Health Zap

Thoracic Aortic Aneurysm - A Dilatation Closed to the Heart

noreply@blogger.com (jhun) — Mon, 16 Feb 2009 13:21:00 +0000

After discussing abdominal aortic aneurysm in my previous post, I would like to tackle and give some information regarding another dilatation in another part of the aorta, the thoracic aorta.

The thoracic aorta lies between the heart and the diaphragm and gives rise to the brachiocephalic, left common carotid. left subclavian, bronchial, esophageal and intercostal arteries. Thoracic aortic aneurysms are caused by cystic medial necrosis, atherosclerosis or less commonly by trauma, dissection or infection. Males are affected 3 times as often as females and factors include atherosclerosis, smoking, hypertension and family history.

Most aneurysms are asymptomatic. Rupture usually presents with chest pain or pressure. Expansion of the aneurysm can compress its surrounding structures like the trachea and the bronchus. Hypotension and tachycardia may be present and could also present with the triad of shock, distant heart sounds and distended neck veins.

As with abdominal aortic aneurysms, surgical management should be considered in aneurysms with a large diameter. Symptomatic presentation in an indication for immediate surgical intervention.

Abdominal Aortic Aneurysm - a Dilated Abdominal Aorta

noreply@blogger.com (jhun) — Sun, 15 Feb 2009 04:02:00 +0000

An aneurysm is an abnormal dilatation of an artery. The serious nature of arterial aneurysms relates to the weakened vessel wall and potential for rupture or vascular compromise.

An abdominal aortic aneurysm is a dilatation of the abdominal aorta which lies between the diaphragm and above the iliac arteries. Its branches include the celiac trunk, superior mesenteric artery, inferior mesenteric artery, renal arteries and gonodal arteries. Most aneurysms usually occur at the distal part located near the renal arteries.

95% of aneurysms of the abdominal aorta are due to atherosclerosis, other causes include trauma, infection, syphilis and Marfan's syndrome. Men are affected 10 times more frequently than women with an age of onset usually between 50 to 70. Most of them are asymptomatic. Pain usually signifies a change ion the aneurysm, commonly enlargement, rupture or compromise of vascular supply and should therefore be considered an ominous symptom.

Any patient presenting with symptoms on physical examination suggesting a catastrophic aortic even should undergo emergent diagnostic evaluation and workup. Treatment of asymptomatic abdominal aortic aneurysms depends on the size of the lesion, usually medical for smaller lesions and surgical for bigger lesions which are usually at a higher risk of rupturing.

Inguinal Hernia - Weakness in the Inguinal Floor

noreply@blogger.com (jhun) — Sat, 14 Feb 2009 00:49:00 +0000

A hernia occurs when a defect or weakness in a muscular or fascial layer allows tissue to abnormally protrude. Between 500,000 to 1,000,000 hernia repairs are performed every year and half of all of them are inguinal hernias. In decreasing incidence are incisional and ventral, femoral and umbilical. Indirect inguinal hernias are the most common in both males and females with a 5:1 male predominance.

Hernias are categorized as reducible, incarcerated or strangulated. Reducible hernias can be returned to their body cavity of origin, incarcerated hernias cannot be returned to their body cavity of origin while strangulated hernias contain a tissue with a compromise vascular supply.

Patients with reducible inguinal hernias describe an intermittent bulge in the groin or scrotum. Persistence of the bulge or nausea or vomiting raises concern for incarceration. Severe pain at the hernia site or in the abdomen with nausea and vomiting, may occur in strangulation.

Treatment for hernias are usually surgical in nature. Reducible hernias should be repaired on an elective basis. An incarcerated hernia should be operated on urgently whereas a strangulated hernia is a surgical emergency.

