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.
from www.warriorofthelight.com

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

300 SCIENTIFIC SITES


Page is under construction
 www.webmd.com 
100 Web Resources For Medical Professionals Noedb
· A.E.P.C. Homepage
· ABC News Health Index
· Academic Earth - Cardiology I
· ACCOMPLISH Trial
· ACLS Cartoon
· Acute Rheumatic Fever Remains
· Adult Congenital Heart Association
· AHA Guidelines For ACLS/PALS/NRP
· Alexandria Medical Research Institute
· All Conferences/ Health/ Medicine
· Allhealthcare.Com Making It In Medicine
· AMA American Medical Association
· American Academy Of Pediatrics Vermont Chapter
· American Academy Of Pediatrics Web Site
· American Echocardiography Yahoo Group
· American Telemedicine Association
· Angioplasty, Stents, PTCA
· Arabmedicare.Com Cardiology Center
· Archive Of Texas Heart Institute Journal.
· ASU-Exzellenzzentrum
· Atrial Fibrillation Video Northshore University Healthsystem
· BBC - Health
· Better Health » Cartoons
· Biomedicine
· Blogs USASK CA Medical education
· BMJ.Com
· Book TV
· Brain Takotsubo Syndrome 2008 - Google Search
· British Cardiovascular Society
· British Heart Foundation - Home
· British Heart Foundation Newsletter
· Broken Heart Syndrome
· Cardiac Surgery In The Adult
· Cardio smart
· Cardioegypt.Com
· Cardiology
· Cardiology .Pdf EBook Download
· Cardiology Fellowship Application Thread
· Cardiology Journals
· Cardiology line
· Cardiology Online - International Academy Of Cardiology
· Cardiology Rounds
· CardiologyForum.ORG - A Professional & Personal Networking
· Cardionics - Leaders In Auscultation
· Cardiovascular News & Cardiology News
· Cardiovascular Ultrasound Home Page
· Child Obesity Linked To Diabetes And Heart Problems. -- Current
· Children's Heart Foundation Oregon Chapter
· CIRCJ Japanese Circulation Journal
· Circulation
· Circulation Research
· Clinical Trial Results The International Leader In Medical Media
· CNN Arabic.Com - طبيب تونسي يتوصل لتركيبة طبية لعلاج الكوليسترول
· Conferences Online
· Coping With Death, Grief And Loss - The Light Beyond
· Cordis FP7 Find A Call
· CSI - Congenital Structural Interventions - Frankfurt 2008
· Ctsnet The Cardiothoracic Surgery Network
· DAAD - Branch Office Cairo
· DAAD - Deutscher Akademischer Austausch Dienst
· Daily med
· Database Search Request Form
· Deutsche Gesellschaft Für Kardiologie - Herz- Und Kreislaufforschung
· DFG - Deutsche Forschungsgemeinschaft
· Diagnosispro - The Ultimate Medical & Differential Diagnosis
· Doctors & Medical Students -
· Doctor's Guide- Global Edition
· Doctors without borders
· Download Free Medical EBooks
· Download Your Favorite Medical Books - Medical Community
· Dr. Essam Heggy Personal Web Page
· Dujour.Ws - The Official Dujour Website
· EAE Research Grants
· ECG
· ECG Pedia
· ECHO IN CONTEXT
· Echocardiography
· Education & Training - Department Of Pediatrics
· Education UK - Innovative. Individual. Inspirational.
· Educational Catalog
· Egy calendar Events
· Egydoctors.Net - الصفحة الرئيسية
· Egypt Professional Distance Learning
· Egyptian Patent Office - مكتب براءات الإختراع
· Egyptian Working Group Of Pediatric Cardiologists
· EHJ -- Table Of Contents (March 2008, 29 [6])
· EHS Website
· Embrace Your Heart Heart Attack-Survivor
· E-Medicine Diabetes
· Emedicine The Continually Updated Clinical Reference
· Emergency And Everyday Medical Advice And Answers
· E-Nile.Com
· ESC Guidelines & Surveys Guidelines Products Pocket
· ESC Web Site Search
· Europcronline.Com!
· Evolution, Genetics, GUARDIAN
· Face Book Health News
· Familydoctor.Org Home -- Familydoctor.Org
· FDA
· Fetal Echocardiography Homepage
· Free Medical BOOKS By Amedeo.Com
· Free Medical JOURNALS By Amedeo.Com
· Free Medical VIDEO
· FREE MEDICAL VIDEOS - 3D ANIMATIONS
· Fun Pages AHA
· German Egyptian Research Long-Term Scholarship - GERLS
· Gothenburg University Library Search
· Graduate Studies Prospectus Entry Requirements
· GRM International United Kingdom Office
· Health And Wellness News Blogs And Video -- Baltimoresun.Com
· Health care today.Com
· Health Groups Yahoo
· Healthcare Blogger Code Of Ethics » MEDICAL BLOGS
· Healthcare Blogger Code Of Ethics » PHYSICIAN BLOGGERS
· Heart & Vascular Institute Swedish Medical Center
· Heart And Education In Heart BMJ
· Heart BMJ
· Heart Cartoons - Andertoons Cartoons About Heart
· Heart Disease Cartoons By T. Mccracken
· Heart Disease On Medicinenet.Com
· Heart Failure Guidelines - Heart Failure Society Of America
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· HEART HEALTH
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· Heart Risk Lessens With More Exercise « Dr Hsu’s Forum
· HEART VIEWS
· Heart link
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· Hopkins Medicine Magazine
· Hopkins Study Supports Use Of CT Scan Of Heart -- Baltimoresun.Com
· IHJ International Heart Journal Japan
· IMPHA.Com International Muslim Physicians Assembly
· Inbox - Cardiologyrounds.Com
· Independent News On Natural Health, Nutrition And More
· Institute Of Heart math - Empowering Heart-Based Living
· International Medical Center
· International Society For Heart Research--Japanese Section
