Changes in Left Atrial Mechanics Following Pericardiectomy for Pericardial Constriction.

Although impaired left ventricular (LV) filling in constrictive pericarditis (CP) is attributable to external constraints by a tethered pericardium, impaired left atrial (LA) function can further impair LV filling. This study evaluated LA mechanics in CP and assessed the impact of pericardiectomy on LA mechanics. Interesting study to read. Please click here to go to Journal of The American Society of Echocardiography. 

Ulcerative cutaneous lesions... Look deeper that the skin!

A 70-year-old man presented with multiple skin lesions as the first presentation of lung cancer. Please click here to go to the full case. Leave comments and questions.

An old drug with a new use

Colchicine is a well-known anti-inflammatory medication. It is used for gout, pericarditis and other chronic inflammatory diseases. This study, colchicine suppressed the activated neutrophils in atherosclerotic plaques in patient with CAD and unstable angina and decreased cardiovascular events defined as acute coronary syndrome, out-of-hospital cardiac arrest, and non-cardioembolic ischemic stroke.  Click here to to go to the study.
Menthol overuse and toxicity is very rare. However, menthol toxicity has been linked with skin, gastrointestinal and neurological symptoms that is hard to discover. Please click here to learn more about this interesting case that one of my colleagues came across during his daily rounds. 

Bronchoesophageal Fistula Secondary to Broncholith

Another interesting case of an 85-year-old gentleman presented to us with recurrent pneumonia with history of TB and lung silicosis. CT scan of the chest declared the reason for this recurrent lung infections. Click here for full access to the recently published case. looking for your comments.  

Unusual cause of bleeding in liver cirrhosis patient

A 42-year-old man with occult GI bleeding presenting with weakness and fatigue. Initial work up was negative including upper GI scope. We published this interesting case to entertain unusual duodenal variceal bleeding. Please click here for the full print.

Adult Kawasaki disease.

Please Click Here for the new published case of Adult Kawasaki Disease. 

Distinguishing cellulitis from its mimics

Please click here for the new published review paper at the Cleveland Clinic Journal of Medicine titled: distinguishing cellulitis from its mimics


a case describing a disease called "Dermatotillomania". Please click here to learn more. 

β-Blockers and Cardiac Events in Noncardiac Surgery

Beta blockers are known for their cardioprotective properties when used in noncardiac surgeries. This was one of the main principles in the perioperative medicine. However, lately this concepts being questions and this cardio protective properties have almost fallen of the AHA/ACC guidelines giving the risk of increased mortality for patient using this medication around the surgery time.

Let me know what you think.

β-Blockers and Cardiac Events in Noncardiac Surgery

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