tag:blogger.com,1999:blog-30018777Wed, 10 Aug 2011 21:11:57 +0000Apgar scoreResearchScreeningGrandroundsIdealistCeliac diseasePsychiatryGeneticsPADHealth Care ReformTestingPolioUSPSTFDietGlucosePersonality TestAnthraxAfricamarrowdriveAsthmaASDGuidelinesDiabetesAcetaminophenBlood drawingBreast CancerWomen PhysiciansCVSPhlebotomyanimationsDPTHarrisonVirginia ApgarUltrasoundDrugsCardiologyPink Glove DanceFamily MedicineTBLearningmedical podcastmedical roundsResidencyHypothesisSmallpoxBonemarrowMetaanalysisPreventionAtorvastatinAncestryOriginsDiagnosisCaloriesHelpDepressionpodcastvWDHIVCO PosioningLungSaveNeurolgyMankindAlumniAwarenessJanuviaStatinsEndocrinologyLecturestethescopeembryologyAIDSImmunizationPatientssurgeryStop TBLuminetxFRAXConferenceFoodTuberculosisWegener'sMMROsteoporosisHealthIndianeurologyCVASkin lesionsInternetPRESPrevalenceTIAHeartsoundshuman developmentVeinviewerEclampsia2010KeirseyCyberoundsPoemdonationEBMdonorArtsBloodHypercalcemiaNutritionXDRNiraliimedicineTreatmentElastographyAutismVaccinesHeartstrokeTiger DocsCDCmedicine-an intern's initiation.http://www.drpenukonda.com/noreply@blogger.com (drpen)Blogger75125tag:blogger.com,1999:blog-30018777.post-7576796239069728896Sat, 22 May 2010 12:59:00 +00002010-11-20T09:34:59.820-06:00Personality TestKeirseyIdealistI recently completed the Keirsey Temperament Sorter (the world's most widely used personality test) at www.keirsey.com. It was easy - took about 10 minutes, and my free results are interesting. Here's a brief description from what I learned from my free Keirsey Temperament report: My personality type: Idealist. Idealists as a temperament, are passionately concerned with personal growth and http://www.drpenukonda.com/2010/05/keirsey-temperament-sorter-ii-report.htmlnoreply@blogger.com (drpen)0tag:blogger.com,1999:blog-30018777.post-3838580122331294376Fri, 21 May 2010 04:12:00 +00002010-05-20T23:16:37.597-05:00Flashcards and educational games by StudyStack-- Post From My iPadhttp://www.drpenukonda.com/2010/05/antihypertensives-sideeffects.htmlnoreply@blogger.com (drpen)0tag:blogger.com,1999:blog-30018777.post-8035673656875353340Fri, 21 May 2010 03:57:00 +00002010-05-20T23:08:22.147-05:00Flashcards and educational games by StudyStack-- Post From My iPadhttp://www.drpenukonda.com/2010/05/antihypertensive-drugs-study-table.htmlnoreply@blogger.com (drpen)0tag:blogger.com,1999:blog-30018777.post-5375010161080836931Sat, 01 May 2010 19:22:00 +00002010-05-01T23:30:31.818-05:00Location:Hudson Theater, NYChttp://www.drpenukonda.com/2010/05/live-blogging-hiv-2010-nyc.htmlnoreply@blogger.com (drpen)0tag:blogger.com,1999:blog-30018777.post-8749790536741043658Sat, 01 May 2010 18:52:00 +00002010-05-01T13:52:57.129-05:00Inflammatory Biomarkers - Dr.Sally L. Hodder MDhsCRP, IL-6, TNF-alpha, ICAM-1, D-dimer are associated with increase all cause mortality in HIV infected patients.Evidence supports a role for inflammation playing a role in CVD, malignancy, and liver disease.In general population Rosuvastatin decreases mortality and CVD in persons with elevated hsCRP and LDL < 130.Optimal biomarker for targeted http://www.drpenukonda.com/2010/05/hiv-2010-day-2-after-break.htmlnoreply@blogger.com (drpen)0tag:blogger.com,1999:blog-30018777.post-8059289305936140840Sat, 01 May 2010 14:55:00 +00002010-05-01T09:55:54.482-05:00Live Blogging : Day 2"There are two ways to live Life, one is to live as nothing is a miracle and the other is to live like everything is a miracle." - Einstein'One Million People Saved - 60 Million Served.' with Anti Retro Viral Therapy for HIV. There is no other drug, invention, procedure in the medical world