Look at your own leg and picture its anatomy π It's amazingπ
πRemark (Related to lower limb cross sectional anatomy )
Dear friends,
I didn't want to change the original description of these two images , but as some colleagues kindly suggested ,in order to be precise it's better TITLE instead of lower limb(bcz we didn't show pelvic)changed to cross...anatomy of #ankle#calf#shin#leg
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It's important to be familiar with normal post-op imaging findings following cranial surgeries with different surgical techniques such as :
burr holes, craniotomy, craniectomy,and cranioplasty.
I show you different normal post-op images in a row as remarks. I hope you like itπ
Remark 1
After craniotomy, contrast ++ seen both in CT&MRI, lasting longer at MR .
TheΒ dura materΒ enhances in a smooth linear pattern as soon as 9 hours after surgery,& enhancement can lastΒ as long as 40 years!
It almost always occurs in the portion of dura mater deep to flap
Remark 2
Craniectomy is the removal of a portion of the skull without subsequent replacement of the bone. It may be performed to remove an infected bone flap from previous craniotomy or a tumor that has infiltrated the calvaria. It may perform as part of a suboccipital approach
It's not a difficult case,but considered Must-know esp for professionals in emergency ward!CXR of a young girl presented with vomiting from 10 hours ago or so,also swallowing difficulty for almost anything.Other than an obesity surgery 3 years ago,no other diseases.
Dx & plan?
Hintπ This case has a clear-cut answer. I mean if you spot the abnormality correctly ,you already know how to manage this patient.
πAnswer part 1
Acute gastric band slippage
CXR:
An abnormal appearance of gastric bandπ(annular). Normally,a gastric band appears as a single radioopaqueπ bar lying πdiagonally,at 40β50 Β° to the vertebral column. Band was deflated in ER& given urgent laparoscopic band removal
π΄This tweet is not medical-related ! It's not about religion! If you're not interested in Quantum mechanics skip this,otherwise it may challenge your intuition at face value!
π΄So,is there really a distinction between the past,present,and future or could it all be in the mind?
π΄Part 1
Imagine traveling from City A to City B, you don't say that City B doesnβt exist because you aren't there yet!City B is a location in spacetime whether you're there or not.The same idea can be applied to time!So the future isn't going to happened, it is already there!
π΄Part 2
Carlo Rovelli is an Italian theoretical physicist and writer who has worked in Italy, the U.S & since 2000, in France. He works mainly in the field of quantum gravity & is a founder of loop quantum gravity theory. He has also worked in the history&philosophy of science.
These frontal & lateral views belong to a patient with a history of lung cancer which presented with a newly developed dyspnea. Considering the patientβs history and CXR findings,what is the most likely cause of the elevation of the right hemidiaphragm? #chestrad#radiology
Hintπ I wanted to discuss about this subject and I incidentally encountered this case! Honestly speaking it's not complicated case ,but the question is worthy of noticing!
So do you think atelectasis of the R.U lobe is the main culprit?The answer based on many references is Not!
πAnswer part 1
Phrenic nerve paralysis is a common cause of elevation of one side of the diaphragm.
πTake home message:
The combination of a lung or mediastinal mass and elevation of the diaphragm strongly suggests phrenic nerve paralysis.
Eventration is a different entity!