Serena Williams Treated for Embolism

This is not a good sign. The operations and the drugs will not make her more healthy. Now we have blood leaking out of her, not a good sign.

Serena Williams, out of action since winning Wimbledon in July, has experienced another significant health problem. Her representatives confirmed that she was hospitalized last month in Los Angeles because of a pulmonary embolism and then required further emergency treatment Monday for a hematoma, a pocket of blood that swells under the skin.

A pulmonary embolism — a clot that blocks blood flow to the lungs — can be life threatening, but Williams’s spokeswoman, Nicole Chabat, said in a statement Wednesday that “thankfully everything was caught in time” and that Williams was resting and recovering at her home in Los Angeles.

Aunk - Good luck V 

Read more at www.nytimes.com

See this Amp at http://amplify.com/u/bsjf1

Hetepw
Aunk (The Cultural Health Guy)

What it means to be a doctor

Two nice quotes from one of my favorite podcasts: Quakcast



1. "Becoming a doctor mean learning to be comfortable with incomplete and changing information."



2. "Becoming a specialist is being ignorant... with style."

These quotes I think are funny and since I am also teaching at a medical school I can say that in my experience these quotes are also relatively accurate. I always get surprised at the many changes that can occur from one edition of a textbook to the next, although I must hasten to point out that there is a large proportion that does not change to. It gets even worse if you compare different textbooks or say journal papers.

Does this mean that doctors are merely shooting at random? No, they are (if they are good doctors) basing their decisions, diagnoses and treatments on the best available evidence - and that is the doctors which have the greatest success in terms of healthy patients (read Neurologica blog for more on this).

So if you are a doctor or becoming a doctor accept that there is rarely such a thing as perfect knowledge, and if you are a patient accept that doctors cannot always say things with perfect certainty...

NORMAL AND ABNORMAL HEART SOUNDS

TO DOWNLOAD THE FILES RIGHT CLICK ON THE LINK AND CLICK SAVE LINK AS/SAVE TARGET AS

CONDITION	SOUND CHARACTERISTIC	FILE SIZE (Kb)	DURATION (Seconds)
Normal	Normal heart sounds	47.3	2.20
Acute rheumatic fever	Loud first sound	43.1	2.00
Mitral stenosis	Accentuated first sound	40.6	1.89
Mitral stenosis	Opening snap	46.1	2.04
Mitral stenosis	Short, mid-diastolic murmur	39.7	1.80
Mitral stenosis	Presystolic murmur	43.1	2.50
Mitral regurgitation	Systolic murmur	38.8	1.80
Mitral regurgitation	Systolic murmur, high pitched and blowing type	32.3	1.50
Mitral regurgiation	Systolic murmur, crescendo type	32.3	1.50
Mitral regurgiation	Late systolic murmur, crescendo type	32.3	1.50
Mitral regurgiation	Mid systolic click and late systolic murmur	37.8	1.76
Mitral regurgiation	Holosystolic murmur	32.3	1.50
Mitral regurgiation	Third heart sound	37.0	1.72
Mitral regurgiation+ Mitral stenosis	All sound features of mitral stenosis and mitral regurgitation	40.6	2.14
Aortic insufficiency	Loud systolic ejection murmur, third sound	30.8	1.97
Aortic stenosis	Opening snap of aortic valve, early systolic ejection sound	22.3	1.43
Pulmonary stenosis	Harsh systolic ejection murmur	27.8	1.78
Tricuspid regurgitation	Holosystolic murmur, high pitched, lower during expiration and louder during inspiration	91.7	4.26
Ventricular sepatal defect	Continuous murmur	24.2	1.54
Atrial septal defect	Abnormal splitting of second sound during expiration	42.6	1.98
Patent ductus arteriosus	Continuous "machinery" murmur	40.5	2.59
Coarctation of aorta	Systolic murmur	23.4	1.49
Left bundle branch block	Paradoxical splitting during expiration	32.4	1.50
Left bundle branch block	Paradoxical splitting during inspiration	40.3	1.87
Right bundle branch block	Abnormal splitting of first sound	35.4	1.64
Complet heart block	Slow heart rate, varying first sound	82.6	3.84
Systemic hypertension	Accentuated second sound	33.9	1.57

