Author Archives: deemagclinic
Private Practice’
‘Why I’m Leaving Private Practice’ ‘Why I’m Leaving Private Practice’ January 29, 2013 | Work/Life Balance, Career, Healthcare Reform By David Mokotoff, MD Along with the decision to go into medicine, the next most important professional decision a physician makes is when to leave it. As I rapidly approach the Medicare age, there is much to consider. Although my contract […]
gandhi
This week, the National Archives here in New Delhi released a set of letters between Mohandas Karamchand Gandhi and a close friend from his South African days, Hermann Kallenbach, a German Jewish architect. Cue a set of ludicrous “Gay Gandhi” headlines across the world, wondering whether the fact the Mahatma signed some letters “Sinly […]
delirium tremens
What is delirium tremens? Delirium tremens (the DTs) is a severe reaction to withdrawal from alcohol. Delirium tremens can be deadly. The DTs usually start 24 to 72 hours after a person who is dependent on alcohol either stops or limits drinking. What is the cause? Chronic drinking changes the way the body and brain […]
possessive mothers
Learn how to deal with a mom that doesn’t know how to let go. A possessive mother can make life difficult for her children and her children’s friends and spouses. Also called “overbearing” or ” controlling,” possessive mothers are still learning how to let go and trust their children’s decision-making abilities. They are also learning […]
photosynthetic animal
The second story is about a sea slug, Elysia chlorotica, which has gained the ability to photosynthesize. It did not evolve this trait in the traditional sense, but rather picked it up from another organism. The slug’s green color is not self-made, but is present due to its collection of chloroplasts, the photosynthetic center of […]
classification of psychotropic drugs
Psychoactive Drugs Mood-altering drugs—also called psychoactive drugs—are drugs that can change or affect the way a person thinks, feels, or acts. These drugs usually have physical effects as well, but what sets them apart from other drugs is that they work on the mind and the senses. Most of these drugs work on the central […]
sibling rivalry
_ _ Most siblings argue and quarrel occasionally. They fight over possessions, space on the sofa, time in the bathroom, or the last donut. On most days, though, siblings are friends and companions instead of rivals and competitors. The ambivalence between love and hate is present in all close relationships. This ambivalence becomes more intense […]
द्विध्रुवी विकार क्या है?
_ द्विध्रुवी विकार क्या है? द्विध्रुवी विकार एक मस्तिष्क विकार है कि चरम मूड में परिवर्तन का कारण बनता है, यह सोच कर, और व्यवहार है. वहां आम तौर पर दो चरणों, एक उन्मत्त चरण और एक उदास चरण. उन्मत्त चरण में आप अत्यधिक सक्रिय लग रहा है और बहुत सक्रिय रहे हैं. उदास चरण […]
मानसिक बीमारी
_ नियोक्ता, दोस्तों और पड़ोसियों के मानसिक बीमारी के बारे में बहुत असहज महसूस हो सकता है. कई लोगों के बजाय इसके साथ सौदा से इस मुद्दे से बचना होगा. वे यह शर्मनाक है और डरावना लगता है. कलंक बीमारी खुद से भी बदतर हो सकती है. एक सर्वेक्षण में पाया गया है कि श्रमिकों […]
पागलपन क्या है?
_ पागलपन क्या है? एक प्रकार का पागलपन एक गंभीर मानसिक बीमारी है. इस बीमारी से लोग परेशान है और बेतरतीब सोच, भाषा, और व्यवहार. वे देखते हैं, सुनने के लिए, हो सकता है, या चीजें हैं जो वास्तव में वहाँ नहीं कर रहे हैं लग रहा है. कभी कभी एक प्रकार का पागलपन के […]
अवसाद क्या है?
