Browsing all posts in January, 2006.

Traumatic thoracic aortic rupture

A previously healthy 17 yo woman came in to the ER because she has suffer an automovilistic accident. On the initial evaluation she was with pulse ‘parvus et tardus’ with altered mental status. A chest x-ray was ordered and found an aortic rupture.

Because the bleeding was contained and she has just a little hemodynamic instability, [...]

Insulinoma & Whipple triad – Surgery (update)

Insulinoma
Insulinoma is the most common functioning tumor of the pancreas, and affected patients present a tableau of symptoms referable to hypoglycemia (symptoms of catecholamine release), mental confusion and obtundation. Many patients have symptoms for years. Some have been greatly troubled by emotional instability and fits of rage, often followed by somnolence.
Incidence: This tumors are so [...]

Another Mediastinal tumor

30 y/o Man with the suspect of HIV infection presented at the emergency room with respiratory symptoms. At the first image are shown changes at the thoracic wall. In the chest x -ray the mediastinum is enlarged.

Mesothelioma DVD & Video