COURTESY:SMSO.NET

ABDOMINAL EXAMINATION VIDEOS FREE DOWNLOAD

Abdomen

Introduction

Inspection of the Abdomen

Auscultation of the Abdomen

Percussion of the Abdomen

Palpation of the Abdomen

Examination of the Liver

Examination of the Spleen

Examination of the Kidneys and Aorta

Summary

courtesy:smso.net

websites demonstrating clinical examination

**Physical Examination/Clinicals**
A Practical Guide to Clinical Medicine
Loyola University Medical Education network - Reviews the steps of the Physical exam
University of Washington's Advanced Physical Diagnosis - Choose an organ system and then click on "demonstration"
The RALE Repository of Lung Sounds
UC Davis Review of Lung Sounds
Blaufuss Mulitmedia Heart Sounds Tutorial
Heart Lab Cardiac Auscultation Simulator- Test yourself of heart sounds
McGill University Virtual Stethoscope
Auscultation Assistant
OR Live Watch Live Surgeries
The Connecticut Tutorials
Medical Media Systems $
University of Virginia's Practice of Medicine - See the resources section at the bottom of the page for videos, interviewing techniques, and links

flash video about Alzheimer's Disease

flash video about Alzheimer's Disease
http://link.brightcove.com/services/link/bcpid236059233/bctid347806800

completely updated article about COPD.
http://www.medicinenet.com/chronic_obst ... rticle.htm

Chronic Obstructive Pulmonary Disease (COPD)
aka Chronic Obstructive Lung Disease (COLD)

Medical Revising Author: George Schiffman, MD
Medical Editor: William C. Shiel Jr., MD, FACP, FACR

• What is COPD?
• How does the normal lung work?
• What is chronic bronchitis?
• What is emphysema?
• What is chronic asthma?
• What is bronchiectasis?
• What causes COPD?
• What are the symptoms of COPD?
• How is COPD diagnosed?
• What treatment is available for COPD?
• What is the role of oxygen as therapy in COPD?
• What else is available for treating COPD?
• Future Directions in COPD
• Chronic Obstructive Pulmonary Disease At A Glance

Review of Lung Sounds

http://medocs.ucdavis.edu/IMD/420C/sounds/lngsound.htm
This technically-demanding page was authored for and cross-checked using Netscape 3.01 with Shockwave w/Streaming audio, LiveAudio and RealAudio plugins installed. You may not be able to hear the sounds without similar software and plugins.

Normal Lung Sounds	Crackles
normal tracheobronchial sounds just normal vesicular sounds normal bronchovesicular sounds	fine crackles fine late-inspiratory crackles medium crackles coarse crackles
Wheezes	Voice Sounds
inspiratory & expiratory stridor mild expiratory wheeze inspiratory crackles, expiratory wheeze	normal voice E egophony normal whisper sound whispered pectoriloqy
Other Sounds (compare with normal)
normal vesicular sounds normal tracheo-bronchial sounds sound over lung consolidation pleural friction rub bone crepidus sound subcutaneous emphysema

Cardiac ausculation

www.med.ucla.edu/wilkes/inex.htm
This site was designed in fourth year of medical school at UCLA primarily for second-year medical students to help them appreciate the different audio characteristics of heart murmurs and breath sounds. Click on the tabs to cross between general categories, and use the text buttons to the left to reach individual topics within each area. Enjoy!

