CXR on tweet #1 was Adenoid Cystic cancer in MIDDLE + POST MEDIASTINUM.
You can’t distinguish those two compartments easily on CXR so they go together for Diff Dx! See these other masses below in the same space. What are they? #radiology#tipsforolddocs
3/ CXR Rounds #26:
First, what is the Diff Dx of lesions in Mid/Post Mediastinum?
Both patients’ images in tweet #2 are aortic aneurysms. 1st was Mycotic (infected) in prox descending Thoracic Aorta in 22 yo man. 2nd is in same location but saccular aneurysm from atherosclerosis in 87 y/o man.
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2/ First, be clear that the vesicles & pustules of #MonkeyPox rash can be super painful.
The infection can include eyes and soft tissue super infections.
Stay clear of close skin to skin contact with anyone infected (contagious for duration of rash, ie, 2 to 4 weeks-ish).
3/ I highlighted this fascinating @NEJM paper for you...
Essentially the drug approval process for TPoxx, a med you’ll get if you get seriously sick with MPox, goes back 34 years to the HIV epidemic and also Small Pox.
If I’m #worrying, I’m usually either troubled over a past event or fearful of some hypothetical future event that might never happen.
📍Neither is real time.
The #present moment is where the action is if I really want to make a difference & find peace.
2/ In #Al-Anon (a spiritual but non-religious program I attend), we say that worrying is like a rocking chair. I’m doing something, but I’m getting nowhere.
If I want to get to a place of spiritual enlightenment, I must learn to #Live in the #NOW.
It’s easier said than done.
3/ Try moving thoughts of the past & future from your mind to create space in your 🧠 to completely soak up the “now” you’re living in. Imagine when you remove those past & future thoughts that are you actually have space to allow the present moment to fill your thoughts.