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dr. jamal nasir
Posted by: dr. jamal nasir in MyBlog Comment (0)

How to avoid muscle pain and weakness from statins

Common side effects of statins include a range of muscle problems.  Rhabdomyolysis is the most severe, defined as muscle pain and weakness with a marked elevation in creatinine kinase enzyme levels (typically 10 times the upper limit of normal) and with creatinine elevation.  Fortunately, rhabdomyolysis is an extremely rare side effect of statins. 

 

Statins can also cause mysositis, defined as muscle symptoms with increased creatinine kinase (CK) levels, and myalgias, defined as muscle aches and/or weakness without CK elevation.  Myositis and myalgias are more common adverse effects of statins than rhabdomyolysis. Approximately 10% of patients in observational studies report muscle symptoms while on statins. 

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Aurora
Posted by: Aurora in MyBlog Comment (2)

I work for Medical Doctor Internet Television (MDiTV) a start-up out of Portland, OR. We're creating programming for the medical professional, which you can access at any time on your smart phone, iPod touch, iPad, or any device which can access the internet.

Right now MDiTV is preparing to move into our brand-new permanent studio, across the hall from my office. We're thrilled.

 

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Journal of Radiology Case Reports
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 Journal of Radiology Case Reports - Interactive Radiology case reports and Radiology review articles



We are glad to announce that Elsevier will index the contents of the Journal of Radiology Case Reports in its literature database systems (e.g. Embase, Scopus). This will make your published articles available to an even larger audience.

-> to journal home page

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Medoodle Team
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The new Medoodle generation has been released!
More connectivity, interactivity and education!

  • Improved group discussions: In the past, our general discussion forums and the group forums have been running separately and independently. Now, the groups have been connected also with our general discussion forums and are exposed to a larger audience. Each group can eitehr create an individual/designated subforum or they can be connected with some of our pre-existing subforums (e.g. residents, boards, technologists or radiologists in practice  etc.). The first solution is more suited for groups who only want discussions directly related to their group. The second solution is better suited if groups want to share their posts with a larger audience, which is not group- but rather topic-specific. Please contact the Medoodle administrator if you wish to integrate your group discussion either way. By default, no group discussion forum is created, but group member are still able to communicate with each other through the group wall posts.

  • Upload group specific cases. Case uoploads are now also available for groups - making sharing cases with others easier. A new section has been integrated in the group main site, called "Group cases". Similar to the established case upload feature for individuals, group membbers may now also upload cases for their specific groups. These cases can be found in the "regular" case gallery as well as in the "Group Cases" section on the group site.
  • Activity stream improved, keeping you up-to-date of what's going on in Medoodle.

  • New blog features, including:
    -- blog archive, categorized by chronology
    -- list of user blogs
    -- list of our bloggers
    -- list of the latest blogs
    -- list of blog tags to find blogs based on topics

  • Featured members, showing members who are "special" because of various contributions

  • Featured groups. Special groups are now highlighted in our "featured groups" section. Find it in the top menu under "Groups" -> "Featured Groups".

  • iPhone compatibility. Medoodle can be now also visited from your iPhone. Other PDAs (e.g. Blackberry) have not been tested yet.

  • What's twittering?! Get the latest MedoodleTwitter updates!  Find it in the top menu under "News" -> "What's twittering?!".
  • New Radiology video sections:
    -- Radiology videos being watched now
    -- Most favoured Radiology videos
    -- Most popular Radiology videos
    -- Surprise me! Radiology videos
    -- Most viewed Radiology videos
    -- Most recent Radiology videos
    -- ...and who can't get enough can visit "Can't get enough? Radiology videos en masse!" to see more video selections.
    You may find these sections in the top menu under "Videos" -> "Radiology video feast!".


  • Case gallery statistics and new category features.  Find it in the top menu under "Cases" -> "Gallery categories".

  • New survey features. We have implemented a new survey feature for academically/scientifically interested members. If you are interested in performing Radiology related studies, please contact the Medoodle administrator for more details.




And other updates that happened in the last few weeks:

  • PubRad integration into groups. Whoever creates a group and has at least 4 group members will have automatically a PubRad search integrated into the group. PubRad allows to do a Radiology specific PubMed search.