अवसाद है जब आप उदास लग रहा है और दैनिक जीवन में रुचि है. आप अन्य लक्षण के रूप में अच्छी तरह से हो सकता है. अवसाद गंभीर करने के लिए हल्का किया जा सकता है. यह एक कम समय या एक लंबे समय के लिए पिछले कर सकते हैं. हम सब समय है जब […]
lady diana had personality problems
_ _ _ __ _ Respected biographer Sally Bedell Smith has written an exhaustive account of the highly conflicted and dysfunctional life of Princess Diana. Diana: In Search of Herself–Portrait of a Troubled Princess (Signet, 2000), puts Diana’s life in perspective by separating her essential traits from the mythic personality created by the media and […]
roots by alex hailey is fiction
_ _ _ _ _ _ _ During President Obama’s inauguration today, Tennessee Senator Lamar Alexander (R) quoted Alex Haley, the author made world-famous for his Pulitzer Prize-winning literary sensation, “Roots.” According to The Washington Post, Haley and Alexander were longtime friends. That’s all well and good, but quoting Alex Haley at an important national […]
rape incidence
Myths about rape go back at least as far as ancient Greece: the story of Zeus taking the form of a swan to rape Leda has been depicted in countless artistic renderings, which usually depict Leda in a state of erotic compliancerapes are /were committed in INDIA at present and also during the past.LORD INDRA […]
happiness forever
_ _ Is happiness forever desirable? Happiness can only be understood in the context of sadness and without sadness happiness is a disease process leading to complications.. Saints have for long understood and propagated the happiness and sadness is a part of life and should be excepted in its entity.They explained in length that […]
mri
_ _ _ _ _ _ _ MRI uses magnetic fields and radio waves to produce images of thin slices of tissues (tomographic images). Normally, protons within tissues spin to produce tiny magnetic fields that are randomly aligned. When surrounded by the strong magnetic field of an MRI device, the magnetic axes align along that […]
ct scan
_ _ _ _ _ n CT, an x-ray source and x-ray detector housed in a doughnut-shaped assembly move circularly around a patient who lies on a motorized table that is moved through the machine. Usually, multidetector scanners with 4 to 64 or more rows of detectors are used because more detectors allow quicker scanning […]
radiological imaging
_ _ _ _ _ Share This Continuing improvements in radiologic imaging make it increasingly useful in diagnostic evaluation. Primary care and referring physicians work with radiologists who specialize in diagnostic imaging to choose the best imaging test for each evaluation. Many imaging tests use ionizing radiation (x-rays and radionuclides) and radiographic contrast agents; the […]
exercise
_ _ _ _ Exercise stimulates tissue change and adaptation (eg, increase in muscle mass and strength, cardiovascular endurance), whereas rest and recovery allow such change and adaptation to occur. Recovery from exercise is as important as the exercise stimulus. Regular physical activity reduces the likelihood of medical illness, decreases the incidence of the major […]
drug dependence
_ _ _ _ Some people who use drugs use large enough amounts often enough and long enough to become dependent. Definitions A single definition for drug dependence is elusive. Concepts that aid in defining drug dependence are tolerance and psychologic and physical dependence. Tolerance describes the need to progressively increase the drug dose to […]
happiness forever
_ _ _ _ _ On Happiness foreverIs happiness forever desirable? it is not.happiness can only be understood in the context of sadness and without sadness happiness is a disease process leading to complications ..A paper describes happiness forever as a medical diseaseBut all this later Today in an entertaining talk on happiness forever by […]
drug receptor interactions
_ _ _ _ Receptors are macromolecules involved in chemical signaling between and within cells; they may be located on the cell surface membrane or within the cytoplasm (see Table 1: Pharmacodynamics: Some Types of Physiologic and Drug–Receptor Proteins). Activated receptors directly or indirectly regulate cellular biochemical processes (eg, ion conductance, protein phosphorylation, DNA transcription, […]
receptor interactions
_ _ _ _ _ _ Receptors are macromolecules involved in chemical signaling between and within cells; they may be located on the cell surface membrane or within the cytoplasm (see Table 1: Pharmacodynamics: Some Types of Physiologic and Drug-Receptor Proteins). Activated receptors directly or indirectly regulate cellular biochemical processes (eg, ion conductance, protein phosphorylation, […]
headache
_ _ _ _ _ Headache is pain in any part of the head, including the scalp, face (including the orbitotemporal area), and interior of the head. Headache is one of the most common reasons patients seek medical attention. Pathophysiology Headache is due to activation of pain-sensitive structures in or around the brain, skull, face, […]