Health Is Definitely Wealth

noreply@blogger.com (jhun) — Thu, 12 Feb 2009 17:12:00 +0000

As the another new year is commencing and the global crisis looms to be more scary this year, we all can bank on our health to be wealthy the whole year round. Maintaining one's health is definitely free of charge and it won't be bothered too much by the stumbling economy. With all the different disease entities I encountered last year, its nice to be fit and healthy for this year.

I m currently planning to have a health plan for his year as I want to loose some weight to fall down to my ideal weight which is somewhat around 20 pounds less of my current weight status. As I browsed around different health blogs to see if they have some advices regarding how I ll approached my health plan this year, I stumbled upon this health blog which offers good tips and tricks to keep yourself healthy. Reading some health articles is a good start for my health plan this year and hope I ll be able to accomplish it before this year ends.

Staying healthy is really a plus while doing some stressful hospital work and even with the scary economy outlook, health is definitely wealth

Win Cash and Lots of EC Credits

noreply@blogger.com (jhun) — Fri, 06 Feb 2009 15:48:00 +0000

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Chest Pain - An Alarming Symptom

noreply@blogger.com (jhun) — Sun, 11 Jan 2009 17:32:00 +0000

During the holidays, majority of the patients I saw at the ER (I was still in my ER rotation) were complaining of either chest pain or chest heaviness. Most of them are aged 40 and above but some younger patients came in also complaining of chest pain. One should be alerted when one feels a chest pain especially if one is hypertensive or diabetic.

Usually younger patients would tell their chest pain to be pin point at a certain part in the chest field and when you touch that specific part you could reciprocate the pain mentioned. Aside from this, it is usually aggravated by movement or by deep breathing. Usually this is a case of costochondritis or muscle strain. An ECG is usually done just to rule out any cardiac pathology. Patients with myocardial infarction usually comes in complaining of chest pain or chest heaviness and the pain mentioned is somewhat diffuse all throughout the whole chest field. Others would say that its radiating to the jaw, shoulder and some would also complain of abdominal pain. Your index of suspicion is increase if the patient has comorbidities like hypertension or diabetes and an ECG or cardiac enzymes would usually nail the diagnosis. There are also patients complaining of chest pain accompanied by cough, this is usually term as pleuritic chest pain and in our setting a baseline ECG and a Chest X-Ray is done to rule out other pathologies. This are just some etiologies which may present with chest pain, and chest pain still covers a broader spectrum with other etiologies but the ones mentioned above are usually the common ones.

Maybe the increase in intake of high cholesterol foods during the holiday season may have also increase chest pain in the whole region. But whenever one is faced with a chest pain, don't take it for granted and if possible visit a nearby hospital or clinic. Pleasant Day

Online Health Plans

noreply@blogger.com (jhun) — Wed, 07 Jan 2009 03:41:00 +0000

Being hospitalized this past few days takes a lot of toll not just for the patient but also for the family and relatives of the patient. But what if your prepared before the exact hospitalization happens wouldn't it be more relaxing on the part of the family and less stressful for the patient itself. Planning ahead is always one step closer to cure.

Kaiser Permanente Health Plans is an online health insurance which offers great benefits for all its members. Aside from its great benefits, all of its health plans are low cost and are really affordable. California Kaiser Health Plans offers quality health insurance and is one of the leading companies in the field of health insurance. So if you want to plan ahead for your health and stay one step of the different diseases currently present, visit Kaiser Health Plans today and check the different details on their site. Your low cost quality health insurance is just a few steps away.

My Toxic First IM Duty

noreply@blogger.com (jhun) — Sun, 04 Jan 2009 07:12:00 +0000

Yesterday mark my first tour of duty in the department of internal medicine and its one would say "a toxic duty". Toxic in terms of admissions (we had I think around 15 admissions) and most of the admissions are not so stable patients. So after logging in the intern's logbook, I then met my IM residents and told them that I would be their intern for the next two months.

