Tuesday 2 November 2010

U.S Top Hospital Honor Roll (2010-2011) U.S. News and World Report


U.S. News & World Report "U.S Top Hospital Honor Roll" for 2010-2011 (Rank Order):
  1. Johns Hopkins Hospital
  2. Mayo Clinic
  3. Massachusetts General Hospital
  4. Cleveland Clinic
  5. Ronald Reagan UCLA Medical Center
  6. New York-Presbyterian University Hospital of Columbia and Cornell
  7. University of California, San Francisco Medical Center
  8. Barnes-Jewish Hospital/Washington University, St. Louis
  9. Hospital of the University of Pennsylvania
  10. Duke University Medical Center
Johns Hopkins Hospital (Over-all Winner):
  • Johns Hopkins Hospital (Billings Building) is pictured opposite.
  • The hospital was ranked No. 1 in 5 medical specialties & in the top 3 in 7 specialties:
  • Ear, Nose & Throat (1st)
  • Gynecology (1st)
  • Neurology and Neurosurgery (1st)
  • Rheumatology (1st)
  • Urology (1st)
  • Kidney Disorders (2nd)
  • Ophthalmology (2nd)
  • Psychiatry (2nd)
  • Cardiology & Heart Surgery (3rd)
  • Diabetes and Endocrinology (3rd)
  • Gastroenterology (3rd)
  • Geriatrics (3rd)
Image: Johns Hopkins Hospital (Billings Building)
Image Source: Peterfitzgerald on Wikitravel.org (Public Domain)
Tags: Barnes-Jewish Hospital/Washington University, St. Louis - Cleveland Clinic - Duke University Medical Center - Hospital of the University of Pennsylvania - Johns Hopkins Hospital - Mayo Clinic - Massachusetts General Hospital - New York-Presbyterian University Hospital of Columbia and Cornell - Ronald Reagan UCLA Medical Center - University of California, San Francisco Medical Center - U.S. Hospital
Posted by Medicalchemy
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Cyanosis Differential Diagnosis


Cyanosis Definition:
  • Blue discolouration of the skin.
Cyanosis Differential Diagnosis:
  • Central cyanosis
  • Cold agglutinins
  • Methaemoglobinaemia
  • Peripheral cyanosis
  • Pseudocyanosis
  • Sulphaemoglobinaemia
Image: Girl With Central Cyanosis due to Fallot's Tetralogy
Image Source: from Jon M.I. on Flickr (cc)
Tags: Central Cyanosis - Cold Agglutinins - Cyanosis - Methaemoglobinaemia - Peripheral Cyanosis - Pseudocyanosis - Sulphjaemoglobinaemia
Posted by Medicalchemy
Medicalchemy Group: History of Medicine - Images - Mnemonics - Syndromes - Acute Medicine - Anaesthesiology - Anatomy - Anthropology - Biochemistry - Cardiology - Dentistry -Dermatology - Drugs -
Emergency Medicine - Endocrinology - Family Medicine - Gastroenterology - Genetics - Geriatrics - Gynecology - Haematology - Health Informatics - Hepatology - Immunology - Infection - Intensive Care - Metabolic Medicine - Microbiology - Nephrology - Neuroanatomy - Neuroscience - Nuclear Medicine - Nutrition - Obstetrics - Occupational Health -Oncology - Ophthalmology - Orthopaedics - Otolaryngology - Paediatrics - Palliative Care - Parasitology - Pathology - Pharmacology - Physiology - Psychiatry - Public Health - Radiology - Respiratory - Rehabilitation - Rheumatology - Sports Medicine - Surgery - Toxicology - Tropical Medicine - Urology - Vascular - Virology.

Sunday 31 October 2010

Obesity Waist Circumference Illustration - Healthy, Overweight, Obese



Obesity Waist Circumference Illustration -
Healthy, Overweight, Obese:

Showing from left to right:
  • "Healthy" man has a 33 inch (84 cm) waist.
  • "Overweight" man a 45 inch (114 cm) waist.
  • "Obese" man a 60 inch (152cm) waist.
Image: from Report of the Dietary Guidelines Advisory Committee on the Dietary Guidelines for Americans, 2000. Infographic: FDA/Renée Gordon (Public Domain)
Tags: Healthy - Illustration - Obese - Obesity - Overweight - Waist - Waist Circumference
Posted by Medicalchemy
Medicalchemy Group: History of Medicine - Images - Mnemonics - Syndromes - Acute Medicine - Anaesthesiology - Anatomy - Anthropology - Biochemistry - Cardiology - Dentistry -Dermatology - Drugs -
Emergency Medicine - Endocrinology - Family Medicine - Gastroenterology - Genetics - Geriatrics - Gynecology - Haematology - Health Informatics - Hepatology - Immunology - Infection - Intensive Care - Metabolic Medicine - Microbiology - Nephrology - Neuroanatomy - Neuroscience - Nuclear Medicine - Nutrition - Obstetrics - Occupational Health - Oncology - Ophthalmology - Orthopaedics - Otolaryngology - Paediatrics - Palliative Care - Parasitology - Pathology - Pharmacology - Physiology - Psychiatry - Public Health - Radiology - Respiratory - Rehabilitation - Rheumatology - Sports Medicine - Surgery - Toxicology - Tropical Medicine - Urology - Vascular - Virology.

