ER: A Shift in the Night

each post gonna contain a bunch of cases i visited on ER or Clinic a week before

Friday, June 27, 2008

MVA

no comment! just don't drive motorcycle plz!



although i fixed his face ;)

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Small Cell Carcinoma of the esophagus

a 45 yo lady with esophagus cancer
the tumor is in upper third of esophagus, there is shouldering and the persistent stricture in barium swallow x-rays and the mass is obvious in CT Scan




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Subcutaneous Emphysema

We performed a limited toracotomy on a 72 yo man with massive pleural effusion, and take some biopsy for further studies
after 3 days the chest tube moved accidentally, and this is the result



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Head Truama

a 34yo man, who was riding a motorcycle, hit by a car

the GCS was 4 when he arrived to ER, he had an open leg fracture, multiple facial bone fracture and more
he had low BP without any known site of bleeding, DPL was negative and this is a carotid angiography for ruling out intracranial hemorrhage

Unfortunately he passed out 24 hours later; his cousin told me that he was in coma for another MVA since 1 month ago


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Hip Fracture

a young lady with Ischiopubic ramus fracture

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