Medicalpedia
in
General
Motorcycle accident
⚠️ A case of a severe roadrash/avulsion, following a motorcycle accident! . Skin avulsion is a wound that happens when skin is torn from your body during an accident or other injury.The most common avulsion injury, usually occur during motor vehicle collisions. The severity of avulsion ranges from minor to moderate and severe. Suprafascial avulsions are those in which the depth of the removed skin reaches the subcutaneous tissue layer, while subfascial avulsions extend deeper than the subcutaneous layer. Small suprafascial avulsions can be repaired by suturing, but most avulsions require skin grafts or reconstructive surgery.
DR.MOHAMMED IRFAN SHEIKH
in
General
Treating Crohn’s Disease
Budesonide is one of the glucocorticoid steroids, a class of steroids which takes its name from two facts: they play an important role in the body’s metabolism of glucose; and they are produced in the adrenal cortex. In addition to being naturally-occurring, this important substance is also available in a number of therapeutic preparations. Sold under various brand names, budesonide preparations have been approved for use in treating several health conditions. Therapeutic Uses These preparations are most frequently used to treat asthma and allergies with respiratory symptoms, such as hay fever. Nasal polyps (“nasal polyposis”) can be treated (and in some cases prevented) with budesonide. However, it is also used as a Crohns treatment. Crohn’s disease (also called “regional enteritis”) is one form of inflammatory bowel disease (“IBD”). In addition to being used as a Crohns treatment, a new budesonide preparation is being tested to determine its efficacy as a treatment for ulcerative colitis. Brand Names AstraZeneca sells budesonide preparations under various brand names. Rhinocort, which is called Rhinosol in Denmark, is AstraZeneca’s budesonide nasal inhalant. The company’s oral budesonide inhalant is sold as Pulmicort (called Budicort in Israel). Symbicort is an AstraZeneca inhalant which combines budesonide with formoterol. The same preparation is sold in Brazil by Eurofarma, under the name Noex. Budesonide is marketed by Prometheus Laboratories as an enema or a time-release capsule, both of which are called Entocort. The same company also sells Entocort EC, which is an immediate-release budesonide capsule. Budesonide capsules are typically taken in one of two treatment courses: either 9 mg per day for a total of 2 months; or 6 mg per day for a total of 3 months. Pharmacological Characteristics Compared to other corticosteroids, the body metabolizes budesonide quickly. When used as a Crohns treatment, the substance is most effective in the ileum and right colon. Treating Crohn’s Disease . And, because it has very little impact on pituitary, hypothalamus and adrenal gland function, a patient does not need to gradually decrease the dosage before discontinuing budesonide. Side Effects Budesonide’s side effects are typically milder than those seen with similar medications. They can include the following: Dry mouthCoughingSore throatNasal irritation and/or nose bleedsChange in mucus colorDizziness or lightheadednessMuscle crampsRashNausea In rare cases, one or more of the following side effects can occur: Facial swellingSevere acneWhite areas in the oral cavityRespiratory difficultyIrregular menstruation The occurrence of any of these side effects should be immediately reported to the patient’s physician. A very small number of children taking budesonide have exhibited behavioral changes. Potential Drug Interactions and Contraindications Several drug interactions are possible with budesonide, including interactions with the following medications: ErythromycinClarithromycinTelithromycinNefazodoneIndinavirRitonavirKetoconazoleNelfinavirItraconazol Furthermore, budesonide may be contraindicated if you suffer from tuberculosis, hypertension, diabetes, osteoporosis or glaucoma. Before taking budesonide, patients must tell their physicians if they are pregnant or planning to become pregnant. Finally, patients taking budesonide must avoid being near anyone with measles or chicken pox – especially if they have not been immunized against those conditions.
#MBBS
#TREATING
#DISEASES
#MBBS_MEDICAL_LIFE
#CROHN'S
#MEDLIFE
#MEDICALSCHOOL
#MEDICINE
#USMLE
#MEDICAL
#MEDICOGRAM
Medicaltalks
in
General
Soft tissue tumor excision in medial aspect of left femur!
