MedRophine Science

2022-09-01 12:40:17 39 yo female with headache and right face pain.
aqueduct stenosis with hydrocephaly and pressure on cranial aspect of midbrain and secondary dural defect in inferior of right middle cranial fossa and meningoencephalocele with oblitration of right meckle cave and pressure on right trigeminal nerve. باز کردن / نظر دهید

2022-08-29 07:39:19 6 year old with a bakers knee cyst

Bakers cyst has a bimodal peak with one earlier peak occurring between 5 to 7 years

Patient presented with knee swelling , Mri images are enclosed باز کردن / نظر دهید

2022-08-27 14:01:53 A case of close spinal dysraphism

Patient was a 34 year old male came for a neck swelling since birth . باز کردن / نظر دهید

2022-08-27 07:20:42 An article about endometrial hyperplasia and its differential diagnosis with uterine cancer!
Uterine hyperplasia occurs in women due to factors such as the imbalance of estrogen and progesterone hormones (increase in estrogen and decrease in progesteron), obesity, and estrogen-producing tumors, which has several major histopatological types: hyperplasia without atypia, hyperplasia. Along with atypia, complex hyperplasia, hyperplasia with display, the latter turns into cancer, and a little negligence in its diagnosis causes the death of the patient. The important thing is to recognize and differentiate it.
This disease is diagnosed by TVS hysteroscopy and biopsy. If so, what type is it? Why does it not respond to treatment? It is there that in the absence of a definitive diagnosis, he should suggest a biopsy examination because it is possible that his patient has hyperplasia of the complex type or dysplastic type, which may turn into cancer as soon as possible and not be noticed and continue the treatment باز کردن / نظر دهید

2022-08-26 11:42:35 86 y/o man, came in for progressive astenia, stipsis and intermittent fever. His renal function has been progressively worsening in the last two months, yesterday's lab exams revealed a plasma creatinine of 7.2 mg/dl and a blood urea of 236 mg/dl. What's your diagnosis? What other cutaneous condition should we be looking for in this patient?
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Write your opinions in the comments below the post for us. باز کردن / نظر دهید

2022-08-26 11:37:28 Photo from Dr.nouri Rheumatologist

-The swelling in olecranon bursitis is right on top of the olecranon bone

-Olecranon bursitis can have other causes such as:
trauma
Diseases such as rheumatoid arthritis
Crystal diseases such as gout
It occurs, which in the above cases only has swelling without pain and redness
Infectious causes = Infectious bursitis occurs, in which case it is accompanied by redness and severe pain باز کردن / نظر دهید

2022-08-25 19:03:08 35 year old patient with fever on and off , presented with seizures , headache and vomiting.

This patient has a lesion which centered over the right ambient cistern which is causing severe compression of the pons and mid brain, where the lesion is seen to displace the midbrain and pons to the left side , significant brain edema is also noted .

I have requested contrast study for the patient and sometimes , even after an mri study is done , we need to follow up with repeat mri and clinical case discussions to understand the nature of the disease .

I feel this lesion to go in favor of a neoplastic origin , hoewever requested further work up باز کردن / نظر دهید

2022-06-22 21:12:30 Most scoliosis curves in adults do not need surgery, but the ones that do are often driven by accumulated degenerative or traumatic changes. This is a 50 yr old with a Lenke 5 curve stable for many years. He sustained a burst fracture right at the L2 apex and had coronal and sagittal decompensation.

A VCR at L2 and interbody at L4-5 targeting the laterolisthesthesis got the job done. What was invaluable was preoperative planning, especially for the sagittal plane. Having a pre-printed rod by Medicrea/Unid as a template really helped prevent overcorrection at the level of the VCR.

Also nice is using a massive banana TLIF cage to fill the corpectomy, especially in collapsed fractures - NuVasive's Modulus TLIF-A has a huge footprint, almost a mini XLIF interbody... باز کردن / نظر دهید

2022-06-21 15:05:44 CT axial and coronal images of the chest demonstrate occasional thin walled cysts Note the cysts are peribronchovascular in location and accompanied vessels can often be seen on the walls of the cyst. There are also occasional focal areas of nodular ground glass opacities and nodules. Coronal images demonstrate the basal predominance distribution of disease. This are typical manifestations of Sjogren syndome in lung parenchyma. باز کردن / نظر دهید

2022-06-21 10:28:11 38 year old teacher, level 9 gymnast as a teen. Presented this morning with disabling low back pain and left sided dorsiflexion weakness and dysesthetic pain of the L5 nerve root. Some calf spasms.

BMI of 43, because of failure of conservative measure over four years with pre Diabetic medical treatment as a delayed health consequence.

Recovery goals for her were simple at consultation. Resume a preventative health and fitness lifestyle, reverse the pre-diabetes, lose 60 to 80 pounds( 5’4, 250 ).

We did this outpatient with a simple posterior midline iMAS approach. Spine health management sometimes requires surgical treatment for holistic goals.

As a three decade spine surgeon, with massive experience, and minimally invasive surgery legacy, my goals are health and wellness, when I counsel my patients towards spine surgery. باز کردن / نظر دهید