My night started with two NGT insertion, one patient had an esophageal cancer which made it really difficult to insert an NGT tube, while the other patient was 92 years old whose gag reflex was already poor causing the tube to go to his lung area. After this two encounters, we were faced with two patients whose O2 saturation was going done. One was an in-patient while the other one was a new admission. Both of them where supposed to be for intubation but good for us both of their O2 saturation rose again above the 90's. Even though bought of them become comfortable in terms of their breathing, still both of them were for closed monitoring. I then had my dinner at a nearby fast food. Admissions still poured in and we (me and my resident) continued are ward rounds.

The term "save the best for last" was applicable for me this early morning around 4 am. I got a call from one of the ward nurses informing me that one patient was for monitoring. So I get up went directly to the patient's room and monitored her every 1 hour. She was a 38 year old patient, pregnant by 30 weeks and 5 days AOG who complained of chest heaviness. ECG was immediately requested which yielded a suspicious reading, cardiac enzymes was then next on the list. So while waiting for the results, I monitored the patient every one hour. Around 6 to 7 in the morning I got the results from the laboratory, which shocked me, her cardiac enzymes were positive, causing her to have a MI (myocardial infarction).I then relayed the results to my resident which made her jaw dropped. The OB department was then immediately informed.

I only spent 1 lowly sleeping hour in last nights tour of duty, hopefully my next tour of duty won't be as hectic nor toxic as this one. Pleasant Day

New Year New Rotation

noreply@blogger.com (jhun) — Thu, 01 Jan 2009 13:40:00 +0000

Today marks the first day in my Internal Medicine rotation. As 2009 starts, I get to start in a new department. I will be scheduled to have my first duty in Internal Medicine this coming Saturday. So who are the patients under this department.

Internal medicine handle almost every patient except those under 18 years old. Even surgical patients, they usually past by IM (Internal Medicine) for clearance prior to doing a surgical procedure. Pregnant patients who have high risk pregnancy are also sometime co-managed by people from the IM department. So basically internal medicine covers a really broad area that's why there are a different subspecialties under this broad department. From cardiology, pulmonology, gastroenterology, hematology and many many more. Recent medical developments have also given rise to subspecialties within the subspecialties. In this department, I m also planning to start my review sessions for my coming exam August of this year. My expectations, hmmm hopefully I could add to my knowledge as I rotate in this broad department, knowledge which could help me and guide me in my future endeavors. Pleasant Day.

Year End Casualty

noreply@blogger.com (jhun) — Wed, 31 Dec 2008 12:21:00 +0000

Today marks my the last day of my ER rotation and I m happy that I can spend the coming of the new year here at home.

This afternoon in the few hours remaining in my ER rotation, one of the ambulance drivers noted a vehicular accident a couple of streets away from the hospital. The ER consultant then advise the patient to be picked up and brought to the hospital. So the ambulance made a quick rendezvous at the hospital grabbed some equipment and then went directly to the accident site. After a few minutes, I was sitting at the front desk when the ambulance arrived back at the hospital, I went out to meet them and the victim that came out of the ambulance shocked me. It was a street child around 9 to 10 years old, his face covered with blood. We then rushed him to the critical area and upon placing of the chest electrode the patient was already flatline. The patient's face was covered with his own blood, and the smell was really not that pleasant. Poor child not being able to meet and greet the coming new year. Hopefully tonight as I m at home no serious injuries even deaths are currently happening at the hospital and hopefully everyone will be healthy in greeting the new year. As we face another year in our lives, may our lives be healthy and blessed. Pleasant Day and a Prosperous New Year.

Clearing Acne In A Zap

noreply@blogger.com (jhun) — Sat, 27 Dec 2008 02:10:00 +0000

Acne has been one of the most if not the most irritating skin growths faced by mankind. Aside from the stinging sensation it gives on your face, it could also leave a mark on your face that could lower your self esteem and somehow make your face not that appreciated.

In the Dermatological world, tons and tons of acne treatments have already been produced but not all leave up to their name. Murad Acne has been made to clear that irritating acne for good and leave you with a flawless and shining brand new face. Its an acne treatment that won't leave a mark on your face. Its easy to apply and you could see results in 4 weeks.

