Thursday, 23 August 2012

MEDICAL STUDENTS’ SYNDROME

In the past year, I had diagnosed myself with HIV, lymphoma, ovarian cancer, head/neck squamous cell cancer, a brain tumor, colon cancer,  One day while voraciously checking out my throat for signs of cancer, I actually saw my epiglottis and though it was a TUMOR!  Whenever I read about parasites, I think all food and my lovely cats around me have the infective stages.  The first symptom Jessica McPherson noticed was a weakness in her arms. Then her muscles began to twitch....

Monday, 20 August 2012

Grandparents forgets their verbs - Naming ability changes in physiological and pathological aging

Over the last two decades, age-related anatomical and functional brain changes have been characterized by evidence acquired primarily by means of non-invasive functional neuroimaging. These functional changes are believed to favor positive reorganization driven by adaptations to system changes as compensation for cognitive decline. These functional modifications have been linked to residual brain plasticity mechanisms, suggesting that all areas of the brain remain plastic during physiological...

A bleeding stomach - Dieulafoy's Lesion

A 67-year-old man was admitted after 1 day of melena and hematemesis. Thirty years earlier, he had undergone a Billroth type I operation (gastroduodenostomy) for treatment of peptic ulcer disease. Gastroscopy revealed a spurting vessel in the duodenum, just beyond the gastroduodenal anastomosis. Injection of epinephrine and the use of endoscopic clips (arrow) led to complete cessation of bleeding. Since there was no evidence of duodenal ulceration or varices, the bleeding vessel was diagnosed...

Harrison's Principles of Internal Medicine 18th Edition

THE MOST TRUSTED TEXTBOOK IN MEDICINEExtensively revised and expanded by the world's leading physicians, Harrison's Principles of Internal Medicine continues to set the standard as the pinnacle of current medical knowledge and practice, offering the definitive review of disease mechanisms and management. All chapters have been completely updated to reflect the latest knowledge and evidence, and important new chapters have been added, including: "Systems Biology in Health and Disease," "The Human...

Essential Neuroscience 2nd Edition (Lippincott Williams & Wilkins)

Delivers subject matter simply yet meaningfully . . . As burgeoning research advances the field of neuroscience, instructors face the formidable challenge of imparting this ever-increasing and heterogenous body of information to students. Essential Neuroscience, Second Edition is the coherent, balanced solution. Rated outstanding with highest 5-star ranking in the Mayo Clinic Proceedings.This highly acclaimed second edition covers fundamental neuroscience topics, integrating essential...

First Aid for the Internal Medicine Boards, 3rd Edition

The insider's guide to acing the internal medicine boards written by physicians who passed Apply the proven First Aid formula for exam success! New FULL-COLOR design! 5 STAR DOODY'S REVIEW "I wish I had this book when I was studying for my boards. It is well worth the price for both study for the boards and for a quick reference." --  Doody's Review Service (reviewing a previous edition) A complete one-stop review of the most frequently tested topics NEW full-color design NEW...

Sunday, 19 August 2012

Global tobacco epidemic, urgent and immediate intervention required

Tobacco use has long been a leading contributor to premature death, and causes about 9% of deaths worldwide. Presently, the burden of tobacco use is greatest in high-income countries (18% of deaths are attributable to tobacco use), intermediate in middle-income countries (11%), and lowest in low-income countries (4%).However, because rates of smoking are increasing in many low-income and middle-income countries (and decreasing in most high-income countries), the proportion of deaths from tobacco...

Saturday, 18 August 2012

Cell and Molecular Biology (Lippincott's Illustrated Reviews Series)

Lippincott's Illustrated Reviews: Cell and Molecular Biology offers a highly visual presentation of essential cell and molecular biology, focusing on topics related to human health and disease. This new addition to the internationally best-selling Lippincott's Illustrated Reviews Series includes all the popular features of the series: an abundance of full-color annotated illustrations, expanded outline format, chapter summaries, review questions, and case studies that link basic...