These type of tumors are commonly known as dermatofibrosarcomas and are described as benign or somewhat low-grade malignant soft-tissue growths or masses presenting with long standing swelling in the right thigh with acute leg pain due to popliteal vein compression and thrombosis. Definite diagnosis must be made by biopsy with ultrasound guidance.In current practice, it can be more reliably distinguished histologically from similar lesions, such as desmoid tumors, malignant fibrous histiocytoma, malignant schwannoma, and high-grade osteosarcoma.As with all soft-tissue and bone sarcomas, the mainstay of treatment for fibrosarcoma has been complete excision with an adequate margin. Photo by @surgilicious
#TUMOR
#FEMUR
#ONCOLOGY
#SURGERY
Medicaltalks
in
Case Study
Hypertrophic cardiomyopathy
Hypertrophic cardiomyopathy is a condition in which the heart muscle becomes thick, especially of the ventricles (lower heart chambers), which is seen very clearly in this picture. The average left ventricular wall thickness in normal adults is 1.1 cm, but there are exceptions. Trained athletes have hearts that have left ventricular mass up to 60% greater than untrained subjects, with an average left ventricular wall thickness of 1.3 cm.The most common cause is hypertension. As many as 1/3 of patients show left ventricular hypertrophy of any degree along with hypertension. Symptoms include dyspnea (shortness of breath) due to stiffening and decreased blood filling of the ventricles, exertional chest pain (angina) due to reduced or restricted blood flow to the coronary arteries, uncomfortable awareness of a fluttering or pounding heart beat (palpitations) due to the ischemia to the heart muscle, disruption of the electrical system running through the abnormal heart muscle, lightheadedness, fatigue, fainting (called syncope) and sudden cardiac death.Treatment depends on the cause. Athletic hypertrophy does not require any treatment, they're simply advised to stop exercising for a few months to measure their left ventricle again. Hypertensive LVH is treated by controlling the blood pressure with medications and lifestyle changes.
#CARDIOMYOPATHY
#HEART
#DISSECTION
#CARDIOLOGY
#VENTRICLE
The_littlemedic
in
Learning Materials
Postpartum Haemorrhage
Remember the 4 T's - trauma, tone, tissue, thrombin!
#OBSTETRICS
#GYNAECOLOGY
Fahim Moontasir
in
Learning Materials
Grey Turner Sign
#INFORMATION
#PANCREATITIS
#MEDICAL
Medshots
in
Learning Materials
Grey & White matter!
It was never that clear! One of the most amazing shots i have ever seen.--White matter is the tissue of the brain and spinal cord that is pale in color and consists mostly of nerve fibers that have myelin sheath around, it helps in the transmission of this information from the brain to other regions of the body. While Grey matter is the major component of the human brain that has several nucleon bodies, neuropil, and other parts that help in working on body parts, it helps in the Processing and connections between data and the body parts take place.
MEDizzy journal
in
Articles
MEDizzy Journal
Septic Shock in Pregnancy
A 20-year-old African-American woman, G2P1001, presented to the emergency department at 24 weeks and 2 days of gestation with complaints of generalized lower back pain, dizziness, chills, malaise, and increased urinary frequency for the past 1 day. The patient had received no prenatal care and had not gotten any antenatal ultrasounds. Click to read the full case...
#SHOCK
#SEPTIC
#PREGNANCY
MEDizzy journal
in
Articles
MEDizzy Journal
A Baby With Asymmetrical Face On Crying!
A 7-month-old baby girl was brought to the hospital with complaints of inability to close one eye, deviated mouth while she cried, and asymmetrical facial gestures since birth. The girl was a product of non-consanguineous marriage and was the firstborn child of the couple. The baby was born spontaneously at full term via vaginal delivery. There was no significant past medical history; neither was the family history remarkable. Click to read the full case....
#ASYMMETRICAL
#JOURNAL
#BABY
#FACE
#CASE
MEDizzy journal
in
Articles
MEDizzy Journal
Ocular Trauma In 34-Year-Old Caused By Ostrich Attack
A 34-year-old male patient presented to the emergency with severe ocular trauma after he was attacked by an ostrich. The ostrich kicked him in the face, which resulted in an immediate loss of vision and light perception. In addition, presented to the emergency in excruciating pain. Click to read the full case...