The Acne Complex has work wonders even for those acne that are difficult to treat. It has work miracles among people with acne from different age groups and from different skin types. People everywhere are reporting in results on how their acne are cleared in a short span of time. So why wait and suffer from any acne problems, Murad Acne Complex can give you the results you've always wanted, simple and fast.

Faces Of Death

noreply@blogger.com (jhun) — Sun, 21 Dec 2008 02:27:00 +0000

Last night's tour of duty was not that of a hustle except for a few surgical patients. But around 4:30 to 5:30 in the morning, I saw two people die in front of me. One died in the ICU while the other one died at the ER.

Around 4:30 in the morning, when I was about to sleep in one of the ER beds, a page was being sent by the operator saying a code 99 occurred in one of the rooms in the 4th floor. After the page, I stand up went upstairs with one of my ER residents. Upon arrival at the room, residents from the internal medicine department were already there. Patient was then transferred to ICU, while in the ICU patient suffered a cardiac arrest and I did CPR on the patient on alternates with another doctor. Eventually after 30 minutes of resuscitation, the patient eventually expired.

While resuscitation was ongoing at the ICU, one of the ER nurses called telling us that a patient arrive at the ER arrested. So after the patient expired at the ER, I went down right away at the ER to take a look at the situation. Resuscitation at the ER was on going and eventually after another 10 minutes the patient was declared dead. It was somehow gloomy to see to people die in front of you. After 2 hours, I ate breakfast then we had our morning endorsements and I was homeward bound. Pleasant Day

A Sleepless ER Duty

noreply@blogger.com (jhun) — Fri, 19 Dec 2008 09:11:00 +0000

My 1st ER duty wasn't the ER duty that I expected nor wanted. Since morning up to dawn of the next day, ER patients were coming in like there was no end. Most of the patients coming in the ER were due to trauma or a vehicular accident. We had 1 casualty in the ER due to aspiration pneumonia. Aside from the complicated cases, opd cases also came in from morning to dawn. I was expecting that by around 1 in the morning I could get some sleep but unfortunately what I expected didn't happen. Insted of expecting to get sleep, I didn't get any, I only got a shallow closing of the eyes for less than 30 minutes I guess.

I was somewhat awake until 8 in the moring when we had our moring endorsements of the patients that were left from the night. After endorsements and once our relievers are already there, I went straight to the 4th floor to get some valuable and much needed sleep. I got around 2 hours of sleep before I went home.

Tomorrow marks another tour of duty at the ER, hopefully sleep won't be that elusive as what happen in my first duty. Pleasant Day

Day 1 - Emergency Room Rotation

noreply@blogger.com (jhun) — Tue, 16 Dec 2008 12:40:00 +0000

Yesterday was my last day in my Surgery rotation, and as I moved on, today marks my first day as an emergency room rotator.

My first day in ER today was not quite remarkable, saw only a few patients most of which came in due to an elevated blood pressure. Nothing unusual happen in my day 1 rotation. Tomorrow marks my first tour of duty in the ER, hopefully nothing out of the blue happens.

In our ER setting, some patients usually seek consult due to fever, cough and some midnight workers just want to seek consult in order to get a medical certificate to excuse them from not going to work. Being in the Emergency room, we are the first line in dealing with patients, stabilize them if the have unstable vital signs and then referring them afterwards to the specific department. Its quite enjoyable when staying in the ER but sometimes it gets to tiring when a lot a patients come in and out of the ER door. As I face my first tour of duty tomorrow, hopefully ill make it through intact. Pleasant Day

Sunday Medical Mission

noreply@blogger.com (jhun) — Sun, 14 Dec 2008 13:59:00 +0000

This morning, I went to Cavite City (a local province) to joined a medical mission. I hold this medical mission near to my heart because I ve always attended this medical mission every December in the past couple of years. So again for this year, I was again their to attend the said medical mission.