which can come close to this Miracle in the last 10 years- John Bartlett http://www.drpenukonda.com/2010/05/hiv-ny-course-day-2.htmlnoreply@blogger.com (drpen)0tag:blogger.com,1999:blog-30018777.post-6252443058236019280Sat, 01 May 2010 03:58:00 +00002010-05-01T23:29:31.210-05:00Live Blogging:Awaiting speakers...Just met Dr.Robert Klein MD, Director of Clinical Research, ID dept, Mt.Sinai the director of this course.Excited to meet John. Bartelett MD, the ID Chief from Johns Hopkins.I didn't see any one from my previous institution UMDNJ?Just Started... Dr.Klein delivering Opening remarks-8th year of the course...more than 1/3rd from other countries from all over the http://www.drpenukonda.com/2010/04/hiv-management-2010-new-york-course.htmlnoreply@blogger.com (drpen)0tag:blogger.com,1999:blog-30018777.post-3126719302865683065Sun, 18 Apr 2010 14:36:00 +00002010-04-18T09:48:55.056-05:00Revolution in making . I am fascinated by what an iPad can do for you? My work as a physician is transformed by this ingenious little device. I am reading my journals in clear print on go. Counseling my patients by demonstrating the anatomy or their problems, showing the videos of procedures they might undergo on big screen just before their surprised eyes! Calculating fluid deficits, running http://www.drpenukonda.com/2010/04/how-to-use-ipad-doctor-perspective.htmlnoreply@blogger.com (drpen)0tag:blogger.com,1999:blog-30018777.post-2364294606591983582Tue, 30 Mar 2010 03:58:00 +00002010-03-29T23:05:18.182-05:00Virginia ApgarWomen PhysiciansApgar scoreChanging the face of Medicine : Celebrating America's Women Physicians! Virginia Apgar with a newborn baby, 1958. Virginia Apgar, M.D., the first woman to become a full professor at Columbia University College of Physicians and Surgeons, designed the first method for evaluating the newborn's transition to life outside the womb—the Apgar Score. Virginia Apgar originally trained as a surgeon, but http://www.drpenukonda.com/2010/03/lady-behind-apgar-score.htmlnoreply@blogger.com (drpen)0tag:blogger.com,1999:blog-30018777.post-7876443902234221581Thu, 25 Mar 2010 22:25:00 +00002010-03-25T17:26:48.107-05:00PatientsInternetmedicine Medicine has built on a long history of innovation, from the stethoscope and roentgenogram to magnetic resonance imaging and robotics. Doctors have embraced each new technology to advance patient care. But nothing has changed clinical practice more fundamentally than one recent innovation: the Internet. Its profound effects derive from the fact that while previous technologies have been fullyhttp://www.drpenukonda.com/2010/03/untangling-web-patients-doctors-and.htmlnoreply@blogger.com (drpen)0tag:blogger.com,1999:blog-30018777.post-157669708217384805Wed, 24 Mar 2010 13:15:00 +00002010-03-24T08:15:06.048-05:00Stop TBmedicineCDCTB Elimination: Together We Can!March 24, World TB Day, marks the day in 1882 that Dr. Robert Koch discovered the bacteria that causes tuberculosis. Approximately one third of the world's population is infected with tuberculosis, and two million people die from it every year. http://www.drpenukonda.com/2010/03/world-tb-day-2010.htmlnoreply@blogger.com (drpen)0tag:blogger.com,1999:blog-30018777.post-1618820769753068619Tue, 23 Mar 2010 08:31:00 +00002010-03-23T03:34:08.090-05:00Family Medicine2010Health Care Reform"The conglomeration what we call Society is built upon a tripod- the School, the Hospital, the Jail, which minister respectively to the Manners, the Maladies and the Morals of man." - William Osler. To tell the stories, as a family physician always does, I can give three examples, from my experience as a budding primary care physician, just to prove the above reform would bring positive change http://www.drpenukonda.com/2010/03/my-take-on-health-care-reform-bill.htmlnoreply@blogger.com (drpen)0tag:blogger.com,1999:blog-30018777.post-6234601482205780095Thu, 18 Feb 2010 03:27:00 +00002010-02-17T21:29:27.883-06:00Family MedicineTiger DocsAlumniToday In Hospital: 18 y/o with Sepsis and seizure disorder  in ICU. 48 y/o with Osteomyelitis, DM-2  . 