August 2006 - Medical Picks

The Parasitic Twin

This one is very interesting. This guy was born with a big stomach, which continued to grow. When he finally got operated on, they found his dead twin brother growing inside his belly! The real, the bizarre... URL for video: http://www.acnatsci.org/research...

Published Sun, Aug 20 2006 6:24 AM by alborg

Urology Consultation: The Amazonian Candiru Fish (known as the "Willie Fish" - Ouch!)

The Candiru fish is a relative of the catfish family. Range - From South America, especially the Amazon and Orinoco river systems. Habitat - Often reside on the muddy bottoms in slow flowing areas. Feeding Habits - Parasitic on the gills of fishes, to...

Published Sun, Aug 20 2006 5:56 AM by alborg

Pleural Effusions

Now for the serious stuff... I happen to currently have 2 patients in the hospital with pleural effusions. I'll keep you all updated on how they do over the next week. 1) 78 year old male with an atypical bilateral pneumonia pneumonia, on 3 antibiotics...

Published Fri, Aug 18 2006 4:27 AM by alborg

15 Most Bizarre X-Rays

I promised to NOT post anything from youtube.com that is really weird. So Nick- this group is OK. You gotta give me a break, since I didn't post the one with "The World's Largest Tumor (Testicle)". I also held back the one "The World's Largest Zit is...

Published Fri, Aug 18 2006 2:35 AM by alborg

Deformed Baby

This clip can be somewhat disturbing, but a real world presentation. Viewer beware! http://youtube.com/watch?v=Vs_LoWaAGb0&mode=related&search =

Published Mon, Aug 14 2006 5:48 AM by alborg

Yellow Fever

There is a great historical video on Yellow Fever... http://youtube.com/watch?v=Mg69fmGiXS4 If you only wish to see the photos, go to this website

Published Mon, Aug 14 2006 5:33 AM by alborg

Systemic Lupus Erythematosis

Systemic Lupus Erythematosis I see these cases all of the time, in both simple walk-ins and when I get a hematological consult for a coagulopathy or things like leukopenia. The round pink cell in the center of the filed is an LE cell. A LE cell is a neutrophil...

Published Sun, Aug 13 2006 10:25 PM by alborg

ER Findings: Rectal Toys (updated with new picks on 9/8/2006)

Updated: Here are 5 presentations of rectal toys as seen by xray studies. I ran into this the other day. This is a really useful article that every emrupdate physician reader should learn. You won't find this in any SNOMED, MEDCIN or other database...

Published Sat, Aug 12 2006 5:18 AM by alborg

Monster Tumor

Guy in Liberia lets a facial tumor grow in a span of over 10 years... http://www.bofunk.com/video/3298/monster_tumor.html

Published Sat, Aug 12 2006 5:17 AM by alborg

Botfly

Check out this case that will give you the willies... http://i-am-bored.com/bored_link.cfm?link_id=18043

Published Sat, Aug 12 2006 5:07 AM by alborg

Hyperparathyroidism

Here's a cool jpg of a positive parathyroid scan showing a right lower neck nodule: GRAHAM: Question for the endocrine guys. How does one distinguish between primary,secondary, and tertiary hyperparathyroidism? I have a couple of cases that have been...

Published Sat, Aug 12 2006 4:59 AM by alborg

Eyeball With Leprosy Lesion

Published Sat, Aug 12 2006 4:46 AM by alborg

Nocardia Sepsis

Hi Chris! Actually it's plain old leprosy... I've seen a few of these over the years. Before emrupdate.com I had to publish my fascinomas in the literature- imagine that ! I published a case in Postgraduate Medicine (1988) of a gram positive rod that...

Published Sat, Aug 12 2006 4:45 AM by alborg

Crohn's Colitis

I saw this one today too... This 40 year old lost 50 pounds and is still on TPN (total parenteral nutrition) because of his problem: Answer: Crohn's Colitis

Published Sat, Aug 12 2006 4:43 AM by alborg

Yersinia Pestis ("Plague")

I'm on a roll here (Nick, when you get the new section started, roll these over as the "starter cases"). The oriental rat flea (Xenopsylla cheopis) is the primary vector of yersinia pestis (plague) in most large plague epidemics in Asia, Africa, and South...

Published Sat, Aug 12 2006 4:42 AM by alborg