We arrive at the site at around 9 in the morning, and before starting breakfast was serve among us. After breakfast we then started and divided ourselves into groups, one group was for adult patients, the other was for pediatric patients and another group was assigned for the local day care students. I was assigned to the pedia group and I thinked I saw about 100 patients for the whole day. The medical mission ended at around 3 in the afternoon and gifts were given to us by the sponsors. After having a brief merianda, all of us were homeward bound and as early as now, I m looking forward to next year's medical mission and hopefully my schedule next year would allow me to join again the said medical mission. Pleasant Day.

Report Annoying Phone Calls

noreply@blogger.com (jhun) — Thu, 11 Dec 2008 04:13:00 +0000

Have you ever receive an annoying phone call just to find out that the other person was dialing a wrong number? How you ever had a phone call telling you you won something like money or property but after all the good stuff it was a scam?

The above mentioned experiences are just some calls that you want to avoid or try not take for they just waste your time. How about a site where you can report numbers on your caller ID and tell other people that those numbers are scam or they just tell you non-sense.

At Phone Number Reporting, you can report your experiences with different phone numbers and tell other people what to expect when they get a call from the said number. It could be a scam, a sales call or anything. At least when the people already know what to expect, they won't be surprised and would know what to do. So visit Phone Number Reporting and start reporting those numbers and you could also read reports from other people

Avulsed Thumb

noreply@blogger.com (jhun) — Tue, 09 Dec 2008 12:08:00 +0000

Another tour of duty ended, yesterday's tour of duty wasn't that of a hustle. We only had 2 admissions and 3 referrals for the department of Surgery. One admission was a 3 year old boy who accidentally closed a metal gate and trap his thumb in between and the result was an avulsed thumb.

Repair was supposed to be done at the ER unfortunately the patient won't cooperate. Screaming every time we try to clean his wound. So my resident decided to admit the patient and do it under sedation so the crying and screaming would stop. He was eventually admitted and was eventually scheduled the next day.

Young kids shouldn't be left out playing by themselves because they usually end up hurting themselves and end up in the emergency room. Keep a good eye on your kids when they play, things can get nasty if no one is around to watch them. Pleasant Day

Two Cases of Breast Cancer

noreply@blogger.com (jhun) — Sun, 07 Dec 2008 05:29:00 +0000

In my last tour of duty, we admitted 2 cases of breast cancer and both were scheduled to have a modified radical mastectomy the next day. The first one was in her early 50's while the other one is in her late 40's. Both of them noted a mass while doing the breast inspection.

In my earlier posts, I think around 2 months ago, I ve mentioned the importance of doing a routine breast examination. It s cheap and easily done at the leisure of your time, and it doesn't need an expert to detect if you have any abnormalities in your breast. The first patient, already had 3 excision biopsies done on her breast, the first 2 yielded benign results however the 3rd one was malignant. For the other one, she noted a mass on left breast and at first did not paid attention, however she noted the mass was rapidly growing, and an incision biopsy was done which showed an invasive ductal carcinoma.

Mastectomy was done the next day to both of them by two different attending surgeons. Hopefully after the surgery they would be cancer free. This two patients somehow points to the importance of self breast examination, with early detection of cancer, you could always go for cure. Pleasant Day.

Research Presentation

noreply@blogger.com (jhun) — Thu, 04 Dec 2008 12:56:00 +0000

Yesterday, as what I ve mentioned in my previous post that it was a contest of interesting cases but for today the senior residents were the one on the spotlight as they presented their different research papers for a good and educating contest.

