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27th March, 2010, Saturday
High resolution ultrasound for giant cell arteritis
The American College of Rheumatology 1990 criteria for the diagnosis of giant cell arteritis require the presence of three of the following: age 50 years or older; new onset of localized headache; temporal artery tenderness on palpation or decreased pulsation; erythrocyte sedimentation rate of 50 mm/hour or higher and abnormal temporal artery biopsy.
Rapid diagnosis and initiation of treatment are mandatory because of the potential for irreversible vision loss, the most feared complication associated with this most common of adult vasculitidies.
A meta analysis by Dr Aikaterini Arida, and colleagues from Athens University Medical School in Greece showed that a halo sign detected on ultrasound, indicating edema of the temporal artery, is both sensitive and specific for giant cell arteritis. The presence of a unilateral halo sign has an overall sensitivity of 68% and specificity of 91%. With a bilateral halo sign, the sensitivity and specificity are 43% and 100%, respectively.
Dr KK Aggarwal
Laughter the best medicine
Prisoner: Look here, doctor! You’ve already removed my spleen, tonsils, adenoids, and one of my kidneys. I only came to see if you could get me out of this place!
Intensivist: I am, bit by bit.
Formulae in Critical Care
Venous oxygen concentration (CvO2)
CvO2 is venous oxygen content as blood returns to heart.
Formula: CvO2 = (1.34 × Hgb × SvO2) + (PvO2 + 0.0031) Formulae in Clinical Practice 17 Critical Care Manual
Normal value: 15.5 volume %. or 15.2 ml O2/dL.
Milestones in Orthopedics
Martin Benno Schmidt (1863 – 1949) was a German pathologist.
Schmidt also performed important studies regarding the metastasis of tumors, and with pathologist Ludwig Aschoff (1866 – 1942), he published a treatise on pyelonephritis called Die Pyelonephritis in anatomischer und bakteriologischer Beziehung.
Mistakes in Clinical Practice
A very common error is calling the drugs in short forms or half pronunciation of their names. It’s due to rapid changing nursing and medical officer–on–duty staff in the emergency departments. The hospital guidelines should be clear to write full name and not abbreviations or half names.
Lab Test (Dr Naveen Dang)
hs–CRP is used as a marker for assessing the risk for heart disease.
List of Approved drug from 1.01.2009 to 31.10.2009
ZEN IMMUNE–FACT SHEET
Zen Immune Beauty helps improve the brittleness of nails and increase the hair tensile strength, thus preventing hair loss. It stimulates regeneration of hair roots, helps prevention of comedone formation and post comedone skin scarring in acne vulgaris.
Advertising in eMedinewS
eMedinewS is the first daily emedical newspaper of the country. One can advertise with a single insertion or 30 insertions in a month.
Will be organized at Maulana Azad Medical College, New Delhi on July 4, 2010, Sunday to commemorate Doctors’ Day. The speakers, chairpersons and panelists will be doctors from NCR, who have been past and present Padma awardees.
The second eMedinewS–revisiting 2010 conference will be held at Maulana Azad Medical College, New Delhi on January 2, 2011. The event will have a day–long CME, Doctor of the Year awards, cultural hungama and live webcast. Suggestions are invited.
NATIONAL SEMINAR ON STRESS PREVENTION (17 – 18 April). Over 400 registrations already done.
A Stress Prevention Residential Seminar cum spiritual retreat with Dr KK Aggarwal and Experts from Brahma Kumaris will be organized from April 17–18, 2010.
Co–organizers: eMedinews, Brahma Kumaris, Heart Care Foundation of India, IMA New Delhi Branch and IMA Janak Puri Branch, IMSA (Delhi Chapter)
Venue: Om Shanti Retreat Centre, National Highway 8, Bilaspur Chowk, Pataudi Road, Near Manesar.
Timings: On Saturday 17th April (2 pm onwards) and Sunday 18th April (7 am–4 pm). There will be no registration charges, limited rooms, kindly book in advance; stay and food (satvik) will be provided. Voluntary contributions welcome. For booking e–mail and SMS to Dr KK Aggarwal: 9811090206, firstname.lastname@example.org BK Sapna: 9811796962, email@example.com
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