Funtabulously Frivolous Friday Five 282
Dr Neil Long Funtabulously Frivolous Friday Five 282
It's Friday. Boggle your brain with FFFF challenge and some old fashioned trivia. Funtabulously Frivolous Friday Five 282 (Source: Life in the Fast Lane)
Source: Life in the Fast Lane - June 7, 2019 Category: Emergency Medicine Authors: Dr Neil Long Tags: FFFF airline alcohol Camptodactyly CDC Danish drunk feet flights Ganser syndrome Landouzy lipoma Louis Théophile Joseph Landouzy Meningitis meningitis prophylaxis tongue tongue swelling Source Type: blogs
Abdominal wall mass –MRI Approach
50 yr old lady presents for CEMRI with abdominal wall mass in USG with no history of trauma / fever / surgery.CEMRI shows – Large intense& heterogeneously enhancing altered signal intensity space occupying lesion involving left anterior parietes of abdominal wall extending from supraumbilical to pelvic region with areas of necrosis/ restricted diffusion /predominantly edematous signal components /rectus abdominis not separately identified / properitoneal fat stranding with no intraperitoneal extension / across midline /no definite skin ulceration /regional lymphadenopathy / air /MR demonstrable calcification / f...
Source: Sumer's Radiology Site - February 24, 2019 Category: Radiology Authors: Sumer Sethi Source Type: blogs
Cauda equina mass: An Approach
- CLINICAL PRESENTATION&FINDINGS 57 yr male with h/o low back pain with no h/o trauma presents for MRI lumbar spine which shows – Large relatively well defined , regular, intradural, subtly& heterogeneously enhancing SOL, seen from lower L3 border to middle of body of L5 with compression of cauda equina fibers, displaying mostly soft tissue signals on all sequences / normal meningeal enhancement, with no significant hemorrhage / fat / cystic / necrosis/ MR demonstrable calcification components / sugarcoating / scalloping or enlargement of the posterior neural e...
Source: Sumer's Radiology Site - January 12, 2019 Category: Radiology Authors: Sumer Sethi Source Type: blogs
This Innocuous looking ECG made me scratch the basics of EP without an answer !
This 70 year old man in routine check up showed up this ECG.
What is it ? a quick debate ensued !
Is this
RVH
RBBB
Or Both ?
Neither RBBB nor RVH
Wrong lead placement
Is it a normal ECG after all ?
I thought it was RVH. (do considered RBBB) but since lead V 2 showed tall R , I was more than sure RVH was likely . Many voted for RBBB. .Some others said RBBB can never occur in monophasic form.I said it’s possible.
Some body challenged me without Echo Imaging a monophasic RBBB can never be differentiated from RVH. After a mini argument I reluctantly agreed.Yes, it seemed there is no way to differentiate the two.
...
Source: Dr.S.Venkatesan MD - August 11, 2018 Category: Cardiology Authors: dr s venkatesan Tags: cardiology -ECG RBBB vs RVH how to diagnose RBBB in RVH and vice versa rvh in rbbb tall r in v1 differential diagnosis Source Type: blogs
Intramuscular Lipoma: Plain Xray
AP and Lateral radiograph of the forearm of a middle aged female ave a history of a painless soft tissue lump in her forearm. Images show adiolucent mass arising within the musculature at the mid portion of her forearm possibly indicating intramuscular lipoma.Famous Radiology Blog http://www.sumerdoc.blogspot.com
TeleRad Providers at www.teleradproviders.com Mail us at sales@teleradproviders.com (Source: Sumer's Radiology Site)
Source: Sumer's Radiology Site - June 29, 2017 Category: Radiology Authors: Sumer Sethi Source Type: blogs
Ten Years In
My first day as an attending general surgeon in Cleveland, Ohio was August 7th, 2006. I saw one patient with a hernia in the office that day and then, around 430 pm, the call came in from the pediatric ER about a kid with abdominal pain. Some healthy 17 year old boy with obvious early appendicitis. I booked the case, tip-toed my way through the laparoscopic appendectomy uneventfully and went home feeling awful proud of myself. It was exactly how I envisioned a life as a general surgeon. I had been a confident 5th year resident. I hadn't done a fellowship. I had felt ready. I was read...
