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Drunk driver impaled by a wooden fence! He was transported to the hospital where surgeons carefully removed the log from the patient's leg. It was said that the log was just millimetres away from his femoral artery which could have had fatal consequences. Impalement injuries are one of the severe types of injuries combining effects of both penetrating and blunt trauma leading to crush injury, wound contamination, and multiorgan damage.These types of injuries are usually a result of fall from height, vehicular accidents, and slip with strong external force. Prompt transfer to tertiary centre, pre-operative planning, and multi specialty involvement is crucial in the management of such cases. After initial resuscitation, full trauma evaluation should be carried out before attending to local injury. Minimal manipulation, extraction of impaled object in operation theater under direct vision, wound debridement, and administration of antibiotics to prevent wound infection are pearls of the management of impalement injury. . . 💡Are you interested in deepening your knowledge by taking exciting medical quizzes?📚 Then click the link in our bio and take advantage of this limited time offer to get the best medical app, comprising of 25,925 high yield multiple choice & flashcards questions, covering 1,607 topics from 17 major medschool subjects and much more! Get it today and start learning! 👨⚕️ Link in bio⬆️
Successful treatment of a patient with an extraordinarily large burn! The patient is a 29-year-old male who was seriously burned by molten steel (about 1,500°C) from the top of the head throughout the body, in an accidental furnace explosion. Except for a small piece of unburned skin on the posterior head measuring about 0.5% TBSA, the rest of the scalp and the face suffered deep second degree burns, and the trunk and the 4 extremities were full of black eschar. When the extremities were incised to reduce tension, muscular eversion and necrosis were seen. The fingers of both hands and toes of both feet were carbonized, presenting as branch-like dry necrosis. The left eye was severely burned and the cornea was perforated. A diagnosis was made of 99.5% TBSA burn wound, 5.5% deep second degree, 71% third degree and 23% fourth degree, and left eye burn with corneal perforation. Fluid resuscitation, anti-infection therapy, mechanical ventilation, and maintenance of internal environmental stability were continued on admission to protect organ functions. The patient overcame the shock phase in stable condition. On the 3rd day after the injury, escharectomy was performed, involving 65% TBSA, and the wound was covered with nitrogen-preserved alloskin. As there was only 0.5% TBSA normal scalp available “microskin autografting and alloskin repeated grafting” method was used to repair the wound as soon as possible for the sake of preventing infection, which included using alloskin to cover and protect the wound temporarily, and repeated microskin grafting to sequentially close the wound. The entire course of treatment lasted 120 days, during which 14 operations were done. In the course of treatment, though perceiving the magnitude of his disease, the patient healed relatively fast and there was no obvious functional damage to the patient’s heart, lungs, liver, kidneys and other organs. Unfortunately, due to amputation and scar contraction, patient lost his ability to walk and to hold objects, among other survival skills. However, with the support of his family, he preserved the will to live and face reality. Credit: medihelp.life.com
Angle grinder injury causing severe facial trauma! We present a case of a 29 year old patient, presented with a penetrating injury to the left cheek after a work accident. He was using an angle grinder when the disc shattered, hitting the patient in the face. Foreign body removal procedure was performed urgently, in conjunction with the team of plastic surgery to reconstruct the defect. Post-op results are shown in the last photo. Injuries resulting from the use of angle grinders are numerous. The most common sites injured are the head and face. The high speed disc of angle grinders does not respect anatomical boundaries or structures and thus the injuries produced can be disfiguring, permanently disabling or even fatal. However, aesthetically pleasing results can be achieved with thorough debridement, resection of wound edges and careful layered functional closure after reduction and fixation of facial bone injuries. Credit: @evertonpancini @sctbmf Tag a friend and follow us @Medicalpedia for more!
⚠️ Lawn mower accident slicing up the patients foot. On the photo you can see that the heel is still partially attached to the achilles tendon. Although mowing the lawn may seem a routine chore, lawn mowers are powerful machines with the potential to cause severe and life-threatening injuries. Contact with the moving blades or the engine can result in a wide range of injuries, including lacerations burns, broken bones, and even amputation. One of the most common lawn mower-related injuries involves an individual tripping or slipping underneath an active mower. The fingers and hand are the most commonly injured part of the body, next being the leg, feet and toes. So remember to always wear sturdy shoes while mowing the lawn. . TAG a friend and FOLLOW us @medicalpedia for more extreme cases!
