Health Insight

2011-11-27T06:14:00.002+07:00

Self-Reported Results of Cutaneous Lupus about Quality associated with LifePrevalence regarding self-report photosensitivity throughout cutaneous lupus erythematosus.Journal Am. Acad. Dermatol. 2011 July 8What is a topic?Ultraviolet radiation from the sun can certainly worsen signs and symptoms of cutaneous lupus (CLE). “Photosensitivity” describes a range of reactions to be able to sun

Lupus Symptoms in Women

2011-10-21T06:22:00.005+07:00

Lupus is usually an uncommon, complex plus improperly perceived situation that will impacts numerous portions of the entire body plus brings about many different signs including mild to help life-threatening. Lupus is usually an autoimmune situation, which means that it is attributable to difficulty the health (the body’s organic support alongside illness plus contamination). Quite a few popular

Do Acid Reflux Drugs and Antacids Really Work?

2011-09-19T07:55:00.000+07:00

Sooner or later you knew it was going to happen. Eventually you just had to admit everything you've tried has failed to cure your acid reflux. But don't blame yourself; it's not your fault. Pharmaceutical companies have spent billions of dollars convincing you and half the US population that acid reflux and(Gastro-Esophageal Reflux Disease) GERD are simple drug deficiencies. You're NOT alone here

TOP 1 Oli Sintetik Mobil-Motor Indonesia

2011-09-14T23:13:00.001+07:00

TOP 1 Oli Sintetik Mobil-Motor Indonesia Kontes SEO dari Top onePeraturan TOP 1 SEO Championship 2011:Tanggal dimulainya SEO Contest adalah 26 Juli 2011 (Jam 12:00 wib).Tanggal berakhirnya SEO Contest adalah 30 Oktober 2011 (Jam 12:00 wib).Pengumuman pemenang dilakukan bulan November 2011.Tidak diperbolehkan adanya unsur pornografi, diskriminasi, atau tindakan yang melanggar hukum dalam

Autoimmune Hemolytic Anemia (AIHA) - symptoms of anemia

2011-09-13T13:54:00.000+07:00

Anemia and autoimmune disease What is?Anemia is the result of variations in blood hemoglobin decreased. Autoimmune process (the process of attacking its own immune system cells), one of which is anemia caused by various reasons. Hemoglobin, anemia before and had dropped, and red blood cells as a result of the autoimmune process vulnerable.Do you experience the process like?AIHA (autoimmune

Heart failure guidelines : strategies for implementation

2011-04-03T15:32:00.002+07:00

A 50-year-old man is evaluated during a routine follow-up office visit for heart failure, which was diagnosed 1 year ago. A stress test at the time of diagnosis was negative for ischemia. At his most recent evaluation 4 months ago, an echocardiogram showed left ventricular enlargement and hypertrophy, a left ventricular ejection fraction of 40%, and no significant valvular disease. An

Systolic Heart Failure

2011-04-03T14:05:00.002+07:00

A 58-year-old man is evaluated in the office for a 3-month history of shortness of breath with exertion. He has a 10-year history of hypertension and type 2 diabetes mellitus but no history of coronary artery disease. His medications are extended-release metoprolol, aspirin, metformin, and atorvastatin.On physical examination, blood pressure is 165/92 mm Hg and heart rate is 88/min. Jugular

Acute Myocarditis

2011-04-03T13:50:00.003+07:00

A 26-year-old woman is hospitalized because of a 7-day history of increasing shortness of breath. Two weeks ago, she had flu-like symptoms of fever, muscle aches, and chest pain, which have since resolved. She does not take any medications.On physical examination, temperature is 37 °C (98.6 °F), blood pressure is 120/79 mm Hg, and heart rate is 100/min and regular. The lungs are clear. Cardiac

Heart Failure

2011-04-03T13:03:00.002+07:00

A 68-year-old woman is hospitalized with palpitations and shortness of breath. She has a history of hypertension and chronic atrial fibrillation, and her medications are furosemide, candesartan, and warfarin. On physical examination, the heart rate is 120/min with an irregularly irregular rhythm, and blood pressure is 130/80 mm Hg with no evidence of pulsus paradoxus. She has an elevated jugular

Cardiomyopathy

2011-04-01T19:00:00.002+07:00

A 38-year-old man is hospitalized with palpitations and dyspnea. He has no significant medical history and does not take any medications. He has a 20-pack-year smoking history and drinks alcohol daily. He does not use illicit drugs.On physical examination, temperature is 36.9 °C (98.5 °F), blood pressure is 120/80 mm Hg, and heart rate is 115/min. Jugular venous pressure is normal. The lungs are

Premature Ventricular Contractions

2011-04-01T18:54:00.002+07:00

A 33-year-old man is evaluated in the office for palpitations. He reports intermittent symptoms that do not correlate with any particular activity. He is only mildly disturbed by the palpitations but wants to have his heart evaluated. His medical history is unremarkable, and he takes no medications. His physical examination and electrocardiogram also are unremarkable. A 24-hour electrocardiogram

Asymptomatic Atrial Fibrillation

2011-04-01T18:51:00.001+07:00

A 56-year-old man is evaluated in the office during a routine physical examination. He has no cardiovascular complaints. His medical history is unremarkable.On physical examination, heart rate is approximately 90/min and irregularly irregular, and blood pressure is 130/78 mm Hg. Except for the abnormal cardiac rhythm, the remainder of the examination is unremarkable.The electrocardiogram

