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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
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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.

Epidermoid cyst/Dermoid cyst
  • Album: User Cases
  • Description: post contrast CT brain in 28 aged female shows: Solitary, well-circumscribed, heterogenous midline mass to the RT side that exhibit low attenuation values (of fat) .It exerts mass effect in the form of effacement of the related cortical sulci,shift of midline structures&compression of the ipsilateral part of the lateral ventricle .......... DD of this case is 1.Epidermoid cyst 2.Arachnoid cyst 3.Neuronteric cyst 4.Craniopharyngioma 5.Meningeal cyst

Ankylosing spondylitis
osteoid osteoma
Leriche syndrome
  • Album: Interventional Radiology
  • Description: MRI demonstrates cut off the signal in the abdominal aorta, just below the superior mesenteric artery.

SYNOVIAL CHONDROMATOSIS
  • Album: Musculoskeletal Imaging
  • Description: Younger pts, Large joints ; Cartilage metaplasia ; Multiple calcified loose bodies + secondary degenerative changes

Sturge Weber syndrome
  • Album: Neuroradiology
  • Description: Note gyriform calcification; left cerebral cortical atrophy and dilated ipsilateral ventricles.

Splenic injury
Congenital lobar emphysema [left upper lobe].
  • Album: Chest & Cardiac Imaging
  • Description: 10 years old male presented with dyspnea. Note the hyperinflated left upper lobe and rightward cardiomediasitnal shift with compressed right lung parenchyma and compressed left lower lobe structures. Serial chest radiographs revealed no interval changes. No history of foreign body aspiration. Rupture of abnormal lobe is emergency. Differential diagnosis includes bronchial atresia; CT is of great value in differentiating both entities. In bronchial atresia a central bronchovascular bundle within hyperinflated segment is identified.

high grade carcinoma and DCIS
  • Album: Breast Imaging
  • Description: pt with stong family history mammogram (fatty replaced tissue) unremarkable MRI demonstrates small 4 mm focus with spiculation (invasive carcinoma) and tail (DCIS)

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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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    Medoodle Team
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