The 50th Meeting: "Wasting Away"

JC050p.mp3 Ciao, this is Hakodate Ryohoku Hospital. I’m Dr. Daisy. Today we present an abstract of the CLINICAL PROBLEM-SOLVING article, “Wasting Away”. A 40-year-old woman presented to the emergency department with pain, weakness, and fatigue. She had taken tenofovir 10 months ago because the HBV infection did not respond adequately to the prior regimens. Long term use of tenofovir is associated with nephrotoxicity, which can appear as renal Fanconi’s syndrome. When phosphate levels fall below 1 mg per deciliter, fatigue, proximal myopathy, dysphagia, ileus, and impaired cardiac contractility can appear. The administration of calcitriol was succ…

続きを読む

A vedic math can ease the global burden.

test.mp3 Ciao, this is Hakodate Ryohoku Hospital. I’m Dr. Daisy. Today we’ll tell you about a secret of easing the global burden. Although a raised BMI is associated with increased cardiovascular mortality in adulthood, it is not routinely calculated. So, we would like to introduce a new index by fixing BMI at 25, which is the border of normal range and overweight in BMI classification by World Health Organization. When we refer to the body weight where BMI as BW 25, it is calculated by adding the last two digits of the height in centimeters plus one percent of squared half of its complement to 100. Our equation has three advantages. First, it…

続きを読む

Glasgow Coma Scale Song

Glasgow Coma Scale Song.mp3 Lyrics: I can show you how to use the coma scale by Glasgow. Eye, verbal and motor responses are classified. Up to 4 points for the eye, Up to 5 points for verbal, Up to 6 for motor, 15 total as the high. Eye score of 1 - Eyes do not open up at all. 2 - Eyes open to painful stimuli. 3- Eyes open to a voice. Eyes score of 4 - Eyes open up spontaneously. Now that we've made it here it's crystal clear that it's time to move on to verbal scores. A verbal score of 1 means there's no verbal response. 2 - is moaning. And 3 - is use of inappropriate words. 4 - is confused...they're disoriented. 5- ori…

続きを読む