huntington’s chorea
_ _ _ _ _ _ _ _ (Huntington’s Chorea; Chronic Progressive Chorea; Hereditary Chorea) Huntington’s disease is an autosomal dominant disorder characterized by chorea and progressive cognitive deterioration, usually beginning in middle age. Diagnosis is by genetic testing. Treatment is supportive. First-degree relatives are encouraged to have genetic testing. Huntington’s disease affects both sexes […]
fragile x associated tremors/ataxia syndrome
_ Fragile X–associated tremor/ataxia syndrome (FXTAS) is a genetic disorder affecting mostly men and causing tremor, ataxia, and dementia. FXTAS affects about 1/3000 men. A premutation (an increased number of CGG repeats) occurs in the fragile X mental retardation (FMR1) gene on the X chromosome; if the mutation is full, > 200 repeats occur, causing […]
chorea
_ _ _ Chorea is nonrhythmic, jerky, rapid, nonsuppressible involuntary movements, mostly of distal muscles or the face; movements may merge imperceptibly into purposeful or semipurposeful acts that mask the involuntary movements. Athetosis is nonrhythmic, slow, writhing, sinuous movements predominantly in distal muscles, often alternating with postures of the proximal limbs to produce a continuous, […]
cerebellar dysfunctions
_ _ Voluntary movement requires interaction of the corticospinal (pyramidal) tracts, basal ganglia, and cerebellum (the center for motor coordination). The pyramidal tracts pass through the medullary pyramids to connect the cerebral cortex to lower motor centers of the brain stem and spinal cord. The basal ganglia (caudate nucleus, putamen, globus pallidus, subthalamic nucleus, and […]
demyelinating diseases
Myelin sheaths cover many nerve fibers in the central and peripheral nervous system; they accelerate axonal transmission of neural impulses. Disorders that affect myelin interrupt nerve transmission; symptoms may reflect deficits in any part of the nervous system. Myelin formed by oligodendroglia in the CNS differs chemically and immunologically from that formed by Schwann cells […]
weakness
Weakness is one of the most common reasons patients present to primary care clinicians. Weakness is loss of muscle strength, although many patients also use the term when they feel generally fatigued or have functional limitations (eg, due to pain or limited joint motion) even though muscle strength is normal. Weakness may affect a few […]
memory loss
_ _ _ _ Memory loss is a common complaint in the primary care setting. It is particularly common among the elderly but also may be reported by younger people. Sometimes family members rather than the patient report the memory loss (typically in an elderly person, often one with dementia). Clinicians and patients are often […]
brief psychotic disorder
_ Brief psychotic disorder consists of delusions, hallucinations, or other psychotic symptoms for at least 1 day but < 1 mo, with eventual return to normal premorbid functioning. It is typically caused by severe stress in susceptible people. Brief psychotic disorder is uncommon. Preexisting personality disorders (eg, paranoid, histrionic, narcissistic, schizotypal, borderline) predispose to its […]
schizophreniform psychosis
_ _ _ Schizoaffective disorder is characterized by significant mood symptoms, psychosis, and other symptoms of schizophrenia. It is differentiated from schizophrenia by occurrence of ≥ 1 episodes of depressive or manic symptoms. Schizoaffective disorder is considered when a psychotic patient also demonstrates mood symptoms. The diagnosis requires that significant mood symptoms (depressive or manic) […]
medical causes of psychosis
Differential Diagnosis of Psychotic Symptoms: Medical “Mimics” By Oliver Freudenreich, MD | December 3, 2012 For a pdf of the original article (Psychiatr Times. 2010;27[12]:52-61) and Dr Freudenreich’s bio and financial disclosure, please click here. Crude exogenous organic damage of the most varying kind can produce acute psychotic clinical pictures of a basically uniform kind. […]
24 steps on how to prevent rape
Do not be distracted, especially by technology. Do not jog with your iPod because attackers are looking for easy, distracted individuals who look-like they are not paying attention to surroundings. The same can be said for talking on your cell phone. But, on the other hand, if you feel someone is following you, pull out […]
television
29 December 2012 14:41:34 Dr Harish Shetty A review of 35 academic studies by Dr Aric Sigman of the British Psychological Society has revealed the top 15 ways in which long hours before the telly can affect children’s health as they grow 1 Obesity: a result of little exercise 2 Disrupted hormones: light from televisions […]
