Tag: medskl.com

Emergency Medicine – Burns: By Paul Olszynski M.D.

Emergency Medicine – Burns: By Paul Olszynski M.D.

By Bryan Wright 1 Comment December 22, 2019

The term ‘burn’ encompasses a range of tissue injuries that includes thermal, electrical, chemical, and radiation injuries. Common to all of these is the destruction of cellular membranes. Thermal burns are caused not by any one substance, but rather by the temperature of that substance. They can be further classified as either hot or cold […]

Emergency Medicine – Chest Injuries: By Ramesh Reddy M.D.

Emergency Medicine – Chest Injuries: By Ramesh Reddy M.D.

By Bryan Wright 10 Comments December 4, 2019

When a patient arrives with traumatic injuries to the chest, you must be vigilant. Life threatening injuries are quite possible. Always assume the worst. The chest can be injured with blunt force, penetrating force, or both. Here are four specific injuries that you cannot afford to miss. 1 – Pneumothorax A pneumothorax is air in […]

Pediatrics – Neonatal Distress: By Abbas Husain M.D. and Nicholas Otts M.D.

Pediatrics – Neonatal Distress: By Abbas Husain M.D. and Nicholas Otts M.D.

By Bryan Wright 0 Comment October 10, 2019

Neonatal Distress is a challenge, but remembering a few key actions will help you maintain control. If a newborn baby is not responsive or struggling, the first thing you need to do is to dry and stimulate the baby. Often, this simple action, which includes rubbing the back near the spine and applying a dry […]

Public Health – Concepts of Health and Its Determinants: By Natalie Lovesey M.D.

Public Health – Concepts of Health and Its Determinants: By Natalie Lovesey M.D.

By Bryan Wright 2 Comments October 3, 2019

What is “health”? A useful definition comes from the World Health Organization: “Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity.” “Wellness” refers to the presence of positive attributes in one’s life – well-being, quality of life, happiness, and satisfaction. “Illness” is a person’s […]

Pediatrics – Neonatal Constipation: By Kristen Hallett M.D.

Pediatrics – Neonatal Constipation: By Kristen Hallett M.D.

By Bryan Wright 0 Comment September 28, 2019

Constipation in term infants is actually quite rare. Babies usually pass the thick tarry stool called meconium within 24 hours of life. We do not include any meconium passed in utero, as this is often caused by other reasons, such as fetal distress. So passing meconium in utero does not preclude neonatal constipation. If a […]

Pediatrics – Stature Abnormalities: By Kyle McNerney M.D.

Pediatrics – Stature Abnormalities: By Kyle McNerney M.D.

By Bryan Wright 3 Comments September 24, 2019

Growth complaints are very common, particularly in pediatrics. Short or tall stature can represent benign variation or can be an important clue to diagnosing a disease. A careful history and physical and the use of growth charts can usually distinguish the pathologic causes. Short stature is defined as height 2 standard deviations below the means. […]

Pediatrics – Fever in a Neonate, Fever in a Child: By Hosanna Au M.D.

Pediatrics – Fever in a Neonate, Fever in a Child: By Hosanna Au M.D.

By Bryan Wright 0 Comment September 20, 2019

Fever is a common feature of many disease processes. It is an elevation in body temperature mediated by the hypothalamus as a physiologic response to an insult. In children, fever most commonly results from infectious, inflammatory, or malignant processes. By far, the most common cause of fever in children is infection. Although there are various […]

Pediatrics – Congenital Anomalies: By Daryl Scott M.D.

Pediatrics – Congenital Anomalies: By Daryl Scott M.D.

By Bryan Wright 2 Comments September 18, 2019

Congenital anomalies encompass a range of abnormalities affecting the structure and/or function of different organs. These abnormalities can be caused by genetic changes, environmental factors, and/or teratogenic exposures. Anomalies can be classified as malformations, deformations, disruptions, or dysplasias. Malformations are defects where a structure is either abnormally formed, partially formed, or is not formed at […]

Pediatrics – Pediatric Respiratory Distress: By Quynh Doan M.D.

Pediatrics – Pediatric Respiratory Distress: By Quynh Doan M.D.

By Bryan Wright 1 Comment September 18, 2019

Respiratory distress in children is caused by either upper or lower airway diseases. Upper airway obstruction is recognized by the presence of stridor, a high pitch sound often audible without a stethoscope, mainly on inspiration but can also be heard on expiration. Aspiration of a foreign body, especially frequent in the 1-3 age group, must […]

Pediatrics – Abnormal Pubertal Development: By Paola Luca M.D.

Pediatrics – Abnormal Pubertal Development: By Paola Luca M.D.

By Bryan Wright 3 Comments September 18, 2019

Puberty is the normal and expected transition from childhood to adolescence and involves both physiological and psychosocial factors. Normal pubertal development begins with maturation of the hypothalamic-pituitary-gonadal (HPG) axis. Pulsatile release of gonadotropin-releasing hormone (GnRH) stimulates release of the hormones luteinizing hormone (LH) and follicle-stimulating hormone (FSH) which induce the maturation of the gonads. Subsequent […]