July 5th, 2011 by admin in News
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A strong abdominal exam is a must-have clinical skill for an aspiring healthcare professional. Diagnoses spanning cirrhosis, appendicitis, hernias, peritonitis, aortic aneurysms, and cholecystitis, for example, can be suspected and even made via abdominal exam.
Unfortunately, secondary to factors which include an increasing dependence on imaging and other diagnostics, time constraints in the practice of medicine, and fewer chances for bedside instruction in medical education with work-hour regulations, physicians rely increasingly less on their physical exam skills today than has been the case in the past.
In that manner, here we review the Answers in Abdominal Examination App, released in May 2011 by Answers in Medicine. Answers in Medicine, which specializes in presenting medical content via short modules in audio or video format for healthcare professionals, has developed a number of medical apps, including Answers in Alcoholic Liver Disease, Answers in Ulcerative Colitis, Answers in Crohn’s Disease, Answers in Irritable Bowel Syndrome, and Answers in Dyspepsia, to name several. Read more »
*This blog post was originally published at iMedicalApps*
July 5th, 2011 by admin in Health Policy, Health Tips
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If you are a smoker, or love someone who smokes, the specter of lung cancer is ever looming. Wouldn’t it be great if there was a way to detect lung cancer in its earliest and most curable stages, much like the goal of mammograms for breast cancer?
Although it seems like common sense to do such advance checks—a process called lung cancer screening—studies to date haven’t shown that finding lung cancer early translates into fewer deaths from the disease.
A new report in the New England Journal of Medicine suggests that screening heavy smokers with yearly low-dose CT scans can reduce deaths from lung cancer by 20% compared to screening with chest x-rays. The results are from the National Lung Screening Trial, which included more than 53,000 current and former heavy smokers between the ages of 55 and 74. (Preliminary results from this trial were covered in the Harvard Health Letter and in the Harvard Health blog.) Read more »
*This blog post was originally published at Harvard Health Blog*
July 3rd, 2011 by admin in Health Tips
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What do slouching, back pain, and a middling forehand or weak shot off the tee have in common? Often it’s a weak core—the girdle of muscles, bones, and joints that links your upper and lower body. Your core gives you stability and helps power the moves you make every day. Whether it’s bending to pick up a laundry basket, swinging a golf club, paddling a kayak, or reaching to pull a vase from the top shelf of a cabinet, a strong and flexible core makes the move more fluid, efficient, and robust. Strong, well-balanced core muscles can also improve your posture and help prevent back injuries. And if back pain does strike, core exercises are usually part of the rehab regimen.
Core Muscles
Click image to enlarge.
Your core is composed of many different muscles in the abdomen, back, sides, pelvis, and buttocks. These muscles work together to allow you to bend, twist, rotate, and stand upright. |
For all these reasons, more and more people are incorporating core exercises into their fitness routines. If you’re among them, or planning to be, it’s critical to pay attention to proper form. Read more »
*This blog post was originally published at Harvard Health Blog*
June 30th, 2011 by admin in Health Policy, Opinion
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According to Kendra Blackmon at FierceEMR.com and a new study published by the National Institute of Standards and Technology (NIST), the answer is maybe.
Earlier this year, NIST published a report – Human Factors Guidance to Prevent Health care Disparities with the Adoption of EHRs – which declares that “wide adoption and Meaningful Use of EHR systems” by providers and patients could impact health care disparities.
Making this happen, however, will require a different way of thinking about electronic health records (EHRs). While the report notes that EHRs primarily are used by health care workers, patients still interact with these systems both directly – such as through shared use of a display in an exam room – and indirectly. For patients to obtain the intended benefits of this technology, EHR systems should display or deliver information in a way that is suitable for their needs and preferences, the report says. Read more »
*This blog post was originally published at Prepared Patient Forum: What It Takes Blog*
June 30th, 2011 by admin in Opinion
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Pediatric Emergency Drugs is designed to be a quick med list calculator for pediatric emergencies. For folks who deal with pediatric emergencies have the challenge of not only determining the proper drugs to use, but also to get the dosage right by age.
At the first page you are met with a screen to enter the age of the child and either allow the program to pick the estimated weight or put your own weight in. This is a nice feature as often in pediatric emergencies patients arrive through the door needing immediate care and a weight is unavailable. The estimated weight it appears to pick is the 50% for a boy of the selected age. Allowing you to pick the gender of the child would be helpful in narrowing down the weight a little further since girls of a given age would weigh a little less. Another option would be to allow the use of Broselow colors. These days the standard for most ERs is the Broselow tape which is a plastic foldable tape that doses based on length.
Once you select your patient you have a section of drugs broken down into: cardiac arrest meds, infusions, and bolus drugs. The cardiac arrest meds are short a few drugs. There are no drugs for treating ventricular fibrillation (amiodarone) and they do not make mention of the dose of electricity for synchronized cardioversion (only for defibrillation). The infusion list assumes you are mixing all drugs in 50mL bags which is not usually the case. (we usually use 100 or 250mL bags for drips). Also, in America thanks to JCAHO regs medicated infusions need to be have standardized concentrations and not use the “rule of 6” employed by this program. The list of bolus drugs is missing a few key drugs as well such as midazolam and hydrocortisone for sepsis. Read more »
*This blog post was originally published at iMedicalApps*
A strong abdominal exam is a must-have clinical skill for an aspiring healthcare professional. Diagnoses spanning cirrhosis, appendicitis, hernias, peritonitis, aortic aneurysms, and cholecystitis, for example, can be suspected and even made via abdominal exam.
