Flenn Gomez

Does this patient have pheochromocytoma? A systematic review of clinical signs and symptoms.

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Does this patient have pheochromocytoma? A systematic review of clinical signs and symptoms.

BACKGROUNDPheochromocytoma is a uncommon illness however with excessive mortality if it’s not being recognized early. Several biochemical assessments with excessive accuracy have been obtained, however the clinical threshold for request of these assessments just isn’t decided clearly.OBJECTIVETo decide the Likelihood Ratios of clinical signs and signs in diagnosing pheochromocytoma. And additionally meta-analysis of their sensitivity … Read more

Is early invasive management as ST elevation myocardial infarction warranted in de Winter’s sign?-a “peak” into the widow-maker.

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Is early invasive management as ST elevation myocardial infarction warranted in de Winter's sign?-a "peak" into the widow-maker.

de Winter’s signal was first described by de Winter et al. in 2008 as a brand new electrocardiographic (EKG) sample of acute proximal left anterior descending coronary artery (LAD) occlusion. Instead of the regular presentation of ST elevation, it’s described as despair of ST section at the J level in the precordial leads V1-V6, that … Read more