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Microneedles

Microneedles, tiny devices that promise to ease the pain of the treatments, can also be used with advantages in dentistry. ...

21016

Bougie Intubation with the Kiwi Grip

I was taught this while doing an intubation in the shock room. It gives you complete control of the tube ...

244634

Sleeve gastrectomy

39 yo female with a 39 BMI.(1st case) 64 yo male with a 43 BMI.(2nd case).Differences in #sleevegastrectomy items with ...

83643

Bilateral extradural hematoma and subdural hematoma on CT

Alteration of mental status of a patient with mitral valve prothesis and recent major swings in her VKA. Performed a ...

23014

Choosing Wisely Canada

Resident Doctors of Canada (RDoC) has joined Choosing Wisely Canada, a national clinician led campaign to reduce unnecessary care. The ...

61416

Tick bite

over 50 yo male with tic bite, works outside, didn't want to start doxy , started amox instead x 21 ...

183419

Renal angiomyolipoma in CT

Renal angiomyolipoma (AML) was seen on CT composed of vascular, smooth muscle and fat elements. #Tuberous Sclerosis is the most ...

01318

Rifampin causing orange urine

Want to guess this Patients rare diagnosis and the cause for this orange urine? I'll share the answer this evening!

17523792

Cyanokit

50-something M patient to ED with ROSC after arrest secondary to house fire. Cyanokit is given to bind cyanide produced ...

105157297

Tracheo-innominate fistula

#Tracheo-innominate-fistula, a rare and often deadly complication of #Tracheostomy! Yellow arrow points to the tracheostomy stoma, black arrow points to ...

2967115

Congenital diaphragmatic hernia radiograph before surgery

An update on the Congenital Diaphragmatic Hernia case. Patient was for Ex-Lap and #Diaphragmatic-hernia repair. Anesthesia was yet to be ...

36140

Tooth decay

16 year old female came to remove her mandibular second molar BDR. Her oral hygiene was very, very poor. I ...

203028

Pterygium of right eye

Female, 45 years old. She sought medical help for another reason, but I noticed the presence of fibrous tissue in ...

405128

Epiglottitis and thump sign on head x-ray

2yr AAF with c/f allergic reaction. Triage to fast track (low acuity). No relevant PMH or family hx. NKDA. UTD ...

134218

schatzker VI transverse tibial plateau fracture on lower limb x-ray

66 y/o active guy in an MVA with bilateral Schatzker VI tibial plateau fractures. What are your thoughts?

101210

Tinea corporis on chest

11 year old boy whose cat ate a mouse 4 days ago, the cat died the same day, and the ...

213419314

Multiple myeloma

60 yo male with arm pain. No trauma. That's all the history I want to give. What questions would you ...

151452

acute on chronic subdural hematoma on CT brain

Vomiting,coma. Anticoagulation with Warfarin. INR 4,0

153631

Root canal treatment

root canal treatment lower second molar .. protaper next . NaOCl irrigation . ADSEL sealer .

51013

Open reduction internal fixation of fibula fracture with plate

Open reduction internal fixation of distal #fibula #fracture using #Arthrex #titanium plate and screws. 50 year old patient stated to ...

93666

Aortagram demonstrating bilateral renal artery stenosis

Bilateral #renal artery #stenosis brought to #interventional #radiology for management. Aortogram demonstrates occlusion of the left renal artery (yellow arrow) ...

41929

right index flexor tendon repair

Right index flexor #tendon #repair using #autograft from right ring finger #flexor digitorum superficialis

63759

Syndactyly

What condition is shown that occurs as an inherited trait or genetic defect?

414515

foreign body removed from nose

this is the metal screw cap removed from the child's nose in my previous case

41814

inflammatory polyp of the right tonsil

inflammatory polyp of the right tonsil. Small polyploid lesions of the tonsil are not uncommon with chronic tonsillitis. This is ...

41228

ulcer on dorsal area of the left foot in diabetic

Female, 80 years old. She has diabetes and high blood pressure. She developed a ulcer on dorsal area of the ...

115234

Left ventricular assist device in congenital heart defects as a bridge to transplant

"Baby" Berlin at 10ml is the smallest LVAD device available. This is a bridge to transplant, allowing mobility and preventing ...

85242329

toe-to-thumb transfer outcome

Young male patient who lost his thumb due to trauma. We performed a toe-to-thumb transfer that took approximately 10 hours. ...

3192190

lymphoepithelioma like thymic carcinoma in histopathology

this is are H&E slides of a cell block from the pleural fluid of a 61/F presenting with masses in ...

1712

Raynauds disease superficial healing ulcer at third phalanx

Acute #Raynauds-disease flare x 3 months to right 5th digit and right great toe. Attempted to improve perfusion with Amlodipine ...

112123
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