My Blog Posts

2018 15/Jan

Classical findings of Pericarditis in ECG are: Diffuse ST-segment elevation and PR-segment depression ST-segment depression in aVR or V1 Low voltage, classically defined as total amplitude of the QRS complex less than 0.5 mv in the limb leads and less than 1 mv in the precordial leads Absence of reciprocal ST-segment changes For more ECG […]

Keep Reading
2018 11/Jan

Headache is defining as a pain or discomfort arising from pain-sensitive structures in the head. It’s the fifth most common primary complaint of patients presenting to an emergency department (ED) in the United State and patients with headache constitute up to 4.5 percent of emergency department visit and the overwhelming majority will have benign primary […]

Keep Reading
2018 8/Jan

Spirochetal infections Syphilis caused by Treponema pallidum Yaws also called frambesia caused by Treponema pertenue Lyme disease caused by Borrelia burgdorferi in the United States, B. mayonii in the upper Midwestern United States, and B. afzelii and B. garinii in Europe and Asia. Leptospirosis caused by caused by Leptospira Lyme Disease The most common vector-borne […]

Keep Reading
2018 5/Jan

Pancreas Divisum Pancreas divisum results from a failure of ventral and dorsal bud fusion. The ventral (Wirsung) duct drains only the ventral pancreatic anlage, whereas the majority of the gland empties into the minor papilla through the dorsal (Santorini) duct. It is the most common congenital anomaly, occurring in 4%–14% of the population, as evidenced […]

Keep Reading
2018 5/Jan

Pancreatic cancer is responsible for 7% of all cancer-related deaths, and it is now the third leading cause of cancer-related deaths in both women and men. It’s considered a highly lethal disease, for which the relative 1-year survival rate for pancreatic cancer is only 28%. Patients often present with advanced disease, and at the time […]

Keep Reading
2018 4/Jan

The HLA-B27 allele is associated with seronegative spondyloarthropathies (SpA). The first HLA haplotype association with inflammatory disease was discovered in 1972, correlating HLA-B27 with ankylosing spondylitis. SpA includes ankylosing spondylitis, psoriatic arthritis, reactive arthritis, and IBD-related arthritis. SpA typically manifest with inflammatory axial or peripheral joint pain. This pain is associated with morning stiffness, is reduced […]

Keep Reading
2018 3/Jan

Psoriasis a chronic, noncontagious, multifactorial inflammatory skin condition. Classification Plaque psoriasis or psoriasis vulgaris Most common Well-defined erythematous plaques with scales Typically over extensor surfaces Inverse/intertriginous psoriasis Plaques with minimal scaling in skin folds (retroauricular, axillary, inframammary, inguinal, genital sites) Pustular psoriasis Pustules rather than plaques Two primary variations: Von Zumbusch is the generalized form […]

Keep Reading
2018 3/Jan

It is estimated that up to 170 million people around the world have been infected with Hepatitis C virus (HCV) infection, and among these, approximately 130 -150 million are chronically infected according to World Health Organization. HCV infection is the principal cause of chronic liver disease worldwide. HCV is a hepatotropic virus and chronic infection […]

Keep Reading
2017 12/Dec

Clinical Toxidromes are a group of specific signs and symptoms that suggest a particular poisoning class. Rapid recognition of a toxidrome is essential because it can determine initial management strategies. Vital signs, pupils, physical exam (abdominal examination) and mental status to help identify the toxidrome. Sympathomimetic Toxidrome/Withdrawal  Drugs:  Caffeine, cocaine, amphetamines, methamphetamines, Ritalin, LSD, Theophylline, […]

Keep Reading
123