy, especially during childhood
  • history of specific endocrine disorders
    • Dr.Ravichandra Karkal
       
      medullary carcinoma, MEN 2, or papillary thyroid cancer (PTC), or a history of familial polyposis, including Gardner's syndrome.
  • ...9 more annotations...
  • Serum Tg has been reported as useful in predicting a well-differentiated carcinoma
  • Radioisotope Scanning
  • radionuclide scans allow assessment of thyroid function.
  • Technetium pertechnetate (99mTc) is taken up rapidly by the normal activity of follicular cells. It is trapped by follicular cells, but not organified. 99mTc has a short half-life and low radiation dose. Its rapid absorption allows quick evaluation of increased uptake (so-called hot) or hypofunctioning (so-called cold) areas of the thyroid.
  • 123I and 131I iodine scintigraphy is also used to evaluate the functional status of the gland
  • Advantages of scanning with 123I include a low dose of radiation (30 mrad) and short half-life.
  • 123I is a good choice for evaluating suspected lingual thyroids or substernal goiters.
  • 131I has a longer half-life (8 days) and emits higher levels of β-radiation. 131I is optimal for imaging thyroid carcinoma.
  • screening modality of choice for the evaluation of distant metastasis.
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