  • Radiology search engine integration into groups. Whoever creates a group and has at least 4 group members will have automatically a RadiologySearch form integrated into the group. RadiologySearch is a Radiology specific search engine which searches for a variety of Radiology specific contents on the Internet, societies, journals and books.

  • Facebook stylish toolbar at the bottom of the screen cntaining useful application links, real time chat function and other helpful links.

  • Radiology Boards - Radiology boards preparation software has been integrated into Medoodle and is now available to Medoodle members. Find it and associated features in the top menu under "Education" -> "Radiology Boards / Preparation".

  • The Radiology teaching file server Radiology Teacher has been integrated into Medoodle and is now available to Medoodle members. Find it in the top menu under "Cases" -> "Radiology teaching files".

  • Case of the Week. On a weekly basis, dedicated teaching files with quiz function will be displayed to our Medoodle members. These teaching files are created with the aforementioned Radiology Teacher program and are easily embedded into our system. Find it in the top menu under "Cases" -> "Radiology Case of the Week".

  • Radiology Museum. This unique "virtual" museum for Radiology offers multiple sections, covering radiology art, influantial people in Radiology, interesting items, curiosities, videos and much more. The museum is open 24/7 - and without entrance fee! Find it in the top menu under "Links" -> "New! - Radiology Museum".

  • Calculators and tools. More practical tools and calculators have been implemented.  Find it in the top menu under "Tools".

  • HandyRad has been fully integrated into Medoodle. HandyRad is a web-based patient tracking tool for radiology education and research. Find it in the top menu under "Tools" -> "HandyRad - Case Tracker".

  • Dare to Share! The "Dare To Share!" application allows sharing cases between researchers and colleagues. Users may find interesting or needed cases/images for different kind of projects (studies, books, publications, presentations etc.) while assuring the owner's credentials/copyright of the case. Find it in the top menu under "Research" -> "Dare to share! Case exchange".

  • Interactive teaching files. The rusty and dusty era of static images is over! The interactive teaching files use a worldwide unique method of displaying teaching files in a way that simulates the work at your workstation. It allows to scroll through image stacks, window and level images, zoom and pan images and more features. Find it in the top menu under "Cases" -> "Interactive teaching files".

  • eLearning resources. Peer-reviewed educational resources for Radiology in the internet. Find it in the top menu under "Education" -> "eLearning resources". Or submit your favorite eLearning resources under "Education" -> "eLearning resources".

  • What's your diagnosis please? Challenge your knowledge and find the right diagnisis of unknown cases. Find it in the top menu under "Cases" -> "What's your diagnosis please?".


Did we forget anything? Well, this might be enough for now - or not? We are working on many more features right now...


Currently in process:

  • Journal of Radiology Case Reports Teaching Point integration.
  • Video integration into groups.
  • File upload for groups, e.g. for lecture and presentation (Powerpoint etc.) integration.
  • Customization of job search based on user profile. (If checked in profile setting that you are searching for a job)
  • Customization of PubRad and RadiologySearch based on member preferences.
  • ...and more...
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Medoodle Team
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Gallery Categories

Lemierre's syndrome
  • Album: IMAGES
  • Description: 60 years old male presented for follow-up of neck abscess. Patient has had left internal jugular vein thrombosis which relieved by medication. No improvements regarding the retropharyngeal abscesses. Another significant finding is septic collection centered around right sterno-clavicular joint which probably due to the thrombotic event. The first publication on Lemierre Syndrome appears in 1936 by Lemierre. It is defined as an "oropharynx bacterial infection characterized by the thrombophlebitis in the internal jugular vein, derived in a systemic septic embolism". In 81% of the cases, the Fusobacterium necrophorum is the most frequent etiologic agent. Fever is the most common symptom, but it can depending on the primary infection, tonsillitis, mastoiditis or odontogenic infection. According to the literature the mortality is very low, but with a significant morbidity, that is why the diagnosis and early treatment is very important. The diagnosis is clinical, even though the CT scan and other diagnosis methods help to determine the extent of the infection.

Stress fracture
  • Album: User Cases
  • Description: Stress fractures are either fatigue fractures or insufficiency fractures. In our elderly female patient with history of trauma a transverse femoral shaft fracture is seen involving lateral cortex. Other incidental finding is small fracture involving concave surface of upper medial femur. I think about insufficiency fractures because of transverse and incomplete nature of femoral shaft fracture and involvement of concave surface of femur as stress fractures are common at concave surfaces of bones.