90 y/o with Ac. Cholecystitis and chronic CHF, EF<15%. 30 y/o with Nephrotic Syndrome and Pleural Effusions. 47 y/o with Wellbutrin OD and Anoxic encephalopathy who sprung back to life. In Clinic: 64 y/o with Uncontrolled to well controlled HTN. 52 y/o with Acne Rosacea. 2 y/o  with Lead http://www.drpenukonda.com/2010/02/make-em-well-tiger-doc.htmlnoreply@blogger.com (drpen)0tag:blogger.com,1999:blog-30018777.post-3504452885751527019Wed, 13 Jan 2010 03:34:00 +00002010-01-12T21:35:42.180-06:00GuidelinesOsteoporosisFRAXNAMS recommends osteoporosis drug therapy in the following populations: 1. All postmenopausal women who have had an osteoporotic vertebral or hip fracture 2. All postmenopausal women who have BMD values consistent with osteoporosis (ie, T-scores < -2.5) at the lumbar spine, femoral neck, or total hip region 3. All postmenopausal women who have T-scores from -1.0 to -2.5 and a 10-year risk, http://www.drpenukonda.com/2010/01/management-of-osteoporosis-in.htmlnoreply@blogger.com (drpen)0tag:blogger.com,1999:blog-30018777.post-4916740937529563407Wed, 13 Jan 2010 03:24:00 +00002010-01-12T21:25:38.423-06:00GuidelinesTestingCeliac diseaseRecommendations When to offer testing 1.1.1 Offer serological testing for coeliac disease to children and adults with any of the following signs and symptoms: • chronic or intermittent diarrhoea • failure to thrive or faltering growth (in children) • persistent or unexplained gastrointestinal symptoms including nausea and vomiting • prolonged fatigue (‘tired all the time’) • recurrent http://www.drpenukonda.com/2010/01/celiac-disease-recognition-and.htmlnoreply@blogger.com (drpen)0tag:blogger.com,1999:blog-30018777.post-7780225593721343846Sat, 19 Dec 2009 02:38:00 +00002009-12-18T20:38:14.109-06:00PrevalenceAutismCDCNearly 1 in 100 American 8-year-olds struggle with autism, Asperger’s syndrome or a related developmental problem, according to a study that health officials released on Friday. The estimate is the highest to date of so-called autism spectrum disorders from the Centers for Disease Control and Prevention, which tracks health trends. The spectrum includes a range of disorders, from severe autism http://www.drpenukonda.com/2009/12/study-increases-prevalence-of-autism.htmlnoreply@blogger.com (drpen)0tag:blogger.com,1999:blog-30018777.post-1753556594519665860Sat, 12 Dec 2009 23:01:00 +00002009-12-12T17:04:52.748-06:00PreventionCDCCO Posioninghttp://www.drpenukonda.com/2009/12/blog-post_12.htmlnoreply@blogger.com (drpen)0tag:blogger.com,1999:blog-30018777.post-1163392971438243269Fri, 11 Dec 2009 03:06:00 +00002009-12-10T21:07:48.516-06:00LectureResidencyvWDVon Willebrand’s Disease http://www.drpenukonda.com/2009/12/von-willebrand-disease.htmlnoreply@blogger.com (drpen)0tag:blogger.com,1999:blog-30018777.post-5016674391125786784Thu, 10 Dec 2009 06:08:00 +00002009-12-10T00:24:53.421-06:00GuidelinesAIDSHIVThese are the key changes that were made in the Updated Guidelines for Use of Antiretroviral therapy in HIV-1 infected Adults and Adolescents - Dec1st, 2009.Initiation of Antiretroviral TherapyIn this updated version of the guidelines, the Panel recommends earlier initiation of antiretroviral