Atrial Fibrilation

2011-03-31T16:08:00.002+07:00

A 78-year-old man is evaluated in the emergency department for a 1-week history of palpitations and weakness. He has had multiple similar episodes in the past year but has never sought treatment. His other medical problems include hypertension and type 2 diabetes mellitus, and his medications are lisinopril, hydrochlorothiazide, and metformin. He has no history of heart disease and had a normal

Acute Coronary Syndrome

2011-03-31T15:59:00.002+07:00

A 49-year-old man is evaluated in the emergency department for chest discomfort accompanied by nausea and dyspnea that began 2 hours ago. On physical examination, blood pressure is 109/78 mm Hg and heart rate is 88/min. There is no jugular venous distention and no carotid bruits. The lungs are clear. Cardiac examination shows a normal S1 and S2 and no gallops, rubs, or murmurs. The troponin level

Acute Inferior ST-elevation Myocardial Infarction

2011-03-31T15:26:00.002+07:00

A 64-year-old woman is evaluated in the emergency department 6 hours after the onset of severe crushing chest pain associated with diaphoresis, nausea, and vomiting. Her medical history is significant only for hyperlipidemia; her medications are atorvastatin and aspirin. On physical examination, blood pressure is 140/88 mm Hg, and heart rate is 88/min. The lungs are clear, and no cardiac murmurs

Coronary artery **

2011-03-29T20:29:00.002+07:00

A 32-year-old woman is brought to the hospital with chest pain after a party. She has had similar pain previously, primarily in the morning and rarely with exertion. The pain usually subsides spontaneously and occasionally is associated with diaphoresis but rarely with dyspnea. She almost lost consciousness at work during the most recent episode. The patient has occasionally inhaled cocaine. She

Shock

2011-03-29T20:21:00.001+07:00

A 53-year-old man with long-standing ischemic cardiomyopathy is admitted to the intensive care unit with hypotension following a 24-hour episode of viral gastroenteritis. He is given intravenous fluids. The following day he develops chest pain, shortness of breath, and mental status changes.On physical examination, temperature is 38.2 °C (100.8 °F), heart rate is 100/min, blood pressure is 75/45

Cardiac Arrest

2011-03-29T20:18:00.001+07:00

An elderly man collapses in an airport. A physician who witnesses the collapse checks his pulse and respirations and finds neither.Which of the following is the most important determinant for short-term survival in this patient? A Time to cardiopulmonary resuscitation B Time to defibrillation C Time to intubation D Time to transport to the hospitalKey PointTime to defibrillation is the most

Multivessel Coronary Artery Disease

2011-03-29T20:13:00.002+07:00

A 69-year-old man has been treated medically for chronic stable angina for 7 years. Over the past 6 months, he has been noticing some mild neck discomfort brought on by playing tennis. He has a 15-year history of type 2 diabetes mellitus. His medications are metoprolol, aspirin, atorvastatin, and insulin.Results of the physical examination are unremarkable. An electrocardiogram shows a pattern of

Acute viral pericarditis

2011-03-29T20:09:00.002+07:00

A 26-year-old woman is evaluated for sharp left precordial chest pain preceded by 2 to 3 days of sore throat, diffuse myalgias, and malaise. The chest pain is nonradiating and is aggravated by deep breaths. She does not have cough, dyspnea, fever, dizziness, or palpitations. She has always been healthy and does not use illicit drugs. A member of her immediate family was recently diagnosed with

Arterial ischemia

2011-03-29T20:01:00.002+07:00

A 72-year-old man is evaluated in the office for bilateral leg pain and cramping after walking briskly up an incline. The pain is in the distal thigh and calf and is worse on the right side. He has no pain when walking downhill. The patient has a 100-pack-year smoking history, type 2 diabetes mellitus, hypertension, and heart failure. His medications are captopril, furosemide, atenolol,

Idiopathic pulmonary fibrosis

2011-01-20T11:50:00.000+07:00

A 70-year-old man is evaluated in the office for dyspnea on exertion. He reports feeling well until about 8 months ago, when he developed slowly progressive shortness of breath. He also developed an intermittent dry cough. He does not have chest pain, fever, or chills. He has no other medical problems, has never smoked cigarettes, and takes no medications other than an occasional aspirin. He is a

CREST syndrome

2011-01-20T11:42:00.002+07:00

A 48-year-old man is evaluated in the office for progressive exertional dyspnea and a nonproductive cough. He is an ex-smoker (30-pack-years) and has gastroesophageal reflux disease, hypertension, and hypothyroidism. His medications are a proton pump inhibitor, an angiotensin-converting enzyme inhibitor, and thyroid hormone replacement.On physical examination, blood pressure is 140/88 mm Hg,

Antihypertensive therapy in pregnancy

2010-07-14T19:52:00.000+07:00

A 35-year-old woman who is 15 weeks pregnant is referred for evaluation of chronic hypertension. She discontinued her antihypertensive regimen when she learned that she was pregnant.On physical examination, heart rate is 90/min and blood pressure is 160/98 mm Hg. Cardiac and pulmonary examinations are normal.Laboratory StudiesBlood urea nitrogen 6 mg/dLCreatinine 0.6 mg/

Multidrug antihypertensive therapy

2010-07-14T12:40:00.000+07:00

A 59-year-old black man is evaluated during a routine follow-up office visit. He has occasional headaches but has otherwise been well. He had an anterior myocardial infarction 18 months ago and has hypertension, compensated congestive heart failure, type 2 diabetes mellitus, dyslipidemia, and mild chronic renal insufficiency. He is compliant with therapy, which includes metoprolol, lisinopril,