134 results
The Pathway of Heme Synthesis, Showing Pathway Intermediates and End-Product Regulation by Heme #Pathophys #Honc #Heme
Intermediates and End-Product ... Synthesis #Porphyria #NEJM
ECG characteristics of early repolarization
 - The ST segment elevations are concave and most pronounced in
repolarization is the end-QRS ... slurring or end-QRS ... - The end-QRS ... slur and end-QRS ... #Diagnosis #Cardiology
Acute Heart Failure Exacerbation - Diagnostic Likelihood Ratios
+LR > 3.5:
 • Overall judgement of ED physician
Overall judgement of ED ... heart failure • JVD ... Overall judgement of ED ... Examination #chf #cardiology
High Attenuation pattern (2) 
1. Non specific interstitial pneumonitis (NSIP): ground glass with traction bronchiectasis, no
Sarcoidosis end-stage ... #Clinical #Radiology ... #HRCT #CTChest
On the left another typical case of sarcoidosis.
In addition to the perilymphatic nodules, there are multiple
In end stage sarcoidosis ... #Clinical #Radiology ... #CTChest #Sarcoidosis
High Attenuation pattern 
1. Chronic eosinophilic pneumonia with peripheral areas of ground glass opacity.
2. Sarcoid end-stage
Sarcoid end-stage ... consolidation #Clinical #Radiology ... #HRCT #CTChest
Esophageal Crohn's Disease Management Algorithm

Assess for Active Symptoms and for Stricturing/Fistulizing Disease
Stricturing DX:
 • Bx r/o
Fistulizing DX: • Chest ... Consider PEG & EEN • EGD ... Fibrin Injection • EGD
The HEART Score for Chest Pain Patients in the ED

Calculate the HEART Score @ https://www.mdcalc.com/heart-score-major-cardiac-events

#Diagnosis #Management
HEART Score for Chest ... Patients in the ED ... Diagnosis #Management #Cardiology
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
regurgitation • Chest ... GERD: Testing EGD ... symptom recurrence → EGD ... failure + negative EGD ... Refractory GERD when EGD
Gastric Anisakiasis - Gastroscopy revealed multiple anisakis larvae penetrating into the mucosa in the esophagogastric junction,
InfectiousDisease #EGD ... AnisakisSimplex #NEJM