therapy with the following specific recommendations:• Antiretroviral therapy should be initiated in all http://www.drpenukonda.com/2009/12/hiv-aids-updated-guidelines.htmlnoreply@blogger.com (drpen)0tag:blogger.com,1999:blog-30018777.post-557526239489619794Sun, 06 Dec 2009 07:29:00 +00002009-12-06T01:40:38.028-06:00Pink Glove DanceBreast CancerAwarenesshttp://www.drpenukonda.com/2009/12/pink-glove-dance-for-breast-cancer.htmlnoreply@blogger.com (drpen)0tag:blogger.com,1999:blog-30018777.post-8511722042444847186Sun, 06 Dec 2009 05:38:00 +00002009-12-06T00:02:56.436-06:00DepressionUSPSTFScreeningSummary of Recommendation and Evidence:The USPSTF recommends screening adults for depression when staff-assisted depression care supports are in place to assure accurate diagnosis, effective treatment, and follow-up. Grade: B recommendation.The USPTF recommends against routinely screening adults for depression when staff-assisted depression care supports are not in place. There may be http://www.drpenukonda.com/2009/12/screening-for-depression-in-adults.htmlnoreply@blogger.com (drpen)0tag:blogger.com,1999:blog-30018777.post-4856089242129642956Sun, 06 Dec 2009 05:34:00 +00002009-12-06T00:06:51.754-06:00ElastographyUltrasoundSkin lesionsHigh-frequency ultrasound with elastography can help differentiate between cancerous and benign skin conditions, according to a study presented today at the annual meeting of the Radiological Society of North America (RSNA).Suspicious skin lesions are typically diagnosed by dermatologists and biopsied based on their surface appearance and characteristics. Unfortunately, even to experienced http://www.drpenukonda.com/2009/12/ultrasound-for-skin-cancer.htmlnoreply@blogger.com (drpen)0tag:blogger.com,1999:blog-30018777.post-7967713434158818549Sun, 29 Nov 2009 20:33:00 +00002009-12-06T02:10:16.797-06:00AsthmaAcetaminophenMetaanalysisAcetaminophen Use and the Risk of Asthma in Children and Adults: A Systematic Review and Metaanalysis.Chest November 1, 2009 136:1316-1323http://chestjournal.chestpubs.org/content/136/5/1316.abstractThe results of the review are consistent with an increase in the risk of asthma and wheezing in both children and adults exposed to acetaminophen. Future studies are needed to confirm these results.http://www.drpenukonda.com/2009/11/acetaminophen-use-and-risk-of-asthma.htmlnoreply@blogger.com (drpen)0tag:blogger.com,1999:blog-30018777.post-7753422687985023411Sat, 28 Nov 2009 20:57:00 +00002009-11-28T15:10:56.539-06:00HypercalcemiaTreatmentEBMIn the case of hypercalcemia, this study (1) found that the generally accepted, and still recommended in many text books, “standard of care” treatment with loop diuretics is based on Level C recommendations, anecdotal evidence, and in some cases “historical precedent and common practice” in contrast to Class I and Level A evidence supporting hydration, bisphosphonates and calcitonin. Only by http://www.drpenukonda.com/2009/11/evidence-based-treatment-of.htmlnoreply@blogger.com (drpen)0tag:blogger.com,1999:blog-30018777.post-5633418268398877906Mon, 11 May 2009 10:32:00 +00002009-11-28T15:16:23.383-06:00LearningHypothesisDiagnosis. .the framing of hypotheses is the most difficult part of scientific work, and the part where great ability is indispensable. So far, no method has been found which would make it possible to invent hypotheses by rule. Usually some hypothesis is a necessary preliminary to the collection of facts, since the selection of facts demands some way of determining relevance. Without something of this http://www.drpenukonda.com/2009/05/hypothesis-diagnosis.htmlnoreply@blogger.com (drpen)0