Category Archives: Uncategorized

Bacterial Meningitis

Pathophysiology 1) acute suppurative infection within the subarachnoid space 2) common entry site is via nasopharynx Signs and Symptoms acute onset of – 1) fever 2) headache 3) lethargy 4) stiff neck 5) seizures 6) stroke 7) nausea 8) vomiting 9) photophobia 10) increased intracranial pressure 11) positive Kernig’s sign 12) positive Brudzinski’s sign 13) Continue Reading

Battlefield Acupuncture (Niemtzow Technique) and No Needle Battlefield Acupressure (Marcucci Technique) for Pain Control in Acute Traumatic Injury in Haiti

by L Marcucci, MD – trauma surgeon and medical acupuncturist One of the more distressing items being reported out of the developing medical catastrophe in Haiti is the lack of even rudimentary anesthesia and analgesia for the treatment of amputations and severe acute traumatic injuries. One possible strategy for treating patients in pain that is Continue Reading

Hepatopetal vs. Hepatofugal Flow

Right upper quadrant Doppler ultrasound reports often mention that flow in the portal vein is hepatopetal or hepatofugal. This can leave the inexperienced resident somewhat confused as to exactly which way the flow of blood is moving. Hepatopetal flow is the normal pattern of blood flow into the liver and hepatofugal flow is physiologically abnormal Continue Reading

Pancreatic Pseudocyst

Pancreatic pseudocysts form in a percentage of patients with both acute and chronic pancreatitis and are a common cause of abdominal symptoms of pain and satiety, but can also be asymptomatic even when quite large. Related Posts Pathophysiology and Treatment of Pancreatic Pseudocysts

Primary Fibrinolysis

Primary fibrinolysis is a rare condition that occurs when the body releases an abnormally high amount of tissue plasminogen activator from tissues that causes diffuse and sometimes uncontrollable bleeding. It can occur in sepsis, cardiopulmonary bypass, and transurethral prostate resection (TURP) which can cause release of urokinase from the prostate. In bleeding suspected secondary to Continue Reading