Cleveland Clinic Abu Dhabi’s Post

🌟 Exciting News in Pulmonology! 🌟 🔹 Recent study highlights the benefits of oxygen therapy in improving exercise capacity for patients with fibrotic interstitial lung disease (fILD). 🔹 The study underscores the importance of tailored treatment approaches in managing fILD. 🔹 Oxygen therapy continues to show promising results in enhancing patient outcomes. "This systematic review and meta-analysis provides evidence supporting the short-term use of oxygen supplementation to enhance the exercising SpO2 as well as exercise capacity, fatigue, and dyspnea in patients with fILD." Read more about the study here: https://lnkd.in/exiwgSZz Let's promote better understanding and advancements in respiratory care! 💨💪

Hey days ✌️✨️ in this post we are going to see the case study about Renal atery stenosis Renal artery stenosis (RAS) refers to the narrowing of one or both renal arteries, leading to reduced blood flow to the kidneys. A 58-year-old male presented with uncontrolled hypertension, resistant to three antihypertensive medications. His medical history included hyperlipidemia and smoking. Physical examination revealed a systolic bruit over the left abdomen. Blood tests showed elevated serum creatinine levels, suggesting impaired kidney function. Doppler ultrasound and CT angiography confirmed significant stenosis in the left renal artery. The patient underwent percutaneous transluminal renal angioplasty with stenting, which successfully restored blood flow. Post-procedure, his blood pressure improved, and renal function stabilized. Follow-up over six months revealed no recurrence of symptoms. This case highlights the importance of early diagnosis and intervention in RAS to prevent complications like kidney damage or persistent hypertension. Non-invasive imaging and angioplasty can be effective in managing the condition. #snsinstutions #snsdesignthinking #snsdesignthinkers

Concierge Medicine Market To Reach US$ 45.8 Billion by 2032 The surging prevalence of different medical conditions, rising preference for personalized medicines, and the growing demand for mobile health (m-Health) services represent some of the key factors driving the market. Request a Sample Report: https://lnkd.in/dYuFkera The surging prevalence of severe medical conditions, such as heart stroke, hypertension, diabetes, cancer, asthma, arthritis, and cardiovascular diseases, among the masses represents one of the major factors driving the demand for concierge medicine around the world. Read Full Report: https://lnkd.in/dr55jGt2 #ConciergeMedicineMarket #ConciergeMedicine #ConciergeMedicineCompanies #IMARCGroup #MarketResearchReport #MarketReport #IndustryReport #USA #Marketing #Business #MarketResearch #marketstrategy

A 45-year-old man was on the coronary care unit the day after an acute myocardial infarction. One of his doctors thought that he looked hypothyroid and requested thyroid function tests, the results of whic wereasfollows : Plasma thyroid-stimulating hormone (TSH) < 0.05 mU/L (0.20–5.0) Free thyroxine (fT4) 10.1 pmol/L (12–25) Free tri-iodothyronine (fT3) 1.4 pmol/L (3–7) On repeating the tests 3 months later at a follow-up appointment in the medical out-patient department, the following results were obtained: Plasma TSH 2.3 mU/L (0.20–5.0) Free T418.1 pmol/L (12–25) Free T3 4.5 pmol/L (3–7) DISCUSSION: The first set of results could indicate hypothyroidism due to pituitary or hypothalamic defects (secondary hypothyroidism), that is, low TSH and ‘normal’ fT4 and fT3concentrations. However, the normalizationof the results when the patient was not acutely ill suggested sick euthyroidism or non-thyroidal illness. Beware of requesting thyroid function tests in acutely ill patients. #Ahmed_Esmaeil #Medical_Laboratory_Technologist

This article serves as a primer on mechanical life support therapies, focusing on nonrenal extracorporeal life support for cardiac and pulmonary functions. It targets nephrologist consultants involved in treating critically ill patients, often facing acute renal injury from cardiopulmonary shock and mechanical circulatory support. #AcuteRenalInjury #CardiacSupport #ExtracorporealLifeSupport #PulmonarySupport

Recently, we were discussing the case of a 35-year-old male patient who presented with left-hand pain for the last four hours (less than 24 hours). His medical history was remarkable for a left upper extremity brachiocephalic fistula placement, end-stage kidney disease due to hypertension, and a renal transplant. The physical examination was remarkable for the absence of distal pulses and left pale hand. The ultrasound arterial duplex of brachial, ulnar, and radial arteries was suggestive of thrombosed brachial, ulnar, and radial arteries. Initial plans were to proceed with thrombectomy. Further research has highlighted the enhanced efficacy of ultrasound-guided local urokinase thrombolysis in addressing fistula thrombosis. Nonetheless, potential complications like thrombus shedding have not been thoroughly addressed. However, if the option is selected, the combination of thrombolytic therapy and angioplasty should be considered. Indeed, the plan with thrombectomy went well.  #arterio_venous_fistula #complications #thrombectomy #ultrasound_guided_urokinase_thrombolysis

🌞 New paper is online in Reviews in Cardiovascular Medicine! Welcome you to read and download. Title: The Relationship between Renal Resistive Index and Complexity of Coronary Lesions in Patients with Stable Coronary Artery Diseases By: Hesham Refaat, Ayman Tantawy Full text: https://lnkd.in/gZsKim7B #coronaryarterydisease #renalresistiveindex

📍Corticosteroids Therapy for Refractory Septic Shock in Adults….♦️ 🔔”Refractory septic shock” 📍Refractory shock is defined as a systolic blood pressure <90 mmHg for more than one hour following both adequate fluid resuscitation and vasopressor administration.In adult patients with refractory septic shock, we suggest corticosteroid administration. 🔔Adrenal Insufficiency In Septic Shock: 📍In patients with septic shock, several mechanisms lead to adrenal insufficiency including increased levels of circulating cortisol, adrenocortical hyporesponsiveness, and glucocorticoid resistance. 🔔Mechanisms of adrenal insufficiency in sepsis: 📍Critical illness affects cortisol level and function through several mechanisms including hypothalamic-pituitary-adrenal (HPA) axis activation (resulting in increased levels of circulating cortisol), HPA impairment (resulting in adrenocortical hyporesponsiveness), and glucocorticoid resistance. 🔔Dosing: ●Hydrocortisone – We typically administer 200 to 300 mg per day of IV hydrocortisone in divided doses (50 mg every six hours or 100 mg every eight hours). This is consistent with guidelines set out by the Society of Critical Care Medicine (SCCM) and European Society of Intensive Care Medicine (ESICM) who recommend <400 mg/day of hydrocortisone. #CorticosteroidsTherapy #RefaractorySepticshockInAdults #KnowledgeSharing #Roleofpharmacists

Refined risk stratification for acute pulmonary embolism has emerged as a top clinical and research priority. How do we figure out who will deteriorate? Who should receive reperfusion therapy? Check out this perspective on another approach to risk stratification from my team published in Circulation: Cardiovascular Interventions!