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#1
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11-01-2017, 03:47 PM
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| My Rank: STAFF SERGEANT Poster Rank:792 male Join Date: Mar 2010 Posts: 989 Mentioned: 0 Post(s) Quoted: 221 Post(s)
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Random Cases
going through my phone and looking at cases i’ve encountered over the last few years first up is a classic (the medical usage of the word of course haha) mid-femur fracture that can be associated with bisphosphonate use next up is a gallstone that caused a small bowel obstruction in an older gal. surgeon went in and found that there was a choleduodenal fistula that formed (communicating tract between her gallbladder and duodenum) that allowed the stone to move into the small bowel and cause an obstruction. diagnosed after a CT gastrografin study identified th obstruction as well as the fistula lastly, kiddo delivered with what’s called an epulis. it’s a benign congenital tumor. had never seen one before and first thought was “shit! can the kid breathe?!!?” followed by, ok WTF is this thing. easily lopped off with surgery as they can obviously interfere with feeding and breathing  ·  ·  · |
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#3
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11-01-2017, 08:17 PM
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| My Rank: STAFF SERGEANT Poster Rank:792 male Join Date: Mar 2010 Posts: 989 Mentioned: 0 Post(s) Quoted: 221 Post(s)
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Re: Random Cases
believe me, i hate big pharma as much as the next. i’m definitely no pill pusher (ie a drug for every symptom) but i do believe pharmacology has an important role in healthcare. i always counsel my patients thoroughly before starting medications and i never prescribe a drug i don’t think won’t help (trying something just for the heck of it or to just satisfy a patient) as for bisphosphonates i have had a great many patients they have done a lot of good for. femur fractures are very rare and are almost always associated with using them for longer than recommended.* *this is not medical advice, please consult your doctor before starting or stopping any medication |
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#4
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11-10-2017, 03:21 AM
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 ★ Legacy Member ★ Poster Rank:1127 Join Date: Jan 2013 Posts: 576 Mentioned: 1 Post(s) Quoted: 107 Post(s)
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Re: Random Cases
Sweet photos! Do you know what they did to fix the first one? Would it be too unstable to try and just align it when it broke so close to the end of that hip replacement?
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#5
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11-10-2017, 01:13 PM
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| My Rank: STAFF SERGEANT Poster Rank:792 male Join Date: Mar 2010 Posts: 989 Mentioned: 0 Post(s) Quoted: 221 Post(s)
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Re: Random Cases
IIRC, it’s been a while, they ended up doing an ORIF (open reduction internal fixation).
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