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 #2 (permalink) Mon Aug 15, 2011 19:59 pm UC vs CD |
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 Dongqing3344
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| #3 (permalink) Wed Aug 17, 2011 23:47 pm Anatomy: liver, biliary tract, pancreas |
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Dongqing3344
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| #4 (permalink) Sun Aug 28, 2011 16:41 pm infective endocarditis |
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Dongqing3344
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| #5 (permalink) Mon Aug 29, 2011 17:08 pm Arotic dissection |
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Dongqing3344
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| #6 (permalink) Thu Sep 08, 2011 19:38 pm reading |
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"A 62-year-old woman presented with a 2-year history of progressive vocal hoarseness. She had undergone mitral-valve replacement for rheumatic mitral stenosis 21 years earlier, but her severe pulmonary hypertension had not resolved, and progressive clinical manifestations of right-sided heart failure, including peripheral edema, ascites, and exertional dyspnea, had developed. Chest radiography revealed cardiomegaly without pulmonary vascular congestion (Panel A, arrows, posteroanterior image; Panel B, lateral image). Elevation of the left mainstem bronchus (Panel A, asterisk) along with the calcified, convex contour of the upper posterior heart (Panel B, arrows) suggested long-standing left atrial enlargement. Contrast-enhanced axial computed tomographic imaging of the chest confirmed that the left atrium was grossly enlarged (Panel C, arrows), with a left atrial maximal diameter of 16.8 cm. Left vocal-cord paresis was observed on laryngoscopy, and Ortner's syndrome was diagnosed. In this condition, hoarseness results when a massively dilated left atrium or left pulmonary artery compresses the left recurrent laryngeal nerve. After consideration of the patient's substantial risk of perioperative morbidity, she was discharged while receiving medical therapy for heart failure, with poor symptomatic response and without improvement in voice quality."
--------NEMJ |
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Dongqing3344
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| #7 (permalink) Fri Sep 09, 2011 4:42 am anemia |
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Dongqing3344
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| #8 (permalink) Fri Sep 09, 2011 5:00 am anemia II |
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Dongqing3344
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| #9 (permalink) Mon Sep 19, 2011 5:49 am meningitis |
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Dongqing3344
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| #10 (permalink) Fri Oct 14, 2011 6:13 am reading |
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Dongqing3344
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| #11 (permalink) Fri Oct 14, 2011 6:36 am Practicing Speech |
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Dongqing3344
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| #12 (permalink) Fri Oct 14, 2011 12:51 pm Re: Practicing Speech |
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Hi
Thank you for the upload, Try to upload one in good sound next time.
Keep it up
Zakir |
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Zakir_Manj
New Member
Joined: 08 Oct 2011
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Location: Riyadh
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| #13 (permalink) Mon Oct 17, 2011 5:17 am Practicing Speech |
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Dongqing3344
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| What should I correct in my accent? | Happiness |
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