Q:Why are doctors so sassy I don't even get it
Years of chronic sleep deprivation and dealing with crazy people makes one either sassy or homicidal.
Homicidal is bad for business.
So this happened to my cousin. He climbed a fence to retrieve his football, and on his way back, when he was jumping down from the fence, he sliced his right arm open. What amazes me is how he described it. He said he heard a tear sound and thought he ripped his shirt. He saw his arm and just sat there in shock. He lost control and the sense of two of his fingers.
Fungal endocarditis (Candidiasis)
The photo is from an immunocomprised patient with a fungus ball attached to the posterior
leaflet of the mitral valve and to the chordae. Such a lesion predisposes to embolism.An embolism is a mass (blood clot, air bubble, fat blob, anything) that somehow gets into the blood stream and floats around until it gets stuck in a narrowing artery and blocks it. The tissue that was nourished by that artery will now suffer from lack of oxygen.
God, every second is going to be so worth it when I qualify.
Three preserved human fetuses, presented in an antique display cabinet. The first is an altogether healthy fetus, the second suffers Polymelia, six arms, and the final, suffers a rare infection of the Shope papilloma virus, which causes of series of horn like growths in the forehead.
A migraine headache, often described as an intense throbbing or pulsing on one side of the head, is commonly accompanied by nausea, vomiting, and extreme sensitivity to light and sound.
Migraine attacks can be especially debilitating and cause significant pain for hours to days. They can be so severe that they interfere with activities of daily living.
Infographic by WholesomeOne
Blackout and Battle’s sign
A man went to the doctor with hearing loss and a sensation of fullness in the ear. He had a bruise under the left ear, but denied any history of head injury.
CT scan revealed a fracture of the temporal bone along with an acute epidural hematoma. The man did recall getting very drunk and having blacked out at a party, five days earlier.
Battle’s sign is a bruising around the mastoid process (the bony protrusion just below and behind the ear) from head trauma that has caused a temporal bone fracture. The sign can suggest that a patient has sustained a significant blow to the skull, even if the medical history is obscure.
Read the case at NEJM
(And drink responsively)
Q:Do you cringe at broken bones?
Mainly, only my own :) I think we’re all guilty of seeing a nasty fracture picture and going “eurgh” every now and then. But when you’re there, treating, your instinct to help tends to override the voice that says “oh, man, that’s totally rank.”