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Doctor 🩺

in Case Study

Epiglottitis!

A previously healthy, fully immunized 48-year-old man presented to an urgent care clinic with a 3-day history of odynophagia, fever with temperatures of up to 40°C, and progressive shortness of breath. A lateral radiograph of the neck showed the “thumb sign” (Panel A, arrow), which was suggestive of an enlarged epiglottis. He was transferred to the emergency department, where a physical examination showed inspiratory stridor; he was sitting in the tripod position and was using accessory muscles for respiration. Immediate tracheostomy was performed while the patient was awake, and laryngoscopy revealed erythema, edema, and exudative inflammation of the epiglottis, with complete obstruction of the upper airway (Panel B). Intraoperative cultures from the epiglottis grew Streptococcus pyogenes. After 5 days of treatment with intravenous antibiotic agents targeting S. pyogenes, the tracheostomy tube was removed, and the patient was discharged home with a prescription for a 14-day course of oral amoxicillin–clavulanate. Repeat laryngoscopy 2 weeks after the initial presentation showed complete resolution of the infection (Panel C).

Sarah

in General

Pelvic floor muscles

Where are the pelvic floor muscles? What are they? Where do they attach? What do they do? How can you strengthen them? Let's have a look at some more pelvic anatomy.

Irda

in General

Robotic Left Lower Lobe S8+S9 Bisegmentectomy

This is a video of robotic left lower lobe S8 and S9 basal bisegmentectomy in a patient with ground glass opacity in the left S8 segment.

#MEDICAL_TRAINING

#HEALTH_EDUCATION

#MINIMALLY_INVASIVE

Irda

in General

Heparin | The blood 🩸 thinner

Heparin is an anticoagulant that stimulates antithrombin III (ATIII) which then inhibits coagulation factors VII, IX, X, XI, XII, as well as thrombin. This leads to prevention of thrombus formation (anticoagulation)...Heparin is used for ICU anticoagulation...Adverse effects of heparin includes bleeding, Heparin-induced thrombocytopenia (HIT), and osteoporosis. Heparin | The blood 🩸 thinner | The Anticoagulant | Pharmacology | Hematology. Anticoaulants are chemicals that inhibit blood coagulation (secondary hemostasis).

Gaurav Arora

in Learning Materials

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Diagnostic algorithm for Pulmonary TB in 2 minutes park psm 25th edition

Diagnostic algorithm for Pulmonary TB park 25th edition psm in 2 minutes!!

#PARKSTEXTBOOKOF

#COMMUNITYMEDICINE

Doctor 🩺

in Case Study

Multiple Renal Arteries!

Multiple Renal Arteries!

A 9-year-old girl with a single dysplastic kidney and chronic kidney disease presented to the hospital to undergo transplantation of a kidney from a deceased donor. During preparation of the kidney for transplantation, the donor kidney was found to have five renal arteries. During fetal development, multiple mesonephric arteries supply blood to the kidney. Typically, one mesonephric artery persists to become the renal artery; the persistence of multiple mesonephric arteries can lead to multiple renal arteries. Although two renal arteries is a common anatomical variant, three or more arteries in a single kidney is less common. Kidneys with multiple arteries are more technically challenging to transplant and are associated with an increased risk of vascular complications. The risks of such complications may be greater in children, who have smaller blood vessels. For these reasons, transplantation was deferred in the young patient, and the donor kidney was transplanted into a 35-year-old man. At 3 years after transplantation, the adult recipient of the kidney was clinically well, with a serum creatinine level of 1.0 mg per deciliter (88 μmol per liter; reference range, 0.7 to 1.2 mg per deciliter [59 to 104 μmol per liter]). The child underwent live-donor kidney transplantation 18 months after the originally scheduled date. At the 2-year follow-up, she was also clinically well, with a serum creatinine level of 0.9 mg per deciliter (76 μmol per liter; pediatric reference range for age, 0.4 to 0.8 mg per deciliter [36 to 67 μmol per liter]).

Irda

in General

Nasal cartilages

The sticky out bit of the nose gets its shape from some nasal cartilages. These cartilages must link to the bones of the skull and the bones of the nasal septum to form the first parts of the respiratory tract into the left and right nasal cavities.

Dr. Aiswarya Vijayan

in General

Suturing after scoliosis surgery

Suturing after scoliosis surgery

Minimally invasive scoliosis surgery is a type of procedure done to fix an abnormal curve of the spine known as scoliosis. This type of surgery uses smaller incisions than open surgery. The spine has some normal curves forward and backward. But it should not curve to the side.

#MEDICALSTUDENT

#SCOLIOSIS_SURGERY

AshleyCooper

in General

Surgical treatment of a large ruptured internal carotid artery bifurcation aneurysm

Ruptured aneurysms with intraparenchymal hematoma and mass effect are primarily treated by surgical clipping. In this video presentation, a 68 year old male with a large ruptured right ICA bifurcation aneurysm is presented. Patient’s neurological exam was rapidly deteriorating, therefore the patient was transferred to the operating theater after initial evaluation by CT and CT angiogram. A pterional craniotomy was performed, the frontal hematoma was partially removed and the aneurysm was clipped. Residual hematoma was removed after securing the aneurysm and the aneurysm dome was punctured(detail of surgical clipping in the video). Patient made a good recovery at 2 weeks post-op with complete recovery of left sided weakness, and some remaining cognitive deficit.

#ANEURYSM_(DISEASE_OR_MEDICAL_CONDITION)

#INTERNAL_CAROTID_ARTERY_(ARTERY)

#NEUROSURGICAL_FOCUS

#JOURNAL_OF_NEUROSURGERY

#SURGERY_(MEDICAL_SPECIALTY)

Eve Robertson

in Discussion | 2 days ago

What is the name for the following symptoms Dry mouth Extreme thirst Lots of sweating Major mood swings

Jassia

in General

Parkinson's disease

Parkinson's disease

Doctor 🩺

in Case Study

Fish Bone Perforation!

Fish Bone Perforation!

A 73-year-old man presented to the emergency department with the acute onset of severe lower abdominal pain. He recalled eating yellowtail fish the day before the onset of the pain. His temperature was 38°C, blood pressure 122/69 mm Hg, and heart rate 77 beats per minute. On physical examination, he had tenderness across the lower abdomen with rebound tenderness. Laboratory tests showed a white-cell count of 10,300 per cubic millimeter (reference range, 3300 to 8600) with 83% neutrophils. Computed tomography of the abdomen revealed a thickened gut wall and penetration of the small intestine by a linear, high-density body (Panel A). Laparotomy revealed a small-bowel perforation from a fish bone 2 cm in length (Panel B). Small-bowel resection was performed, and the patient received treatment with antibiotic agents. The postoperative course was uncomplicated, and the patient was discharged home on day 8 after surgery.

Shahbaj Tuglak

in General

#BLOODCIRCULATIONS

A B K

in Discussion | 2 days ago

23 years Female, H/o: Repeated blood transfusions once in 6 months since her childhood and once in 3 months since last 2 years because of anemia. Any solution for this case?

Anas Abubakar

in General

Please diagnosis and treatment

Please diagnosis and treatment

#MEDICALSTUDENT

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