• Mashup Score: 4

    Deconstructing the myth that the normal range for the resting heart rate is 60-100.REFERENCESMaximum predicted HR:Robergs R, Landwehr R. The surprising hist…

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    • Interesting poll results: Most clinicians think that 1/3 of Twitter users are pathologically bradycardic? 🤔 In this fantastic 12-min video, @DrEricStrong makes a great case for why we should consider/teach 50 as the lower limit of normal HR. https://t.co/e9t2DZx66G https://t.co/5z5CEcPEzr

  • Mashup Score: 6

    Section snippetsDiscussionThe classic illness script for pneumonia includes pulmonary symptoms, such as dyspnea, cough, sputum production, and pleuritic chest pain. However, pneumonia may present with extrapulmonary symptoms, such as headache, confusion, myalgias, nausea, vomiting, or abdominal pain.1, 2, 3 Pneumonias from “atypical” bacteria are most frequently associated with extrapulmonary…

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    • Ok I LOVE this case from David Rendon, Jason Shiau, and @StephVSherman @BCM_InternalMed . Unfortunately not open access but I'll recap below 👇 1/5 https://t.co/G8WVZKBaGi

  • Mashup Score: 1

    This Review summarizes the risk factors, pathogenesis, diagnosis, types of diagnostic studies, and treatment for patients with acute cholecystitis.

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    • This table, from a recent JAMA review, summarized uses and test characteristics of various imaging modalities for cholecystitis. It has a lot of good info, but I would recommend against internalizing one component of it, marked with blue. https://t.co/VbGmX5eTWd 7/ https://t.co/qx9tAwO3ry

  • Mashup Score: 1

    Purpose To update previously summarized estimates of diagnostic accuracy for acute cholecystitis and to obtain summary estimates for more recently introduced modalities. Materials and Methods A systematic search was performed in MEDLINE, EMBASE, Cochrane Library, and CINAHL databases up to March 2011 to identify studies about evaluation of imaging modalities in patients who were suspected of…

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    • The quoted sensitivity of CT was much higher than I would have guessed, so I went digging: The cited reference was the same systematic review I referenced above. https://t.co/ETIEpAb6mJ 8/

    • Like any test, RUQUS is not perfect in detecting cholecystitis. A systematic review in 2012 put pooled sensitivity at 81%, but as you see in plot of included studies, there's heterogeneity, with sensitivity as low as 50% in some studies. https://t.co/ETIEpAbEch 2/ https://t.co/f8xufbF8kc