Wednesday, July 29, 2009

One image worth 1000 words

One image worth 1000 words. NEJM said this over many years. I had followed the web site including many images. I learned from these images. Here is example of cases:

The concise data about case and the hint about background are so important. Images motivated me many times to open a full chapter in a textbook o revise.

I encourage all medical studens and doctors to follow:

  • NEJM Image challenge.

  • Images in clinical medicine.

Sunday, July 26, 2009

Brauwald Again

Study Again from Braunwald.

Thursday, July 23, 2009

The Four Forces

Father Alan Jones says that building our soul requires Four
Invisible Forces, namely love, death, power and time. It is necessary to love because we are loved by God. It is necessary to be conscious of death in order to understand life better. One has to fight in order to grow - but without falling into the trap of the power that we obtain in doing so, because we know that such power is worth nothing. And lastly, it is necessary to accept that our soul – although eternal – is at this moment caught in the web of time, with all its opportunities and limitations.

Wednesday, July 22, 2009

Grown-up Congenital Heart Disease Adult Congenital Heart disease

I found this lecture on this nice website

About Grown-up Congenital Heart Disease Adult Congenital Heart disease

Wednesday, July 8, 2009


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Severe MS & Severe TS

Severe MS & Severe TS
Lastly, I had seen a case with severe MS but mildly symptomatic and even lying flat during echocardiography. Residents raised the question of: why she is asymptomatic? Interestingly, this case has severe TS with sever MS. This is one of cases with Rheumatic TS in Egypt.
Despite the coexistence of MS, the symptoms characteristic of this valvular lesion (i.e., severe dyspnea, orthopnea, and paroxysmal nocturnal dyspnea) are usually mild or absent in the presence of severe TS because the latter prevents surges of blood into the pulmonary circulation behind the stenotic mitral valve.
Indeed, the absence of symptoms of pulmonary congestion in a patient with obvious MS should suggest the possibility of TS (Braunwald, 2008).

I power

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