#OSTRICH
#ATTACK
#OCULAR
#CASE
#TRAUMA
Mateusz Świerk
in
Discussion
| 2 days ago
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discussion
Hi Guys any idea what scar self vibrations can mean? A strange answer from patients body after some scarwork on the scar from kidney discharge....
#PHYSIOTHERAPY
#VIBRATION
#SCAR
#KIDNEY
Fmgemciexam
in
Case Study
Cleft lip and cleft palate
Two weeks post surgery . This little rockstar is still as happy as ever and looks just as cute as ever- only now we have the added bonus of an upper lip and a nose! . Cleft lip and cleft palate are birth defects that occur when a baby’s lip or mouth do not form properly during pregnancy. Together, these birth def ects commonly are called “orofacial clefts”. . The lip forms between the fourth and seventh weeks of pregnancy. As a baby develops during pregnancy, body tissue and special cells from each side of the head grow toward the center of the face and join together to make the face. This joining of tissue forms the facial features, like the lips and mouth. A cleft lip happens if the tissue that makes up the lip does not join completely before birth. This results in an opening in the upper lip. The opening in the lip can be a small slit or it can be a large opening that goes through the lip into the nose. A cleft lip can be on one or both sides of the lip or in the middle of the lip, which occurs very rarely. Children with a cleft lip also can have a cleft palate. . The roof of the mouth (palate) is formed between the sixth and ninth weeks of pregnancy. A cleft palate happens if the tissue that makes up the roof of the mouth does not join together completely during pregnancy. For some babies, both the front and back parts of the palate are open. For other babies, only part of the palate is open.
#CLEFTLIP
#PHYSIOLOGY
#MBBS
#LIPS
#FMGE
#MEDLIFE
#FMGEMCIEXAM
#MOM
#PATHOLOGY
#HISTOLOGY
#MOTIVATION
#PREMED
#HEART
#ANATOMY
#HUMAN
#HOSPITAL
#PHARMACOLOGY
#NEUROLOGY
#DOCTORTIECLIP
#MEDICALSCHOOL
#USMLE
#INSPIRATION
Eminn
in
General
This is a 29-year-old previously healthy woman with pyoderma gangrenosum immediately after thyroidectomy.
This is a 29-year-old previously healthy woman with pyoderma gangrenosum immediately after thyroidectomy.The lesion arised on her collar, upper sternal and upper right thoracal area on the lower side of her cervical incision side.The clinical and histopathologic findings were consistent withPG Colonoscopy were negative for Crohn's disease ulcerative colitis.Dissemination of the ulcer did not respond to topical therapies but responded well to oral prednisone (80 mg/d) and oral cyclosporin (4 mg/kg per day) and was eventually repaired by skin grafting.During the 2 months, the prednisone dose had been gradually reduced to 10 mg/d and cyclosporin A (1 mg/kg per day), thereby decreasing the risk of nephrotoxicity, hypertension, hepatotoxicity and other side effects of the drug.By the16th-week visit, cyclosporin was discontinued.Treatment of PG has focused on the identification and control of the underlying systemic disease and immunosuppression and treatment of secondary infection.The ideal mode of therapy for PG varies according to the type and severity of the disease presentation.The course of the disease is unpredictable and the response to therapy variable from patient to patient.For patients with ulcers that are rapidly progressive, prompt control of the process is essential to provide pain relief, avoid secondary bacterial infections, and minimize the degree of scarring.Because of cyclosporine's proven efficacy and rapid response, many have advocated its use earlier in the course of the disease as first-line theraphy
#MD
#MEDICINE
#MEDSTUDENT
#MEDICAL
#SENSITIVE
Medicaltalks
in
General
Polycystic kidney weighting a whopping 5.65 kg!!