· Iran Ped Card
· Is Prophylaxis For Endocarditis Essential
· ISCU
· Japan Foundation - Cairo Office
· Japanese Circulation Society
· JHJ Japanese Heart Journal
· Journal Of The American College Of Cardiology JACC
· Journal Of The Saudi Heart Association - SHA
· Journey Of Hearts A Healing Place For Those Dealing With Grief
· Keep My Heart Beating., World Heart Day Card
· Kevin's Home Page
· L Lateral Decubitus Film Shows Layering Of The Pleural Effusion
· LA Times Health
· Learn 4 Good
· List Of German Universities
· Maryland
· Mayo Clinic Medical
· Mayo Clinic Proceedings
· Med Feed Reader
· Med page Today
· Medgadget.Com -- Internet Journal Of Emerging Medical Technologies
· Medical Blogging Good Or Bad At Children’s Health Blog
· Medical blogs aggregator
· Medical Books
· Medical Cartoons And Jokes
· Medical Cartoons You Can Use
· Medical EBooks Blog
· Medical Web Site Design And Medical Marketing
· Medicalcartoons.Com
· Medical-Ebooks.Org
· Medi shared Medical Knowledge & Documents & Datas
· MEDSCAPE CME
· MRCP
· Multimedia Library
· My Med Jokes
· National Ankylosing Spondylitis Society
· National Association Of EMS Physicians
· National Association Of Emts
· National Association Of State EMS Officials
· National Board Of Echocardiography
· National EMS Museum Foundation
· National Heart, Lung, And Blood Institute (NHLBI)
· National Institute For Health And Clinical Excellence
· National Institutes Of Health (NIH) - Home Page
· Nature Clinical Practice Cardiovascular Congenital
· NCBI Bookshelf -- Cardiology Explained
· NEJM
· NEJM Image Challenge Archive
· Netdoctor.Co.Uk - Risk Of Developing Cardiovascular - Test
· NPR Health feed
· NSYSU National Sun Yat-Sen University Homepage
· NTI National Training Institute EG
· NTNU Library 1979 - Strain Rate Imaging Org
· Nursing Scrubs And Medical Uniforms
· One Look Dictionary
· Online Cardiovascular Education - CME
· Online Classes - Cath Lab - RCIS - CVT - Certified Training
· Online Master’s & Bachelor’s Degree Programs
· Online Medical World
· Online Video Lectures And Course Materials — Open Yale Courses
· Openepi -- Sample Size For Unmatched Case-Control Studies
· Oxford Journals European Heart Journal Supplements
· Oxford Journals Medicine Cardiovascular Research
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· PACHDA
· Parown - Home
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· Pediatric Cardiology At Baylor College Of Medicine
· Pedi heart Website
· Philips, Ultrasound - Ie33 - Vision 2005
· Plastic Surgery Recovery, Cosmetic Surgery
· Postgraduate Medical Institute - University Of Hull
· Pre-Activity Questionnaire
· Pre hospital Emergency Care
· Prince Sultan Cardiac Center Home Page
· Prometric Testing And Assessment
· Promotingresearch.Com
· Public Library Of Science
· Pulse Oximetry
· Pulsus Group Inc, Medical Peer Review Canadian Journals
· RDI
· Recent Auscultation Bookmarks On Delicious
· Recurrent Apical Ballooning Despite Treatment With Verapamil
· Resuscitation Council (UK)
· Sample Size Estimation
· Saudi Heart Association
· SBE Prophylaxis New Recommendations
· Scholarships - Education - British Council - Egypt
· Science And Technology Development Fund
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· Search Results For Cardiology On Delicious
· Seattle Children's Hospital - World Class Child Health Care
· Send Images, Not Baby - AAP Grand Rounds
· SLAM - Street Level Airway Management
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· Society For Heart Brain Medicine - Homepage
· Society Of Cardiovascular Anesthesiologists Home
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· Springerlink - Journal Article
· Støylens Lectures strain echocardiography
· Stress-Induced (Takotsubo) Cardiomyopathy
· Supercourse - Epidemiology, The Internet And Global Health
· Survey Monkey
· Takotsubo
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· Telemedicine Information Exchange
· Texas Heart Institute
· The American Society Of Echocardiography
· THE BRITISH LIBRARY
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· The Heart.Org Cardiology News, Education
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· The International Journal Of Cardiovascular Imaging-2008
· The Johns Hopkins University
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· The Scientist Home
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· UNAIDS United Nations Programme On HIV-AIDS
· Universitätsklinikum Des Saarlandes - Pediatric Cardiology
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· USMLE Forum, Largest USMLE Community
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· مكتب براءات الإختراع المصري
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· الموقع الرسمى لكتاب العالم أحمد زويل - عصر العلم
· الموقع الرسمى للنقابة العامة لأطبـــاء مصــــر
· الميثاق الإسلامي العالمي للأخلاقيات Islamic Code Of Health Ethics
· الهيئة العالمية للإعجاز العلمي في القرآن والسنة
· الهيئة العامة للتأمين الصحى
· وحدة المعرفة KNOL
· وزارة التعليم العالى مصر
· وزارة الصحة و السكان مصر

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.
Review:
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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