Can you imagine giving birth to a baby this size?! 👶 The biggest baby by natural vaginal birth weighing roughly 17.47 pounds (7.9 kg) and 22.5 inches (57.5 cm) long! The term "fetal macrosomia" is used to describe a newborn who's significantly larger than average. A baby diagnosed with fetal macrosomia has a birth weight of more than 8 pounds, 13 ounces (4kg), regardless of his or her gestational age. Fetal macrosomia may complicate vaginal delivery and could put the baby at risk of injury during birth. Fetal macrosomia also puts the baby at increased risk of health problems after birth. Fetal macrosomia can be caused by genetic factors as well as maternal conditions, such as obesity or diabetes. Macrosomic babies are usually delivered by Caesarian section if the predicted weight is 11 pounds (5,000 grams) or more. Credit: @doktorcuneytuzun . . 💡Are you interested in deepening your knowledge by taking exciting medical quizzes?📚 Then click the link in our bio and take advantage of this limited time offer to get the best medical app, comprising of 25,925 high yield multiple choice & flashcards questions, covering 1,607 topics from 17 major medschool subjects and much more! Get it today and start learning! 👨⚕️ Link in bio⬆️
Blister from a circumferential burn after a ring got in contact with the car battery terminal and heated up.⚡ . Circumferential burns to the upper limb and digits, associated with jewellery are relatively rare. Silver and gold have high conductivity as compared to platinum and will cause deeper burns. The common mechanism of injury is localised high temperature whether it is associated with electrical injury or simple conduction. We would like to reiterate that early assessment and appropriate escarotomy can be vital in saving the digit. Deep burns with exposed tendon may require the use of local flaps, such as a cross finger flap, however most heal with more conservative management without serious sequelae. Postoperative physiotherapy is also important for maximal functional outcome. Tag a friend ad follow us at @Medicalpedia for more!
Ganglion cyst of the foot being drained out!! A ganglion cyst is a sac filled with a jellylike fluid that originates from a tendon sheath or joint capsule. The word “ganglion” means knot and is used to describe the knot-like mass or lump that forms below the surface of the skin. Ganglion cysts are among the most common benign soft-tissue masses. They are not harmful or cancerous, although they may cause discomfort and tingling, burning, numbness, aching, or pain if they are on or near a nerve. Although they most often occur on the wrist, they also frequently develop on the foot—usually on the top, but elsewhere as well. Ganglion cysts vary in size, may get smaller and larger and may even disappear completely, only to return later. This technique involves draining the fluid and then injecting a steroid medication into the mass. More than one session may be needed. Although this approach is successful in some cases, in many others, the cyst returns. Needle aspiration is also used as a treatment. Case by: @xlr8.sportsmed, @medicaltalks
Case of a guy who scratched his postoperative wound to the extent that his orthopedic bone plate showed through his skin, holding on just one screw. He was apparently suffering from a mental ilness and a known drug addiction. Tag a friend and follow us @Medicalpedia
Ring avulsion injury! 💍 Case of a truck driver who degloved his ring finger while getting out of his truck. While climbing out, he jumped the last step of the truck, not realizing the ring got hooked on the door. The result was a degloved ring finger with the avulsed tendon still attached to the tip. A degloving injury is a type of avulsion in which an extensive section of skin is completely torn off the underlying tissue, severing its blood supply. The entire musculo-skeletal unit of the finger is intact, and the patient can often move the parts of his naked hand quite normally. It is named by analogy to the process of removing a glove. Degloving injuries invariably require major surgical interventions. Treatment options include replantation or revascularization of the degloved skins, or when these are not possible, skin grafts or skin flaps. While the preservation of the extremities and limbs is normally preferred, in some cases, especially digits, amputations may be advised or required. Photo by @andrea.cister TAG a friend and FOLLOW us @medicalpedia for more!
Have you ever seen a person with this condition? This is a case of Raynaud's syndrome also known as Raynaud's phenomenon. It is a medical condition in which spasm of arteries cause episodes of reduced blood flow. Typically, the fingers, and less commonly the toes, are involved. Rarely, the nose, ears, or lips can also be affected. During an attack of Raynaud's, affected areas of your skin usually first turn white. Then, they often turn blue and feel cold and numb. As you warm and circulation improves, the affected areas may turn red, throb, tingle or swell. Treatment of Raynaud's disease depends on its severity and whether you have other health conditions. For most people, Raynaud's disease isn't disabling, but it can affect your quality of life. Tag a friend and follow us @Medicalpedia for more!