HUGE LYMPHANGIOMA OF THE TONGUE
  • Album: Miscellaneous
  • Description: 3yrs F C/O. Protrusion of tongue since 2 years H/o fever at the beginning Diffuse enlargement with protrusion of the tongue T1WI isintense with corresponding high signals on T2WI confined within the grossly enlarged tongue filling up the whole of the oral cavity & protruding anteriorly. Two well defined faintly enhancing cystic masses noted in the submandibular regions. Patchy enhancement is noted through the lesion and enlarged lymph nodes and parapharnageal spaces suggestive of superadded infection. MRI showed that the LT was localized within the tongue, with no extension into the pharynx or neck . Lymphangioma of the tongue is relatively rare and may cause facial structural deformity. Lymphangiomas are congenital benign tumours of the lymphatic system, and 50% to 75% are located in the head and neck. They may arise in the tongue, and are a common cause of macroglossia in children. Lymphangiomas of the tongue do not regress spontaneously, and they are almost always of the cavernous type. The lesions are not tender or painful. However, inflammation from trauma or infection may result in sudden enlargement and severe pain. LT may cause gross structural deformities of the face and interfere with speech and swallowing.

Acute cholecystitis on HIDA scan
  • Album: Nuclear Medicine
  • Description: Sequential images of a 99m-Technetium HIDA scan demonstrate prompt tracer uptake in the liver and subsequentially filling of the proximal small bowel with radiotracer. There is a photopenic area with no tracer uptake in the expected region of the gallbladder with a rim of increased uptake in the liver surrounding that area (rim sign), consistent with acute cholecystitis.

Uterine Artery Pseudoaneurism coils emb
Schmorl's node; do you have other diagnosis?
  • Album: Musculoskeletal Imaging
  • Description: Adult male with low back pain. An incidental finding was seen. Do you have other diagnosis other than Schmorl's node?

Bilateral subdural hematomas with brain contusion and subarachnoid hemorrhage
  • Album: Neuroradiology
  • Description: 1. What do you see? 2. What is your diagnosis?

Choledochal cyst (type IV)
  • Album: Abdominal Imaging
  • Description: 10 years old male. Choledochal cysts are congenital conditions associated with benign cystic dilatation of bile ducts. They are uncommon in western countries but not as rare in East Asian nations like Japan and China. They were classified into 5 types by Todani in 1977. Classification was based on site of the cyst or dilatation. • Type I: Most common variety involving sacular or fusiform dilatation of a portion or entire common bile duct (CBD) with normal intrahepatic duct. • Type II: Isolated diverticulum protruding from the CBD. • Type III or Choledochocele: Arise from dilatation of duodenal portion of CBD or where pancreatic duct meets. • Type IV: Dilatation of both intrahepatic and extrahepatic biliary duct. • Type V or Caroli's disease: Cystic dilatation of intra hepatic biliary ducts.

Fibrosing alveolitis
  • Album: Chest & Cardiac Imaging
  • Description: Clinical presentation: 6 month history of increasing shortness of breath from a 55 year old male with obvious finger clubbing. On ascultattion of lungs- fine crepitations at the lung bases were heard. Findings: The lungs are roughly normal volume. There is extensive interstitial shadowing with nodularity in both lungs, particularly mid and lower zones. The shadowing is greater in the right lower lobe where it is confluent in places. The margins of hila, diaphragm and heart are blurred by adjacent densities. The hila are bulked-up by overlying density, but there remains an impression of additional density from possible hilar lymphadenopathy on the right side. There is a concentric circular artifact over the right axilla from film-processing.

Invasive ductal carcinoma
  • Album: Breast Imaging
  • Description: 48 years old female with palpable breast mass. Note speculated border of the mass; micro-calcifications could be detected opposite the mass. Ultrasound confirmed hypoechoic speculated mass in retro-aereolar area.

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Medoodle Team
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What's twittering on Medoodle?


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Medoodle Team
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Hall of Honour

Our most dilligent members!

This site honours our most diligent contributors on Medoodle. You may also be seen here, soon! Contributing and collecting points is very easy: just add friends/connections, upload cases, videos, post comments, start discussions and many more possibilities to collect points and "karma".

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Medoodle Team
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What's happening now on Medoodle?



 

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Medoodle Team
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