MedRophine Science

2022-05-14 09:40:54 An 8-year-old boy presented to the ER with an amputated Rt middle finger at the proximal phalanx level, it was caused by trapping of his finger into a moving vehicle 2 hours before presentation ! What would be the best treatment plan according to his condition? N.B: his flexor tendon was avulsed with part of muscle belly. باز کردن / نظر دهید

2022-05-14 09:28:04 Right sided maxillary fungal sinusitis and rhinolith following dental extraction! A 65 years old woman complaining of persistent right hemifacial pain 4 months after extraction of 3 molar teeth. PNS CT scan shows a partial opacity of right maxillary sinus (red arrow) and fracture and excision of the floor of the sinus during extraction procedure (white arrow).
After functional endoscopic sinus surgery (FESS) under GA, wide antrostomy of the sinus was done and so much purulent secretion, so many fungus balls (blue arrow) and one piece of sinonasal stone or rhinolith (purple arrow) were drained and extracted by forceps and copious normal saline irrigation. باز کردن / نظر دهید

2022-05-12 20:25:05 Schwannoma of the soft palate and tonsillar fossa. باز کردن / نظر دهید

2022-05-12 13:27:37 anencephaly, about 11 weeks into pregnancy, the first ultrasound revealed the anencephaly, there was no clinical evidence that would suggest an anomaly.m, patient had been using different pregnancy category X drugs prior to pregnancy discovery as she was being treated for other illnesses. The Ultrasound came back with anomalies and labor had to be induce to terminate pregnancy. She was 27 y/o G1P0 باز کردن / نظر دهید

2022-05-12 06:31:04 Testicular epidermoid cysts are the most common type of benign testicular tumors, and typically present in mid-adulthood (2nd to 4th decades).

Patients typically present with a painless non-tender testicular mass between 1-3 cm in diameter.

Ultrasound features demonstrate non-vascular, well-marginated intratesticular mass with a characteristic lamellated "onion skin" appearance (alternating hyperechoic and hypoechoic rings), hypovascular pattern by color Doppler.

MRI shows alternating rings of high and low signal at both T1 and T2 with no evidence of post contrast enhancement. باز کردن / نظر دهید

2022-05-11 21:19:27 Off-Axis views: “An ace under the sleeve” in the assessment and follow up of LVAD patients. Her you go this TTE approach from an off-axis parasternal window showing the graft, anastomosis and outflow cannula. Look at the drawing made by myself. باز کردن / نظر دهید

2022-05-11 19:09:53 An 80-year-old man being treated for multiple myeloma presented to the emergency department with a two-week history of low-grade fever and confusion. The patient was speechless during the examination and did not know the place and time. CT scans of the head and chest radiographs were normal. The patient became somewhat dizzy despite experimental treatment with broad-spectrum antibiotics while further evaluation was underway. MRI (magnetic resonance imaging) of the head also showed multiple amplifying cyclic lesions (Figure A). Lumbar puncture was performed. Cerebrospinal fluid (CSF) analysis showed 923 nucleated cells per microliter (reference range 0 to 5), 91% of which were neutrophils; The glucose level was 26 mg / dL (2 mmol / L; reference range 40 to 80 mg / dL [2.2 to 4.4 mmol / L]), and the total protein level was 147 Mg per deciliter (reference range, تا15 to 45). باز کردن / نظر دهید

2022-05-11 18:52:48 Interesting clinical case:

A 38-year-old patient with liver cirrhosis eats lunch at a restaurant
The patient develops abdominal pain after a few hours
The patient's abdominal pain gets worse over the next 2 hours
After 24 hours, the patient suffers from macular purulent lesions and hemorrhagic bulls, which increase in number.
The patient goes to the hospital and suffers from hallucinations, high fever, wooming and diarrhea in the emergency room.
And at the end of the night, it will be in the expire section

# Gram negative sepsis
️
# Vibrio # vulnificus باز کردن / نظر دهید

2022-05-10 21:51:43 A 47-yr-old man with double trouble.

The ECG shows sinus rhythm with normal axis and intervals. The two notable findings are 1) inferior Q-wave myocardial infarction (MI) of indeterminate age and 2) diffuse ST elevations in anterior and lateral leads, with PR deviations (up in aVR, down laterally) c/w with pericarditis. The story was of prior MI with pericarditis post-coronary artery bypass graft (CABG) surgery. If you know anyone who got this right (the first time), drop us a line so we can sign them up for a Cardiology Fellowship! باز کردن / نظر دهید

2022-05-10 14:57:42 Ovarian Hyperstimulation Syndrome OHSS باز کردن / نظر دهید