Ponosan na pradjeda. Kapetan Boško Petrović (Ljubovija 1882 - Solun 1919). Učesnik Balkanskih ratova, stradao u Prvom svjetskom ratu. Sahranjen na Srpskom vojničkom groblju Zejtinlik parcela 1078. #ww1#solunci
An easy NEJM image challenge today - endoscopic findings of the oesophagus in a patient with coffee ground vomiting. These were the findings on admission (top row) and one week later (bottom row). What’s the name of this syndrome?
@Kresendo u EU se voze u koloni, kao i automobili, a prestizu iskljucivo na mjestima gdje je to dozvoljeno. O brzini kretanja da i ne govorimo, o prikrivenim/zavrnutim reg tablicama takodje…
How to select esophageal stents?
Esophagus is 25 mm × 25 cm tube.
Diameter:
•16–18 mm→strictures/anastomoses, but ↑migration
•23 mm→leaks, fistulas, strictures; ↑discomfort, perforation
Length: 10, 12, 15 cm
•Extend ≥2 cm beyond stricture
•GEJ involved: Long stents
An INCREDIBLE advance in pancreatic cancer. Compared to conventional treatment, Daraxonrasib, a new RAS inhibitor, was shown to increase survival in metastatic pancreatic cancer in this landmark NEJM trial:
> Median survival doubled
> 12-month survival tripled (18% to 53%)
> Less discontinuation (1.2% vs 11.2%)
Pancreatic cancer carries one of the worst prognosis - most cases carry a KRAS mutation which is targeted by this new class of treatment, bringing much needed hope to patients with this cancer, and potentially affecting other sites 🤞👏
https://t.co/bqHKoh1qS3
@NearAngie@EfcMiki Nimulid doslovno ni po cemu nije “iznad” Dexomena. Toksican za jetru, ne djeluje brzo kao Dexomen, pogotovo je opasan za mamurluk i one koji redovno piju alkoholna pica.
A GI numbers pearl:
👉 1 mm = 3 Fr
So:
7 Fr = 2.3 mm
10 Fr = 3.3 mm
A 7 Fr device fits every adult GI scope.
A 10 Fr device needs a ≥3.3 mm working channel (therapeutic gastroscope, adult colonoscope or duodenoscope).
Save yourself a trip to the processor cart.
Classification systems are hard to remember.
JNET remember one branching point:
👉 Can you see vessels?
❌ No → Type 1
✅ Yes:
• Organized → Type 2A
• Disorganized → Type 2B
• Destroyed/amorphous → Type 3
Think of vessels like threads in a wool ball
That's 90% of JNET.