Tag a friend who would still miss the vein! 😅 Joke aside, can you guess why this man's blood vessels are so enlarged? a) Marfan's syndrome b) steroid injections c) AV fistula Comment below ⬇️ . . ________________________________________________ This is actually arteriovenous fistula which is a surgically made connection between an artery and a vein. You may ask why is this necessary and the answer is hemodialysis. An AV fistula causes extra pressure and extra blood to flow into the vein, making it grow large and strong. The larger vein provides easy, reliable access to blood vessels. Without this kind of access, regular hemodialysis sessions would not be possible. Untreated veins cannot withstand repeated needle insertions, because they would collapse the way a straw collapses under strong suction. At the start of a hemodialysis session, two needles are inserted into the vascular access. One needle carries blood from the body to the dialyzer, the other carries filtered blood back to the body. The blood then travels through a tube that takes it to the dialyzer. Inside the dialyzer, the blood flows through thin fibers that filter out wastes and extra fluid. The machine then returns the filtered blood to the body. A vascular access lets large amounts of blood flow continuously during hemodialysis treatments to filter as much blood as possible per treatment. . . 💡Are you interested in deepening your knowledge by taking exciting medical quizzes?📚 Then click the link in our bio and take advantage of this limited time offer to get the best medical app, comprising of 25,925 high yield multiple choice & flashcards questions, covering 1,607 topics from 17 major medschool subjects and much more! Get it today and start learning! 👨⚕️ Link in bio⬆️
A patient with lower third leg open fracture with soft tissue loss, covered by gracilis free flap and the result at 5 weeks with complete healing of the wounds. Anatomical features of the lower third of the leg like subcutaneous bone surrounded by tendons with no muscles, vessels in isolated compartments with little intercommunication between them make the coverage of the wounds in the region a challenging problem. Free flaps continue to be the gold standard for the coverage of lower third leg wounds because of their ability to cover large defects with high success rates and feasibility of using it in acute situations by choosing distant recipient vessels. The perforators in the lower third leg on which these flaps are based are often damaged during the injury. In medium-sized defects of less than 50 cm(2) size, local transposition flaps, perforator flaps, or propeller flaps can be used. Free flaps continue to be the first choice for coverage of wounds in the lower third leg with gracilis muscle flap for small and medium defects, latissimus dorsi muscle flap for large defects and anterolateral thigh flap when a skin flap is preferred. Credit: Indian Journal of Plastic Surgery Tag a friend and follow us @Medicalpedia for more!
Ostectomy of maxillary and mandibular alveolar ridge, with removal of entire dentition - in preparation for full-mouth implants. This patient had severe periodontal (gum) disease which results in bone loss around the teeth, which causes tooth mobility. Once this condition reaches this point, the teeth are hopeless, and removal is necessary. The reason the bone was removed in addition to the teeth was for adequate bone availability for the implants and adequate inter-arch space (space between the top and bottom jaws) for an appropriate prosthesis. In this case, it will be a hybrid denture - secured by implants. This is often called an "all-on-four". . Periodontal disease, also known as gum disease, is a set of inflammatory conditions affecting the tissues surrounding the teeth. In its early stage, called gingivitis, the gums become swollen, red, and may bleed. In its more serious form, called periodontitis, the gums can pull away from the tooth, bone can be lost, and the teeth may loosen or fall out. Credit: StafneDefect Tag a friend and follow us @Medicalpedia for more!
Palatal perforation with nasopharyngeal infection due to excessive cocaine use! Cocaine abuse has increased in the past decade, with a rise in the reported cases of midpalatine perforations produced as a result. The vasoconstrictive and caustic effect of the drug can produce direct irritation and ischemia of the nasal and palatine mucosa, leading over the long term to the creation of an oronasal perforation secondary to maxillary bone destruction. The most important tissue effect is vasoconstriction. Ischemic necrosis and irritation are produced as a result of both the drug itself and of the adulterants commonly found in its composition. This, and the traumatic effect of the crystals inhaled at high speed, favor the appearance of recurrent nasal infections. The treatment options comprise sealing of the defect, either surgically or with a removable obturator, once the lesion has been seen to remain stable. Such management also implies patient rehabilitation as regards to cocaine abuse. The surgical technique is chosen according to the location and dimension of the lesion, the daily dose and duration of cocaine addiction and the presence of infection among other factors. Credit: Jativa Silvestre, Clinical Oral Investigations Tag a friend and follow us @Medicalpedia for more!