BRS Genetics (BOARD REVIEW SERIES)

Widely used by medical students studying for the USMLE Step 1, the Board Review Series (BRS) provides basic knowledge as it relates to clinical situations. BRS Genetics addresses a field that is increasingly taught in shorter courses. Chapters are written in an outline format and include pedagogical features such as bolded key words, tables, algorithms, and numerous illustrations, including a 16-page full-color insert. The book contains nearly 300 USMLE-style questions to help...

Did abortion law killed a pregnant teenager due to delayed chemotherapy?

The mother of a pregnant leukemia patient who died after her chemotherapy was delayed over anti- abortion laws is accusing doctors of not putting her daughter's health first. The 16-year-old's plight attracted worldwide attention after she had to wait for chemotherapy because of an abortion ban in the Dominican Republic. Doctors were hesitant to give her chemotherapy because such treatment could terminate the pregnancy -- a violation of the Dominican Constitution, which...

Goldman's Cecil Medicine, 24th Edition

Since 1927, Goldman's Cecil Medicine has been the world's most influential internal medicine reference. Edited by Lee Goldman, MD and Andrew I. Schafer, MD, with associate editors and contributors who number among the most recognized and respected authorities in the field, Cecil continues to set the standard for all other resources of its kind. This dynamic, multi-media reference - with its practical, straightforward style, accessible organization, evidence-ranked references,...

Friday, 17 August 2012

Little Couch Potatoes Cannot Run Cannot Jump

Childhood is a critical time for the development of motor coordination skills which are essential for health and well-being. Little couch potatoes have worse motor coordination than their active peers, which periodic bouts of exercise may not overcome, Portuguese researchers found. Spending more than three-quarters of the day sedentary appeared to be a significant discriminating factor separating 9- to 10-year-olds with poor coordination from those with good coordination (P<0.05 for...

Lippincott's Illustrated Reviews Biochemistry 5th edition (Lippincott's Illustrated Reviews Series)

Publication Date: July 12, 2010 ISBN-10: 160831412X Edition: Fifth, North American Edition Thoroughly updated for its Fifth Edition, Lippincott's Illustrated Reviews: Biochemistry enables students to quickly review and assimilate large amounts of complex information through powerful visual resources essential to mastery of difficult biochemical concepts. Its signature outline format, full-color illustrations, end-of-chapter summaries, and USMLE-style review questions...

Chinese Man Builds Himself Bionic Hands After 8 Years

If a man without a hand can build a pair of bionic hands for himself, we all should be able to craft ourselves a bright future as long as determination is present. Sun Jifa, a 51-year-old Chinese man who lost both hands when he was building a bomb for blast fishing, just build a new pair of bionic arms WITHOUT having hands. Sun Jifa could not afford the hospital's prosthetic limbs after the explosive for blast fishing detonated prematurely, but desperately needed the use of his...

Walking and Running Again After Spinal Cord Injury

An evening round brought a young patient without obvious injury lying with minimal movement, beside him is a 'comfortable looking' wheelchair. It looks like this patient has been wheelchair bound for some time. Further query revealed this young 23 years old patient involved in a freak accident during an inspection of his lorry along the expressway. He was left paralysed since the age of 21 when he first started working.  Tears build up within this young chap's mother really brought a message...

Thursday, 16 August 2012

A View From the Other Side of the Hospital Bed

I'm currently typing this article under the influence of some heavy pain killers. I was released yesterday from the hospital, where I had been admitted for the past three days. I'm on bed rest right now and have a surgery scheduled next week. Now, let me rewind a few days. Earlier this week, I developed 10/10 (severe) abdominal pain accompanied by nausea, vomiting, chills, and diaphoresis.  To make a long, and miserable story short, I was admitted to a nearby hospital, diagnosed with a...