Source: Buckeye Surgeon - March 3, 2017 Category: Surgery Authors: Jeffrey Parks MD FACS Source Type: blogs
Case Report : Soft Tissue Cavernous Hemangioma
Discussion by Dr MGK Murthy, Dr GA PrasadSoft-tissue hemangiomas are common neoplasms of benign histologic origin& are the most common of the angiomatous lesions. Cavernous hemangiomas are composed of dilated, blood-filled spaces lined by flattened endothelium. Calcification is common. They do not spontaneously involute and therefore may require surgical intervention.X ray - usually normal, may show pheboliths or soft tissue opacity.NECT- an ill-defined mass of similar attenuation to muscle may be identified, Phleboliths can be well seen.Currently, the standard for imaging for soft-...
Source: Sumer's Radiology Site - February 19, 2017 Category: Radiology Authors: Sumer Sethi Source Type: blogs
Lipoma arborescens-MRI
51 year old male with clinical history of ? Psoriatic arthritis.: Evidence of extensive fluid in the knee joint distending the suprapatellar bursa and medial/lateral recess, along with significant synovial hypertrophy and thickening. There is vilous filiform pattern of synovial hypertrophy with areas of lipomatous signal on all sequences possible lipoma arborescens.
Lipoma arborescens is a rare intraarticular lesion characterized by villous Iipomatous proliferation of the synovium, usually involving the suprapatellar pouch of the knee joint. A patient with the condition typically has a slow increase in painless s...
Source: Sumer's Radiology Site - November 6, 2013 Category: Radiologists Authors: Sumer Sethi Source Type: blogs
Scrotal Lipoma-MRI
This is a 5month boy with scrotal swelling. There is evidence of large scortal mass which appears extra testicular and testes appears displaced and compressed by the mass measuring 5.5 x 5.6cm approximately and communicates with inguinal via spermatic cord. This lesion shows T1/T2 hyperintensity and shows signal suppression on STIR images consistent with scrotal lipoma. Lipoma is common extratesticular neoplasm and originates from the fat cells of the spermatic cord or subcutaneous fat in the scrotal wall.
From Sumer's Radiology Site http://www.sumerdoc.blogspot.com -The Top Radiology Magazine. Teleradiology Provi...
Source: Sumer's Radiology Site - June 4, 2013 Category: Radiologists Authors: Sumer Sethi Source Type: blogs
Emergency Medicine Kwa-Zulu Natal Style
aka Postcards from the Edge 010
Each time we feature a ‘postcard from the edge’ from the somewhat infamous New Zealand-trained emergency physician Dr Sandy Inglis he is somewhere new — we last heard from him as a patient in Italy, now he is back in ancestral lands in Kwa-Zulu Natal.
Only 2 months have past in this, the wild west of Emergency Medicine, and yet the drama, the excitement, the frustration and the chaos make it feel like we have been here for years. I am employed here as the Head of Department for Emergency Medicine, plucked from the comfort of Australasian Emergency Medicine (EM) to come to this ...
Source: Life in the Fast Lane - April 24, 2013 Category: Emergency Medicine Doctors Authors: Chris Nickson Tags: Emergency Medicine Featured kwa-zulu natal postcard from the edge sandy inglis South Africa Source Type: blogs
Hamartomatous Polyps - A rare cause of adult intussusception
We describe a case of jejuno jejunal intussusception in a middle aged female secondary to a multiple polyps in the small & large bowel loops which was detected on CT.
Case Submitted by Dr. Chetan (DMRD, DNB resident), Dr. Karunakaran N. (consultant), Department of imaging & interventional radiology, Meenakshi Mission Hospital & Research Centre, Madurai
Case Details : A 37 year old female presented with complaints of intermittent pain in the epigastric and periumbilical region with significant weight loss for one year with bleeding PR. The physical examination was unr...
Source: Sumer's Radiology Site - April 22, 2013 Category: Radiologists Authors: Sumer Sethi Source Type: blogs