A preserved human nervous system. 🧠 . Guess the largest and longest nerve in the body: a) tibial b) sciatic c) axillary . The primary function of the nervous system is to control the body. It does this by extracting information from the environment using sensory receptors, sending signals that encode this information into the central nervous system, processing the information to determine an appropriate response, and sending output signals to muscles or glands to activate the response. The evolution of a complex nervous system has made it possible for various animal species to have advanced perception abilities such as vision, complex social interactions, rapid coordination of organ systems, and integrated processing of concurrent signals. In humans, the sophistication of the nervous system makes it possible to have language, abstract representation of concepts, transmission of culture, and many other features of human society that would not exist without the human brain. . . 💡Are you interested in deepening your knowledge by taking exciting medical quizzes?📚 Then click the link in our bio and take advantage of this Black Friday offer to get the best medical app, comprising of 25,925 high yield multiple choice & flashcards questions, covering 1,607 topics from 17 major medschool subjects! Get it today! Link in bio⬆️
Can you guess what's going on in the video? ⬇️ . . This treatment method is called Halo gravity traction. In severe cases of scoliosis, halo-gravity traction may be an important part of the treatment. The use of halo-gravity traction removes the impact of gravity on the spine deformity, elongating the spine and stretching out surrounding soft tissue. Severe scoliosis can cause problems with the lungs, limiting expansion of the lungs and motion of the ribs and chest with breathing, which can be demonstrated on pulmonary function testing (PFT). By stretching out the spine there is an increase in vertical height of the chest, which improves lung capacity and breathing. On average, patients will see a correction of 35 percent or more after three to four weeks in traction. However, this is highly dependent on the type of scoliosis. Though patients may have a bit of a headache the first day or two, most say they actually feel much better (less spine pain), breathe easier and frequently gain appetite. Credit: @med__life Tag a friend and follow us @Medicalpedia for more!
A Muay Thai boxer has gone viral after images emerged of a brutal head injury sustained during a fight. The incident took place when his opponent landed a big elbow during the bout at the Patong Stadium. As you can clearly see in the images, his head was fractured but remarkably he kept on fighting and never felt dizzy. He wasn't wobbled and kept fighting, but the referee stopped the fight to get a doctor to look at the injury and the doctor stopped it right away. Although little is known about the fighter, it has been confirmed that he is now out of hospital following the surgery to fix the fracture with a titanium plate. Incredibly and thankfully, no brain injury was sustained. Credit: Jonny Betts . . Tag a friend and follow us @Medicalpedia for more!
A bus driver has been left with severe burns after an e-cigarette battery exploded in his pocket!🚬 . He was on his way to work in his car when he heard a sizzling noise. He noticed flames on the dashboard so he stopped his car and patted the flames away. He then noticed his leg was on fire with the flames burning straight through his trousers. He went to a local hospital but due to the extent of his burns was then transferred to a specialist unit at Chelsea and Westminster Hospital in London. He's recovering at home but at the moment unable to walk, with the possibility of getting a skin graft. The Independent British Vape Trade Association (IBVTA) say where a cause of a battery failure has been determined and reported on, it is usually a case of either the incorrect charger being used, or loose batteries being carried in pockets. Like any lithium-ion batteries, those used in vaping devices should never be carried in pockets where they can come into contact with keys or coins and short circuit. This is however a very serious issue, particularly as these incidents, although rare, are easily avoided. . . 🚬Know a friend who uses e-cigarettes? 👇Tag them below to warn them and follow us at @Medicalpedia!
Man got his thumb stuck under a file drill bit. You can see the tendon wrapped around as well as the rest of his thumb. Amputation of fingers with tendon avulsion occurs through a traction injury, and most occur through a ring avulsion mechanism or as in this case, a power tool rotation force. When a tendon is torn out with the amputated segment, it is usually with the flexor digitorum profundus. Replantation is recommended only when the amputation is distal to the flexor digitorum superficialis insertion, if the digit is not severely damaged. Management of a digital tip amputation requires a thorough understanding of fingertip anatomy, vascular anatomy, and the various treatment options available. The goals of treatment include facilitating the fastest reasonable recovery, restoring volar soft-tissue pulp and contour, maintaining digital tip support, achieving a pain-free and sensate tip, and tailoring the type of reconstruction to the patient's occupational and avocational needs. Treatment options include healing by secondary intention, skin grafting, bone shortening and amputation revision, complex flap reconstruction, and replantation. The option selected will depend on the tissues involved, pathologic anatomy of the injury, personal needs of the patient, and vascularity of the fingertip. Complications of treatment include nail deformity, painful unstable scar, digital neuroma, cold intolerance, dysesthesias, hypesthesias, poor aesthetics, stiff digits with flexion contracture, and flap necrosis. Credit: reddit user thesovietbarrel Tag a friend and follow us @Medicalpedia for more!