Understanding Heart Disease .. Online Course

http://content.cdlib.org/xtf/view?docId=ft9w1009p7&brand=eschol

Understanding
Heart Disease

ARTHUR SELZER

UNIVERSITY OF CALIFORNIA PRESS

---

Preface

Chapter One The Normal Heart: Structure

Chapter Two The Normal Heart: Function

Chapter Three Diagnosis

Chapter Four Treatment

Chapter Five Performance of the Heart and Its Failure

Chapter Six Arrhythmias

Chapter Seven Cardiac Emergencies

Chapter Eight Atherosclerosis and Coronary-Artery Disease

Chapter Nine Diseases of the Cardiac Valves

Chapter Ten Diseases of the Myocardium and Pericardium

Chapter Eleven Congenital Heart Disease

Chapter Twelve Hypertension

Chapter Thirteen Diseases of the Pulmonary Circulation

Chapter Fourteen Diseases of the Aorta

online ECG library

here is a site for ECG library www.ecglibrary.com/ecghome.html?

Contents

1-ischaemic heart disease

2-hypertrophy patterns

3-atrioventricular (AV) block

4-bundle branch block

5-supraventricular rhythms

6-ventricular rhythms

7-pacemakers

8-Wolff Parkinson White syndrome

9-miscellaneous

ofcourse this is besides normal ECG, history and examples


hope you like it

Medical Images Library

Medical Images Library
this site provides colored images,radiological images and
video explanation as well I hope you enjoy it


it is a massive site try it
http://www.mic.ki.se/MEDIMAGES.html#MicrobiologyInfectiousDiseases

contents:

1-Cardiovascular system

2-Dermatology

3-Endocrinology

4-Gastroenterology

5-Hematology

6-Histology

7-Neurology

8-Pathology

9-Pediatrics

10-GENERAL

11-Anatomy and Orthopedics

12-The Visible Human Project

13-Dentistry and Oral Health

14-Eye, ENT (Ear-Nose-Throat) and Respiratory System

15-Gynecology & Obstetrics

16-Microbiology, Infectious Diseases

17-Oncology

18-Radiology/-graphy, Nuclear Medicine & Ultrasonography

19-Surgery/Anesthesiology

20-Urogenital

ALTERNATIVE DRINKING HERBAL TEA'S Many people have been looking for a alternative cure for there health. Herbal remedies to help in a cure in various health issues. Herbal teas have been a blessing for many finding health from drinking herbal tea's.I became interested in this once in Ohio at a flea market where my friends was selling herbal tea's.

ALTERNATIVE DRINKING HERBAL TEA'S Many people have been looking for a alternative cure for there health. Herbal remedies to help in a cure in various health issues. Herbal teas have been a blessing for many finding health from drinking herbal tea's.I became interested in this once in Ohio at a flea market where my friends was selling herbal tea's.

Insomnia Solution

Insomnia is a complex disorder often classified as one of many sleep disorders. Insomnia is a condition in which you have trouble falling or staying asleep. Some people with insomnia may fall asleep easily but wake up too soon. Other people may have the opposite problem, or they have trouble with both falling asleep and staying asleep. The end of result is poor-quality sleep that doesn’t leave you feeling refreshed when you wake up. Insomnia there is nothing worse than not being able to get to sleep.

To get the solution related to insomnia, many people trying various way to solve the problem whether by using the expensive methods or other ways. Ambien is the most effective sleeping prescription medicine. It has been clinically proven can beat insomnia and restore sleep to you and work really fast.

In clinical studies, people suffering from insomnia took Ambien. The results of these studies showed that Ambien improved: the ability to get to sleep, the ability to stay asleep for longer, and the quality of life once sleep was restored.

Using the sleep medicine without the doctor guide will make a side effect, because the all sleep medicine can produce dependence. Like the other sleep medicine, Ambien also probably produce side effect.

The ambien side effects including :
a general feeling of drowsiness that does not clear quickly.
slight trembling in your limbs
problems with your digestive system
any sensations of burning or tingling, muscular aches or pain in your neck and back;
any unusual dreams; or
heavy menstrual bleeding.
In rare cases, you may experience more serious symptoms of swelling, difficulty in breathing and chest pains. In all such cases, call a doctor immediately.