Welcome to the very first issue of our newsletter!
This is the start of a new experience offered by Medical Joyworks, and we are thrilled to have you amongst our first readers.
Each month, we will provide you with a glimpse of what is happening across the company: from vacancies, to new products, to insights regarding our work. We will keep these announcements succinct to ensure that your time reading is informative, yet brief.
On a final note, we would like to thank you for your support and encouragement since Medical Joyworks began operating in 2011. The journey has been exciting, thus far; and we hope that you will continue to gain from it in the years to come.
Once again, thank you and enjoy the MJ Monthly.
|
|
Q&As from our user community
|
|
Clinical Sense: Lumped (Follicular Thyroid Cancer)
|
|
|
Q: Is hemithyroidectomy still an option for thyroid cancer? I thought that the most recent guidelines recommend immediate total thyroidectomy.
|
|
|
A: As per the 2015 American Thyroid Association (ATA) Management Guidelines for Adult Patients with Thyroid Nodules and Differentiated Thyroid Cancer, tumors <4 cm in size without evidence of node involvement can be treated via lobectomy (hemithyroidectomy). Of course, patient preference comes first, and therefore this case allows both options.
ATA guidelines: http://thyca.org/download/document/409/DTCguidelines.pdf
|
|
|
If you would like to play this scenario or join the conversation, go to the Clinical Sense app in your mobile device.
|
|
Prognosis: Your Diagnosis: With Time (Heyde's Syndrome)
|
|
|
Q: How does aortic stenosis affect coagulation?
|
|
|
A: In aortic stenosis, blood passes through the narrowed aortic valve at increased velocity. This leads to increased shear stress, causing mechanical von Willebrand Factor (vWF) degradation.
More details: https://academic.oup.com/ageing/article/38/3/267/16387
|
|
|
Q: I agree that upper GI bleeding usually results in melena. However, bright red blood may be seen in stools if there is a brisk upper GI bleed. You should consider doing upper GI endoscopy in this patient as well.
|
|
|
|
A: Yes, brisk and heavy acute upper GI bleeding can result in bright red blood in the stool. However, this finding is more often due to bleeding from a lesion in the lower GI tract. Because of this, it is rational to perform a colonoscopy first, which in this case reveals an actively bleeding lesion in the colon. Therefore, we'd argue that an upper GI endoscopy is unnecessary in this context.
|
|
|
If you would like to play this scenario or join the conversation, go to the Prognosis: Your Diagnosis app in your mobile device.
|
|
Recently released stories
|
|
Prognosis: Your Diagnosis
|
|
|
That's all for now!
Tell us what you think or share valuable insights with the community by writing to us at: penelope@medicaljoyworks.com.
|
|
|
|
|