cannabis
f you discover eye drops such as I CURE / I CUL in anybody’s belongings than the person is surely taking addictive drugs Harish Shetty When Ms Ghorpade found eye drops in the bag of her teenage son she was surprised. She did not recollect any visit to the eye doctor or any problem with […]
hypothyroidism
_ _ _ _ Hypothyroidism (Myxedema) Share This view related topics in this manual Hypothyroidism is thyroid hormone deficiency. It is diagnosed by clinical features such as a typical facies, hoarse slow speech, and dry skin and by low levels of thyroid hormones. Management includes treatment of the cause and administration of thyroxine. Hypothyroidism occurs […]
erectile dysfunction
_ _ Erectile dysfunction (ED) is the inability to attain or sustain an erection satisfactory for sexual intercourse. Most erectile dysfunction is related to vascular, neurologic, psychologic, and hormonal disorders; drug use can also be a cause. Evaluation typically includes screening for underlying disorders and measuring testosterone levels. Treatment options include oral phosphodiesterase inhibitors or […]
drug interaction
Drug interactions are changes in a drug’s effects due to recent or concurrent use of another drug or drugs (drug-drug interactions) or due to ingestion of food (drug-nutrient interactions—see Nutrition: General Considerations: Nutrient-Drug Interactions). A drug interaction may increase or decrease the effects of one or both drugs. Clinically significant interactions are often predictable and […]
lipids
Lipids are fats that are either absorbed from food or synthesized by the liver. Triglycerides (TGs) and cholesterol contribute most to disease, although all lipids are physiologically important. The primary function of TGs is to store energy in adipocytes and muscle cells; cholesterol is a ubiquitous constituent of cell membranes, steroids, bile acids, and signaling […]
hypoglycemia
Share This Hypoglycemia unrelated to exogenous insulin therapy is an uncommon clinical syndrome characterized by low plasma glucose level, symptomatic sympathetic nervous system stimulation, and CNS dysfunction. Many drugs and disorders cause it. Diagnosis requires blood tests done at the time of symptoms or during a 72-h fast. Treatment is provision of glucose combined with […]
Diabetes Mellitus
_ _ _ Diabetes mellitus (DM) is impaired insulin secretion and variable degrees of peripheral insulin resistance leading to hyperglycemia. Early symptoms are related to hyperglycemia and include polydipsia, polyphagia, and polyuria. Later complications include vascular disease, peripheral neuropathy, and predisposition to infection. Diagnosis is by measuring plasma glucose. Treatment is diet, exercise, and drugs […]
hyponatremia
Hyponatremia is decrease in serum Na concentration < 136 mEq/L caused by an excess of water relative to solute. Common causes include diuretic use, diarrhea, heart failure, and renal disease. Clinical manifestations are primarily neurologic (due to an osmotic shift of water into brain cells causing edema), especially in acute hyponatremia, and include headache, confusion, […]
stroke rehabilitation
Rehabilitation after stroke aims to preserve or improve range of motion, muscle strength, bowel and bladder function, and functional and cognitive abilities. Specific programs are based on the patient’s social situation (eg, prospects of returning to home or work), ability to participate in a rehabilitation program supervised by nurses and therapists, learning ability, motivation, and […]
clinical use of genetics
Genetics has advanced understanding of many disorders, sometimes allowing them to be reclassified. For example, classification of many spinocerebellar ataxias has been changed from one based on clinical criteria to one based on genetic criteria (see Movement and Cerebellar Disorders: Hereditary ataxias). The Online Mendelian Inheritance in Man (OMIM) database is a searchable catalog of […]
behavioral emergencies
_Patients who are experiencing severe changes in mood, thoughts, or behavior or severe, potentially life-threatening drug adverse effects need urgent assessment and treatment. Nonspecialists are often the first care providers for outpatients and inpatients on medical units, but whenever possible, such cases should also be evaluated by a psychiatrist. When a patient’s mood, thoughts, or […]
medical assessment of patient with psychiatric disorder
Medical assessment of patients with mental symptoms seeks to identify 2 things: Physical disorders mimicking mental disorders Physical disorders accompanying mental disorders Numerous physical disorders cause symptoms mimicking specific mental disorders (see Table 3: Approach to the Patient With Mental Symptoms: Selected Mental Symptoms Due to Physical Disorders). Other physical disorders may not mimic specific […]
deemagclinic
