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Medical Studs

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Mexico
Torreón
Medical Studs

Información de contacto, mapa y direcciones, formulario de contacto, horario de apertura, servicios, puntuaciones, fotos, videos y anuncios de Medical Studs, Centro médico, Ocampo, Torreón.

30/07/2020

⚠️⚠️A lethal fungal infection led to an extensive necrosis of facial tissue necessitating a HUGE free-flap skin graft from thigh to cover the defect!!
Swipe left ⬅️ to see the pre-grafting images!! 💀⚠️

Mucormycosis is a rare invasive fungal infection caused by various opportunistic fungi of the Mucoraceae family. Considered 100% fatal in 1960, previous the introduction of amphotericine, Today the mortality ranges from 30-90% of all cases.
Mucormycosis is characterized by tissue necrosis due to an invasion of blood vessels and subsequent thrombosis, which usually follows a rapid progression.
The key to treatment is early and aggressive surgical debridement, along with high doses of intravenous antifungal therapy.

This patient, an uncontroled diabetic, started noticing cheek redness for 10 days, which rapidly expanded and progressed to edema and loss of vision in the next 7 days.
She was referred to the hospital and a diagnosis of mucormycosis was done upon arrival with a skin biopsy.
A left orbital exenteration, left full thickness face debridement was done, periosteum was send for trans-operatives pathology analysis, and was found no bone involvement.
To cover the defect after excision of the black necrotic tissue, a big free flap was needed.
The surgical team performed a ALT (Antero Lateral Thigh) free flap, that was 22 x 16 cm ALT flap, and anastomosed to the temporal artery.
Follow for more interesting cases!!

25/07/2020

A 43 year old woman was presented in Emergency with complaints of abdominal pain and vomiting. In history, it was revealed that she is a psychiatric patient and has been eating bits of metals from many months. Her X-ray abdomen showed multiple foreign bodies in stomach.

Urgent surgery was performed and nails, pens, spoons, wood pieces, hair, metal chains and toothbrushes were extracted from her stomach.

The patient is stable now.

Follow for more —

05/07/2020

I am laughing out loud 😂

05/07/2020

I am laughing out loud...

04/07/2020

This is a case of a man named Paul who contracted the bubonic plague. Paul contracted the disease when he tried to pull a mouse out of the mouth of his cat, Charlie, because it was choking on the rodent. When he tried to pull it out, the cat accidentally bit his finger, then ran under the porch. A few days later he started to feel very sick, and developed a high fever.
At the emergency care clinic, they gave him a dose of antibiotics for cat-scratch fever. He quickly developed flu-like symptoms. He turned grey and his skin started to hurt. A few days later he was delirious and his wife took him back to the clinic. He was taken by ambulance to the nearest hospital and put in intensive care. That evening, as he started to develop swollen lymph nodes in the axillary region, a doctor told him he thought Paul had developed bubonic plague. The next day it went downhill and Paul was put on a ventilator and full life support. He was hooked up to a dialysis machine, his lungs had collapsed and at one point his heart stopped. He was in a coma for 27 days, during which his hands and feet swelled up and began to turn black. When Paul finally woke up, his doctor told him he had developed all three stages of the plague: bubonic (the least lethal form, which infects the lymphatic system), pneumonic (which infects the lungs) and septicaemic (the bloodstream). After a month in hospital, he went home. He had to live for six weeks with the dead fingers and toes, so doctors could work out which parts were going to heal before they performed the amputations. They wanted to amputate his hands and feet at the wrists and ankles, but he didn't want that. Instead, they removed his fingers; he still has his hands and part of his thumbs. They amputated all the toes on his left foot, and about a third of his right foot is gone. “It's hard to believe it happened to me, but rather than feel depressed, I've always felt positive and happy to be alive,” he says.
The plague was the cause of the Black Death that swept through Asia, Europe, and Africa in the 14th century. Millions of people died and it is estimated to have killed 25% to 60% of the European population @ Europe

04/07/2020

This mechanism created my god does really saves our lives ☺️

04/07/2020

Presentation
Apart from vomiting and seizure, no other specific history was provided by the patient's care takers nor the referral physician.

Patient Data
AGE: 30 days
GENDER: Male. Explanation of CT-Acute subdural hematoma along the left cerebral hemisphere extending along the falx with a maximum thickness of 9 mm.

Acute intraparenchymal hematoma in the left parietal lobe measuring 15x20x22 cm.

Diffuse hypo-attenuation of the left cerebral hemisphere with altered grey-white matter differentiation and effacement of cerebellar sulci, left lateral ventricle and midline shift of approximately 4mm towards the right side representing acute ischemic changes/edema.

Mild dilatation of right lateral ventricle.

No fracture of skull bones. Diagnosis- Abusive Head Trauma, this is very common for this age group.

03/07/2020

Acute coronary syndrome (ACS) refers to a spectrum of clinical presentations ranging from those for ST-segment elevation myocardial infarction (STEMI) to presentations found in non–ST-segment elevation myocardial infarction (NSTEMI) or in unstable angina. It is almost always associated with rupture of an atherosclerotic plaque and partial or complete thrombosis of the infarct-related artery.

02/07/2020

Celiac disease, also known as celiac sprue or gluten-sensitive enteropathy, is a chronic disorder of the digestive tract that results in an inability to tolerate gliadin, the alcohol-soluble fraction of gluten. Gluten is a protein commonly found in wheat, rye, and barley. When patients with celiac disease ingest gliadin, an immunologically mediated inflammatory response occurs that damages the mucosa of their intestines, resulting in maldigestion and malabsorption of food nutrients.

01/07/2020

Systemic lupus erythematosus (SLE) is an autoimmune disorder characterized by antibodies to nuclear and cytoplasmic antigens, multisystem inflammation, protean clinical manifestations, and a relapsing and remitting course. More than 90% of cases of SLE occur in women, frequently starting at childbearing age.

01/07/2020

Understanding the basic mechanism of electrolytes are a very essential part in managing your patient.

29/06/2020

Addison disease (or Addison's disease) is adrenocortical insufficiency due to the destruction or dysfunction of the entire adrenal cortex. It affects glucocorticoid and mineralocorticoid function. The onset of disease usually occurs when 90% or more of both adrenal cortices are dysfunctional or destroyed.

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