The crisis in diabetes care

25.8 million Children and adults in the United States—8.3% of the population—have diabetes with 7 million people remained undiagnosed. More so, 79 million people are in the prediabetic state! More than two million Malaysians are unaware that they are diabetic. In Singapore, one out of 9 people aged 18 to 69 has diabetes. That’s about 11.3% of our population or more than 400,000 people! Diabetes is the fifth most common medical condition diagnosed and one of the six top killer diseases in...

DOWNLOAD FIRST AID STEP 1 EXPRESS VIDEO!!!

DOWNLOAD FIRST AID STEP 1 EXPRESS VIDEO!!! ·         More than 600 extra images and multimedia clips enhance First Aid instructor explanations ·         Exclusive 205 page color First Aid Workbook reinforces the highest yield facts when used with the video course ·         No talking heads – we keep you engaged with on-screen highlights and active learning questions ·         Study...

Nail abnormalities

Terry's Nails Proximal paleness extending halfway up the nail, often eliminating the lunula. Darker distal band. Seen in states of stress (e.g. advanced age, liver disease/cirrhosis, CHF, DM2) Lindsay's Nails (Half-and-half Nails) Distal brown transverse band seen in kidney disease. Caused by increased pigment deposition. Beau's Lines Transverse depressed ridges seen in severe infection, MI, hypotension/shock, hypocalcemia, post-surgical, malnutrition and with certain chemotherapy.  Muehrcke's...

Wednesday, 15 August 2012

Chronic Neck Swelling

A young adult male presented with chronic, indolent, inflammatory discharging nodules on the neck of about two years duration. Some older lesions have left scarring behind. Cervical lymph node were enlarged and skin biopsy showed tuberculoid granulomas within the dermis. What is the clinical condition?&nb...

ARTHRITIS

A young girl with chronic diarrhea develops severe joint pains at the knees and elbows. She is found to be HLA-B27 postitive but is seronegative for RF and ANA. These features sugges...

SPOT DIAGNOSIS #1

What is your spot diagnosis? Chronic paronychiaDermatomyositisSelenium deficiency Rheumatoid arthritisPsorias...

Request for journal here!!!!!

To all fellow colleagues, being in the medical school I always face problem in accessing high impact journals. Those of high yield and latest topics are frequently locked to subscription.  I am thus providing a journal sourcing service for free here. Whoever needs to locate a paid journal for free, please send an email to wxwong01@gmail.com. In your email, please introduce yourself (be it nickname or real name), the full title of the paper, the authors, the link to the paper, and if you have the...

Painful Great Toe

An 84 year old woman presents with pain, redness, and swelling of the left great toe, which makes it difficult for her to walk. She is concerned about possible gout. What you should cover Acute gout usually presents as painful inflammation of a single joint. Podagra (inflammation of the first metatarsophalangeal joint) is the most common presentation. Less common presentations include tenosynovitis, bursitis, entrapment neuropathies, and axial gout with back, neck, or radicular pain...

Spray-On Skin Cells Heal Wounds Fast

Spray-on skin cells significantly improved wound healing versus standard care in patients with venous leg ulcers, results of a randomized trial showed. The mean reduction in wound area at 12 weeks ranged from 8% to 16% greater with the mix of keratinocytes and fibroblasts versus placebo (P=0.0446), according to Robert S. Kirsner, MD, PhD, of the University of Miami, and colleagues. The best results occurred with the lowest dose of spray-on cells, which resulted in complete healing in almost a third more patients as compared with the placebo...

BRS Physiology 5th edition

Written by highly regarded physiology professor Linda S. Costanzo, this revised Fifth Edition provides an excellent physiology review for students preparing for the USMLE Step 1. The book concisely covers key physiology principles and includes clinical correlations to emphasize connections between physiology and clinical medicine. NEW! Full-color design, flow charts, illustrations, and tables that summarize information for convenient review Each chapter is written in the popular Board...

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