The Medical Joyworks Monthly

 

Connect to MJ's thriving community

Issue #1 (October 2019)

WELCOME!

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. 

DOCTORS' LOUNGE

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.

IN CASE YOU MISSED THEM

Recently released stories

Clinical Sense

Pediatrics
First (Measles - Updated)
Surgery
Dilated (Abdominal aortic aneurysm - Updated)

Prognosis: Your Diagnosis

Medicine
With time (Heyde's syndrome)
Surgery
Under (Pancreatic cancer)
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.

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