Case of a mountain biking accident leaving the patient in a sticky situation! Luckily it went just under the skin, leaving the skull unharmed. The twig was later removed at the hospital and the patient made a full recovery. In cases like this, do not try and remove the impaled object. Pulling out the object can damage nerves and blood vessels and make the wound much worse. Tag a friend and follow us at @Medicalpedia for more!
What do you think caused this massive blistering of the palm? a)burn, b)brown recluse, c)rattlesnake . ________________________________________________ This is the result of getting bit by a rattlesnake! 🐍 The venom from the majority of rattlesnake bites will damage tissue and affect your circulatory system by destroying skin tissues and blood cells and by causing you to hemorrhage internally. Most rattlesnake venom is composed mainly of hemotoxic elements. Common symptoms include swelling, severe pain, tingling, weakness, anxiety, nausea and vomiting, hemorrhaging, perspiration and (rarely) heart failure. Local pain following envenomation is often intense, increasing with the ensuing edema. Children generally experience more severe symptoms because they receive a larger amount of venom per unit of body mass. If a person has been bitten, it is vital to get medical help immediately. The person must be kept calm and given reassurance that the bite can be treated. Once at the hospital, medical staff will administer antivenom medication. . . 💡Are you interested in deepening your knowledge by taking exciting medical quizzes?📚 Then click the link in our bio and take advantage of this limited time offer to get the best medical app, comprising of 25,925 high yield multiple choice & flashcards questions, covering 1,607 topics from 17 major medschool subjects! Get it today! Link in bio⬆️
Picture showing a stone baby- Lithopedion! A case of a 26-year-old woman who was referred to the department of obstetrics and gynecology complaining lower abdominal pain with associated palpitation, dizziness, poor appetite and inssomnia for the last seven months. Her obstetrical and gynecological history was normal such as menstrual cycle (28 days) and regular with length of menstrual period of 4-5 days. On examination was revealed infra-umbilical mass, mobile and hardened. Laboratory findings were within normal limits. An ultrasonography was obtained and it clearly showed an empty uterus, regular ovaries and the presence measuring femur length (abdominal pregnancy) and retention of 5 years. After laparotomy a fetus within sac was seen in the peritoneal cavity in adhesion with of an abdominal 30 weeks fetus the omentum. After dissection of the sac a whole fetus with ossified skeleton was found. The fetus was intact inside the amniotic cavity without amniotic fluid (Calcified Abdominal Pregnancy-Lithopedion). . Lithopedion is a term derived from the Greek words Litho (Stone) and Paedion (child) and it explains an extra-uterine dead fetus that has calcified. There extra-uterine dead fetus that has calcified. There are some conditions that contribute to the formation of lithopedion: 1) extra-uterine pregnancy, 2) fetal death after 3 months of pregnancy; 3) the fetus must be sterile; 4) difficult diagnosis; 5) deposition of calcium. This pregnancy develops like an abdominal intra-uterine pregnancy until fetal death. Later on the dehydration of tissue and calcium infiltration occurs. The woman had good post-operative recovery after extraction. Credit: Nafisa A. Mohamed, Scientific Research
Case of a finger degloving as a result of jumping over a fence! A degloving injury is a type of avulsion in which an extensive section of skin is completely torn off the underlying tissue, severing its blood supply. The entire musculo-skeletal unit of the finger is intact, and the patient can often move the parts of his naked hand quite normally. It is named by analogy to the process of removing a glove. Degloving injuries invariably require major surgical interventions. Treatment options include replantation or revascularization of the degloved skins, or when these are not possible, skin grafts or skin flaps. While the preservation of the extremities and limbs is normally preferred, in some cases, especially digits, amputations may be advised or required. TAG a friend and FOLLOW us @medicalpedia for more!
Hit by a car going 50mph resulting in partial degloving of the foot! . "I was skating down a road (big mistake I know), when a car came up from behind me. I tried to jump out of the way. I broke off the drivers side mirror with my left hip and caught my left foot on the jagged edge where the mirror was. The car drove away. This sent me flying into the center divider. I had road rash all over my body. After walking half a block down the road, I discovered the laceration on my foot. The sharp edge on the car cut through my vans slip-ons and peeled the skin off the top of my foot." . The patient went to the hospital where they debrided the injured tissue, took a skin graft from his thigh to cover the top of the foot and amputated his fifth toe. The last photo shows the foot nearly 5 years later, healed nicely. Credit: @jeremycreed Tag a friend and follow us @Medicalpedia for more!