Dr Jeffrey Kalei

Dr Jeffrey Kalei

Author and illustrator for Hyperexcision. Interested in emergency room medicine. I have a passion for medical education and drawing.

Cervical Cysts

Cervical cysts may be observed unless they are symptomatic or interfere with pap smear testing. Benign lesion Description Nabothian cyst Clear to yellow-white elevations of the endocervix or proximal ectocervix. It contains mucus and is no more than 1 cm in diameter.…

Sepsis and Septic Shock

Sepsis is a life-threatening condition caused by a dysregulated immune response to pathogens or their toxins in blood or tissue. The organisms can be bacteria, viruses or fungi, while toxins may include endotoxin (LPS) or exotoxins. Sepsis may range from mild…

Anticoagulation

Anticoagulation therapy prevents and treats thromboembolism by inhibiting the coagulation cascade. Anticoagulants Class Mechanism Examples Nota bene Unfractionated heparin (UFH) Enhances the activity of antithrombin III → decreased thrombin and Xa activity Heparin Monitored with aPTT and Anti-Xa levels. It is…

Amiodarone

Overview Amiodarone is a very effective, but highly toxic, class III antiarrhythmic. Amiodarone-induced Hypothyroidism (AIH) The pathophysiology of hypothyroidism is due to the Wolff-Chaikoff effect – thyroxine formation is inhibited due to high levels of circulating iodine. Amiodarone-induced Thyrotoxicosis (AIT) AIT…

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