my grandgrandfather (left on the photo) was senator in Iran. He has sent his son to Germany to study medicine 100 years ago in the early 1920s. Because of Beethoven and Goethe. You know these stories.
I would love to know whether he would like the music & lyrics from #Rammstein!
Somebody knows the man in the middle???
The man on the right was one of the richest American that time - and was the US ambassador to the Soviet Republic in Moscow in 1943 (earlier in London)… he was negotiating with Churchill and Stalin, later he was one of „The Wise Men“… en.wikipedia.org/wiki/The_Wise_…
It’s Averell Harriman. He was participating the famous Tehran Conference in 1943 as well.
I was very surprised to see my grandgrandfather on this photo together with him. That time it was the time of Harry Truman’s „containment“ strategy against the USSR en.wikipedia.org/wiki/W._Averel…
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this maybe is a hard one! 77yo male pt, 6month post lumbar fusion L1/4, suddenly feeling very very miserable. Max pain - can you tell me why? How often do you see this?
(I won’t give more information - @WendeNGibbs: that’s in fact a lumbar spine MRI not an abdominal one 🤷🏻♂️).
It’s a huge retroperitoneal abscess of the posterior abdominal wall - originated from an urinary tract infection with an abscess on the superficial fascia of the psoas muscle (ureter!). E.coli with gas everywhere. The pain was only right but went into the groin/anterior thigh
We couldn’t find a ureterolithiasis, but that was our explanation. Infection per continuity.
This case has shown me, that there is a huge pretty unfamiliar and neglected compartment, that is rarely in my mind: The Zuckerkandl fascia is not my daily business!
corresponding fractures of the endplates should always be suspicious and be analysed twice: if you see an inferior/caudal/inverse impression fracture next to a cranial impression fracture, please think of vertebral osteomyelitis, too, and check labs and re-do history/anamnesis.