Unbounded Medicine

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 […]

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 […]

50 y/o woman history of respiratory simptoms.

This woman has this cutaneous lesions distributed all over the body. She has history of vitiligo.

Pemphigus and bullous pemphigoid.
These are autoimmune blistering diseases. They are caracterized by the production of antibodies directed against different epitopes, resulting in intraepidermal blistering in pemphigus and subepidermal blistering in pemphigoid. The term pemphigus comes from […]

A friend from the “INER” National Institute for respiratory diseases, show me this image. It was taken after a extraction from bronchoscopy in a man with atelectasis of the lung.

Regards,
Gerardo Morales, M.D.

The patient is a young man with onychocryptosis secondary to overweight. At the images below a matricectomy with remotion of soft tissue are shown. This procedure is performed bedside in few minutes and only need local anesthesia. The goal is to release the nail from the surrounding tissue.

Gerardo Morales, M.D.

CT

At Mexico City The village of Tlalpan at the south of the city concentrates aproximately 80% of specialized medical atention in the country. At the image from a Satellital view are identified some very important hospitals that are at walking distance in a residential zone.

Regards,
Gerardo, M.D.

technorati tags: tlalpan, earthquake, institutos nacionales […]

50 y/o male with a history of one year with respiratory symptoms, he was diagnosed treated at Guatemala where he lives. Now he comes to Mexico City seeking for a second opinion and other options of therapy. At the physical examination he is well, has diminished breath sounds and just sinus tachycardia. […]

Regards,Jon Mikel Iñarritu, M.D.
technorati tags: left bowel obstruction, mechanical obstruction, diverticulitis, intestinal obstruction, surgery, acute abdomen, abdominal, medicine, medicina, unbounded medicine