Browsing all posts in Medical Images.
Pemphigus and bullous pemphigoid. 70 y/o woman with cutaneous lesions
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 [...]
What is this?
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.
Surgical treatment for ingrowing toenail
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.
A rare thoracic tumor
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. [...]
Left Bowel (mechanical) Obstruction
Regards,Jon Mikel Iñarritu, M.D.
technorati tags: left bowel obstruction, mechanical obstruction, diverticulitis, intestinal obstruction, surgery, acute abdomen, abdominal, medicine, medicina, unbounded medicine
Another Tension-type Pneumothorax
Here is another chest x-ray that shouldn’t have been taken:
As reference, you can trackback this earlier post.
Regards,
Jon Mikel Iñarritu, M.D.
technorati tags: tension type pneumothorax, medical images, CXR, chest x-ray, x-ray, medical emergency, clinical images, medicine, unbounded medicine, medicina, pneumothorax
Open Fractures Classification and its clinical manifestations
Open fractures are surgical emergencies because of its complications (soft tissue damage, infection, hemorrhage).
We at emergency department need a classification system that it is intented to determine the degree of that damage.
We have to make a rapid (also a good) interrogation of lession mechanisms (what, when, where, who, associated lessions). REMEMBER: If a low-grade open [...]
Cardiac Tamponade
Physical findings & Clinical Presentation:
• Severeconstant pleuritic pain that localizes over the anterior chest and may radiateto arms and back; it is differentiated from myocardial ischemia, becausethe pain intensifies with inspiration and is relieved by sittingup and leaning forward.• Pericardial friction rub is best heard with patientupright and leaningforward and by pressing the stethoscope firmly [...]
Traumatic mediastinal hematoma
A 64 years old politraumatized male, arrive to ER department directly to trauma room. He was on shock.
Refractary hypotension
Tachycardia and tachypnea
He had no signs of tamponade.
Here we have the images (best viewed in large size):
Post-surgery image (best viewed in large size):
The final diagnosis was Traumatic [...]
An extremely rare case
22 year old female with painless slowly progressive, ophtalmoplegia with diplopia and ataxia.
On physical examination we found this:
Short stature.
Arrhythmic heart sounds.
Bilateral ptosis.
Ophtalmoplegia.
Bilateral fundoscopy examination:
A characteristic bilateral pigmentary retinosis.
An EKG was performed:
A first degree AV block was found on this patient.
Then we ordered a lumbar [...]
RA & Pulmonary disease
A 76 years old female comes to the emergency department because shortness of breath. She has been postrated since 2 months ago, when she wasn’t able to move her legs anymore. Shortness of breath since 1 week ago (NYHA IV). She states that she has “rheumas”. She gives no other information. She has been taking [...]
Pulmonary tuberculosis: a common diagnosis at INER
A 24 year old woman who presented at INER (Instituto Nacional de Enfermedades Respiratorias) at Mexico City complaining of shortness of breath, weight loss, and chronic cough. This image shows a classic radiographic appearance of pulmonary tuberculosis. An heterogeneous image with alveolar filling pattern and homogeneous opacity are observed at the right apex. Elevation of [...]
Horrible: Child abuse
Another case of Child abuse was shown today on TV news.
It seems that we can’t stop this and some parents preffer to remain in silence rather than to speak out loud about this impunity.
I think it is time to recognize this cases and report them to the authorities. So today’s matter is to know the [...]
You should never take this chest x-ray
To take this chest x-ray is a common error for those without experience.
The diagnosis of Tension-type pneumothorax is a clinical one. That is because it’s a real emergency (inmediately life-threatening), that should be identified on primary survey.
Basis of Diagnosis:
Hyperresonance of affected hemithorax
Decreased or absence of breath sounds
Tracheal deviation [...]
