Browsing all posts in Medical Images.
Splenic Injury and Hemoperitoneum in Blunt Trauma
The following pictures are from different clinical cases.
In Blunt Trauma the spleen and the liver are injuried in 40 and 20 percent, respectively.
In the ER, you have three four options in the Work-Up of a patient with blunt abdominal trauma
Peritoneal Lavage: Now just performed if you haven’t access to ultrasound (lack of money or lack [...]
Worst case of hemorrhoidal prolapse ever & PPH
BEWARE! Gory image
A 45 year old male with history of chronic reducible hemorrhoidal disease came to the emergency department with excruciating pain, rectal bleeding and an anal non-redicible mass after a bowel movement.
On examination, we found this:
In this case, the only way to reduce the prolapse is a procedure for prolapsing hemorrhoids (PPH) which is [...]
Biomedical Image Awards
Via MAKE; from wellcome trust
In a lovely contest called Biomedical Image Awards 2006 I have found this image of human colon cancer cells in culture.
Look how beautiful, but how bad when a patient has it.
Regards,
Dr. Jon Mikel Iñarritu
Intussusception
Intussusception is the invagination of a part of the intestine into itself, in other words is the prolapse of one part of the intestine into the lumen of an immediately adjoining part. It is the most common abdominal emergency in early childhood.
Epidemiology: Most episodes of intussusception occur in otherwise healthy and well-nourished children. Approximately 60% [...]
Air Ambulance - ATLS
Here is a video of an ATLS maneuver on an air ambulance.
Regards,
Jon Mikel Iñarritu, M.D.
Cascade Stomach: An unsusual cause of abdominal pain
A woman came to the office because of sharp epigastric pain. On physical examination nothing was wrong except of epigastric pain. An endoscopy was performed and reported as normal. An Upper Gastrointestinal Tract Barium Examination was ordered and we found a cascade stomach, which is a rare finding. We exlude other causes of abdominal pain [...]
Purpura fulminans as severe complication of meningococcal infection
Purpura fulminans
It is a severe condition due to meningococcal sepsis, it occurs in 15 to 25% of those patients with meningococcemia.
The clinical picture is as follows: acute onset of cutaneous hemorrhage and necrosis secondary to vascular thrombosis and disseminated intravascular coagulation. Often there is pain followed by petechiae. Ecchymoses develop and evolve into painful [...]
Do not explode a firecracker in your hand never (update)
BEWARE! Gory Images
Another case of firecracker associated injuries here.
For those who don’t believe in that this kind of accidents really happen, this is a story who GruntDoc wrote, with the same outcome.
The pictures are self explaining.
GruntDoc says: “The devastation on this X-ray is nothing compared to the actual flesh-and-blood injury. A life changed in a [...]
Traumatic thoracic aortic rupture
A previously healthy 17 yo woman came in to the ER because she has suffer an automovilistic accident. On the initial evaluation she was with pulse ‘parvus et tardus’ with altered mental status. A chest x-ray was ordered and found an aortic rupture.
Because the bleeding was contained and she has just a little hemodynamic instability, [...]
Insulinoma & Whipple triad - Surgery (update)
Insulinoma
Insulinoma is the most common functioning tumor of the pancreas, and affected patients present a tableau of symptoms referable to hypoglycemia (symptoms of catecholamine release), mental confusion and obtundation. Many patients have symptoms for years. Some have been greatly troubled by emotional instability and fits of rage, often followed by somnolence.
Incidence: This tumors are so [...]
Another Mediastinal tumor
30 y/o Man with the suspect of HIV infection presented at the emergency room with respiratory symptoms. At the first image are shown changes at the thoracic wall. In the chest x -ray the mediastinum is enlarged.
Mesothelioma DVD & Video
Thrombosed Hemorrhoid
Thrombosed external hemorrhoids often occurs in grade III-IV internal hemorrhoids, and can cause excruciating pain, and patients will often present acutely. In such cases, surgical evacuation of the hemorrhoid can produce immediate relief.
The treatment of choice is hemorrhoidectomy with partial lateral internal sphincterotomy, which consists in incised the mucosa on each side of the hemorrhoid [...]
Complications of subclavian venopuncture
This is a rare complication of subclavian venopuncture:
Inadvertent subclavian arterial puncture
In inexperienced hands it could be a fatal procedure. So, in this case, it was too late when we try to stop that massive bleeding after a surgery interconsultation.
Regards,
Jon Mikel Iñarritu, M.D.
technorati tags: hemomediastinum, subclavian venopuncture, mediastinal hematoma, surgery, medicine, medicina, unbounded [...]
What is the diagnosis?
50 y/o woman history of respiratory simptoms.