Saturday 16 October 2010

Terminal Burrowing (Hide-and-Die Syndrome)


Terminal burrowing details:
  • Alternative name - hide-and-die syndrome.
  • Behavioural pattern observed in the last stages of hypothermia.
  • The individual enters small, enclosed spaces, ie cupboards, closets, wardrobes.
  • In outdoor situations the victim may hide themselves in culverts, crevices between rocks or felled trees or even burrow under leaves.
Precipitating situations:
  • Most often observed in moderately cold conditions.
  • The individual's body temperature generally has fallen slowly.
  • With dwelling associated episodes the condition is found during power outages.
  • Outdoor episodes occur when the person is lost in chilly, but not freezing, weather.

Image: Burrowing Owl from TinyPic.com
Tags:
Cold - Hypothermia - Hide-and-die Syndrome - Terminal Burrowing
Posted by Medicalchemy
Medicalchemy Group: History of Medicine - Images - Mnemonics - Syndromes - Acute Medicine - Anaesthesiology - Anatomy - Anthropology - Biochemistry - Cardiology - Dentistry -Dermatology - Drugs -
Emergency Medicine - Endocrinology - Family Medicine - Gastroenterology - Genetics - Geriatrics - Gynecology - Haematology - Health Informatics - Hepatology - Immunology - Infection - Intensive Care - Metabolic Medicine - Microbiology - Nephrology - Neuroanatomy - Neuroscience - Nuclear Medicine - Nutrition - Obstetrics - Occupational Health -Oncology - Ophthalmology - Orthopaedics - Otolaryngology - Paediatrics - Palliative Care - Parasitology - Pathology - Pharmacology - Physiology - Psychiatry - Public Health - Radiology - Respiratory - Rehabilitation - Rheumatology - Sports Medicine - Surgery - Toxicology - Tropical Medicine - Urology - Vascular - Virology.

Tuesday 12 October 2010

Paradoxical Undressing (Hypothermia Complication)


General Features:
  • The inappropriate removal of clothing with an associated hypothermia.
Clinical Features:
  • Typically occurs during moderate to severe hypothermia.
  • Occurs as the person becomes disoriented, confused & combative.
  • Removal of clothing increases the rate of heat loss.
Epidemiology:
  • Associated with 20% - 50% of hypothermia deaths.
Pathophysiology:
  • Possibly caused by cold-induced malfunction of the hypothalamus.
  • Other contributors may be peripheral vascular smooth muscle fatigue leading to paradoxical vasodilatation & a feeling of warmth from the surge of warmer central blood to the extremities.
  • This vasodilalation may fool the person into feeling hot.
  • Removal of clothing increases the rate of heat loss.
Public Health Issues:
  • Recognised issue in mountain rescue & survival training.
  • May be misinterpreted as evidence of a sexual assault in urban victims.

Image: from Ger Meinema (cc)
Tags:
Cold - Hypothalamus - Hypothermia - Paradoxial Undressing - Vasodilalation
Posted by Medicalchemy
Medicalchemy Group: History of Medicine - Images - Mnemonics - Syndromes - Acute Medicine - Anaesthesiology - Anatomy - Anthropology - Biochemistry - Cardiology - Dentistry - Dermatology - Drugs -
Emergency Medicine - Endocrinology - Family Medicine - Gastroenterology - Genetics - Geriatrics - Gynecology - Haematology - Health Informatics - Hepatology - Immunology - Infection - Intensive Care - Metabolic Medicine - Microbiology - Nephrology - Neuroanatomy - Neuroscience - Nuclear Medicine - Nutrition - Obstetrics - Occupational Health -Oncology - Ophthalmology - Orthopaedics - Otolaryngology - Paediatrics - Palliative Care - Parasitology - Pathology - Pharmacology - Physiology - Psychiatry - Public Health - Radiology - Respiratory - Rehabilitation - Rheumatology - Sports Medicine - Surgery - Toxicology - Tropical Medicine - Urology - Vascular - Virology.