Medical Picture Gallery
this X-ray shows an almost completely collapsed right lung (left side of the picture). This is called a Pneumothorax.
this young child was bit by a dog and sustained lacerations, and fracture to both the radius and ulna. This is an example of an open fracture. Patient had to be taken to the OR (operating room) for washout and repair.
dislocated fingers are a welcomed complaint in the ER. There is nothing cooler than pulling on someones finger and feeling it go back into place. It is almost like magic (as long as they have had proper pain medication before the procedure of course). Very few things in Emergency Medicine are as satisfying as putting a finger back in place!
Tongue biting should be asked about in regard to loss of consciousness or seizures, and it should be looked for during examination, especially when the patient presents to the emergency department shortly after an attack. When tongue lacerations are severe and painful, patients may report them, but when a tongue injury is less severe, patients may be unaware of its occurrence. Tongue biting in a possible seizure patient is a helpful finding, but it only occurs in about 20 to 30 percent of generalized tonic-clonic seizures (usually during the tonic phase), so its absence does not exclude a seizure diagnosis. Patients who incur injuries during blackouts, including tongue biting, tend to have an organic rather than psychogenic cause for their loss of consciousness. Tongue lacerations do not occur with a transient ischemic attack (TIA). Loss of consciousness may occur with a vertebrobasilar TIA, but this is uncommon. Tongue biting may occur with epileptic seizures and syncope. However, in syncope it is usually on the tip of the tongue because of a sudden fall on the chin that causes sudden mouth closure. Lateral tongue biting, however, is more specific for generalized tonic-clonic seizures.1,2 Patients with pseudoseizures may have dramatic and prolonged motor activity with their episodes and even throw themselves to the ground. While tongue, lip, or cheek biting occasionally is reported with pseudo-seizures, it is less common and typically less severe than the oral injuries that occur with tonic-clonic seizures.
A herpetic whitlow is a lesion (whitlow) on a finger or thumb caused by the herpes simplex virus. It is a painful infection that typically affects the fingers or thumbs. Occasionally infection occurs on the toes or on the nail cuticle. Herpes whitlow can be caused by infection by HSV-1 or HSV-2. HSV-1 whitlow is often contracted by health care workers that come in contact with the virus; it is most commonly contracted by dental workers and medical workers exposed to oral secretions.
A kidney stone, also known as a renal calculus or nephrolith, is a calculus formed in the kidneys from minerals in the urine. Kidney stones typically leave the body by passage in the urine stream, and many stones are formed and passed without causing symptoms. If stones grow to sufficient size (usually at least 3 millimeters (0.12 in)) they can cause blockage of the ureter. This leads to pain, most commonly beginning in the flank or lower back and often radiating to the groin or genitals. This pain is often known as renal colic and typically comes in waves lasting 20 to 60 minutes. Other associated symptoms include: nausea, vomiting, fever, blood in the urine, pus in the urine, and painful urination.
61 year old male with a history of pain and paresthesia in the right leg following an uncomplicated right total hip replacement. Patient also developed heterotrophic ossification as a result of the surgery. The bone growth was surgically removed because it rubbed on the greater trochanter of the femur. Any ideas? The leading diagnosis is complex regional pain syndrome (CRPS), which is characterized by pain, swelling, limited range of motion, vasomotor instability, skin changes, and patchy bone demineralization. It frequently begins following an injury, surgery, or vascular event.
patient with a deformity of the right shoulder. Came into the ER with complaint of possible dislocation of the shoulder but was able to bring his arm up. On the X-ray he did show a dislocation of the AC (acromio-clavicular) joint. But the shoulder joint was intact.
this picture shows a continuous interlocking laceration repair. This is my favorite suturing technique because of the pleasing look and tight closure
Purpura Fulminans in patient with confirmed meningococcal septicemia
Carpopedal spasm. Sign of tetany in hypocalcemia. Patient 23 y.o. woman with binge-eating/purging anorexia nervosa after few episodes of vomiting. On admission Ionised Calcium was 1.1 mmoll/L, Potassium - 2,7 mmoll/L.
This patient has a 'replaced' or artificial left hip. I do not know what the mechanism was, but it is fairly common for us to see patients with artificial hips come into the ER because they were turning around in bed and the hip just came out of place. Reduction of this dislocation is actually quite difficult as it requires full sedation of the patient and a doctor who is both tall and strong. Neither of which I have!
This patient was using a bottle for sexual stimulation on her rectum when the partner lost the grasp on it and it got lost inside.
same as previous picture but this picture was taken from the front (AP - Anterior Posterior)
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