Notice how this kidney demonstrates a large number of cysts of variable size (from a few mm to many cm), which are filled with fluid of variable colour - from clear or straw coloured to altered blood or chocolate coloured to purulent when infected. In Polycystic kidney disease, the clusters of fluid-filled sacs, or cysts, interfere the kidneys ability to filter waste products from the blood. The growth of cysts causes the kidneys to become enlarged and can lead to kidney failure. Photo by @claudia_ricciardi_
Andy Wells
in
Case Study
Radial Keratotomy
A 41-year-old woman presented to the ophthalmology clinic with vision that had been deteriorating during the preceding 20 years. Her subjective refraction showed that a hyperopic shift had occurred since her current corrective lenses had been prescribed. Her best corrected visual acuity was 20/25 in both eyes. Slit-lamp examination revealed features that suggested that radial keratotomy had been performed: a clear central cornea with 16 corneal incisions extending from the periphery. Because radial keratotomies are performed manually, the incisions are neither perfectly radial nor symmetric. The patient confirmed that she had undergone this surgery for the treatment of myopia 23 years before presentation. At the time of the procedure, she had had no immediate complications. Radial keratotomy was frequently performed in the 1980s and 1990s to correct myopic refractive errors. However, the procedure is associated with a number of complications. Overlapping or excessively central incisions may lead to reduced visual acuity, and corneal scarring is associated with glare and halos. Patients are at risk for progressive hyperopia and, in rare cases, owing to reduced corneal biomechanical strength, globe rupture with minimal trauma. The patient received a new prescription for corrective lenses and was advised of the importance of protective eyewear. At a 6-month follow-up visit, her vision had not deteriorated further. Sahib Y. Tuteja, B.Sc. Manchester Medical School, Manchester, United Kingdom Muralidhar Ramappa, M.D. LV Prasad Eye Institute, Hyderabad, India source: nejm.org
#EYE
#KERATOTOMY
#OPHTHALMOLOGY
#RADIAL
#CASE
MEDizzy journal
in
Articles
MEDizzy Journal
Hemifacial Avulsion Degloving In 25-Year-Old Female Patient
A 25-year-old female patient presented to the emergency with hemifacial avulsion and degloving. The patient had allegedly been assaulted by the husband with a sickle over the left side of the face. Examination showed avulsions and degloving of the left side of the face including the nose, skin on the forehead, left side of the eyebrow, lower eyelids and part of the cheek. Extraocular movements were present with the globe and eyesight intact. Click to read the full case...
#HEMIFACIAL
#AVULSION
#DEGLOVING
#SENSITIVE
MEDizzy journal
in
Articles
MEDizzy Journal
Device Helps ALS Patients Communicate - MEDizzy Journal
Researchers at MIT have designed a wearable device that converts facial movements into electrical signals and helps people with ALS (amyotrophic lateral sclerosis) communicate. In 2016 Dr. Canan Dagdeviren, an assistant professor at Massachusetts Institute of Technology (MIT), met Stephen Hawking. The world-famous physicist suffered from Amyotrophic lateral sclerosis (ALS), a progressively degenerative condition. As a result, Hawking was unable to speak and required the use of a computer interface that used movements of his cheeks to move a cursor across letters on a screen to form sentences. Click to read more...
#DEVICE
#ALS
#MIT
MEDizzy journal
in
Articles
MEDizzy Journal
Case Of Degloving Injury In Upper Extremity In 38-Year-Old
A 38-year-old male patient presented to the emergency with an extensive degloving injury of the forearm. The patient tripped on the platform besides a running train. The patient was brought to the hospital intubated, ventilated and sedated. Click to read the full case...
#EMERGENCY
#FOREARM
#CASE
#DEGLOVING
#SENSITIVE
Abo Marwan Alhomsi
in
Articles
World of medical notes
In advanced CKD calcium became low but why tetany not occur? - World of medical notes
●The proportion of ionised ‘ free ‘ calcium is affected by the pH of blood . ● High blood pH ( alkalosis ) results in less calcium being in the ionised state and low blood pH ( acidosis ) results in more calcium being in the ionised state . ●Because of the acidemia seen inContinue reading "In advanced CKD calcium became low but why tetany not occur?
#RENAL
#NEPHROLOGY
#MEDICINE
Abo Marwan Alhomsi
in
Case Study
The photo is not the same patient but for the same case
Case - World of medical notes
A Lady 45 years old came with painful lump in her neck since 3 days back. She report that she was sitting on high chair and suddenly she tried to pick something from the ground and felt spasm in her neck.next day small lump developed and increased in size during the last two days. TheContinue reading "Case
#VASCULAR
#NECK
#ANEURYSM
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