As again I cheered for my surgery resident who showed a paper regarding prognostic scoring among patients who complain of right lower quadrant pain and who among them have appendicitis. His paper was great as it showed different scoring components which could aide the clinician in diagnosing acute appendicitis and when is the appropriate time to operate on the patient. Aside from that his paper also showed components on how to know if the appendicitis is a complicated one or not. All in all he presented a good paper. Unfortunately when the announcement of winners came, 1st place went to the department of Pediatrics for a study among children 6-12 years old who are obese at a certain public school. Anyways all who presented were winners in their own right because they all gave it time and effort. Looking forward to next year's competition. Pleasant Day

Interesting Case Presentation

noreply@blogger.com (jhun) — Wed, 03 Dec 2008 12:59:00 +0000

This morning, I attended at the health tower near the hospital an interesting case presentation among the residents of the different clinical departments of the hospital. Since I m currently in Surgery, I went there cheering for my surgery resident, but all of us are pals at the hospital.

Each resident was allotted a total of 8 minutes to present their case and a question and answer portion came afterwards. My resident presented a case of anal marginal carcinoma are rare type of cancer which has a frequency of 7 in a million among males and 9 in a million among females. The case presentation was great and cheers came from the crowd. Other department residents also presented different interesting cases in their field of practice. The whole event lasted the whole morning and awards were given afterwards to the winners.

It is a good thing to see some friends competition among residents especially when promoting some diseases. Pleasant Day

5.11 Tactical Pants - Pants That Lasts

noreply@blogger.com (jhun) — Mon, 01 Dec 2008 12:17:00 +0000

People now a days usually were pants as their normal ordinary attire when they go out or when they just simply hang out with friends. Some pants usually gets easily worn out or sometimes gets torn easily. How about getting pants that are known to last and its makers are in the pants business for a long 30 years? Pants that have been used by the Law Enforcement team may it be federal, state or local.

5.11 Tactical Pants is in the business of making pants for use in federal, state or local Law Enforcement. They have a 30-year old history of making durable pants for our Law Enforcement people. Their pants are uniquely made for law enforcement people and have stood the test of time. Their pants can survive the rugged endeavors associated with training and missions of our law enforcement people. They also have a jumpsuit made and a fire resistant one which are heavy duty and could live up to its name. Aside from the pants, they have also made working boots to matched with the different pants they offer. The boots they offer can be use for heavy outdoor activity or simply having leisure with friends.

Although they have made pants for law enforcement, their pants could easily fit in among ordinary people. The different khakis they make can easily be used with great comfort for gatherings, activities or simply using it when taking a stroll at the mall. So why settle for pants that could easily be worn out, try 5.11 Tactical Pants for your pants' needs and you won't regret having this pants. So why wait, revolutionize your pants experience now and visit 5.11 Tactical Pants and you won't regret it.

An Emergency Exploratory Laparotomy

noreply@blogger.com (jhun) — Sun, 30 Nov 2008 06:59:00 +0000

Yesterday we had a stat exploratory laparotomy on one of the in patients who underwent an elective "Ex-Lap" for a take down colostomy around 4 to 5 days ago. She was a high risk patient because around 2 to 3 days post operatively she suffered a myocardial infarction at the wards. She was then eventually transferred to the ICU.

The reason for the stat exploratory laparotomy was she was noted to have a wound dehiscense and aside from that her bowels were noted to be dilated. She was then brought to the OR for the procedure. Upon opening her up, I noted her bowels to be really dilated from the small intestine down to the large intestine. Adhesions were noted all over the place. Eventually decompression was done and closure of the wound dehiscense was done. After the operation she was eventually brought back to the ICU were close monitoring was done. This morning prior to me going home, I passed by the ICU to check his condition, she was eventually awake and would just communicate by nodding to some of my questions. Hopefully she would improve in the coming days. Pleasant Day

An Emergency Craniotomy

noreply@blogger.com (jhun) — Fri, 28 Nov 2008 12:25:00 +0000

This morning I was supposed to be assigned to assist on a cholecystectomy case. Unfortunately I arrive in late, and someone already was put in my place. I went back to our quarters to return my scrubs, one other intern then informed that the was a cranial bleed case in the ER and my residents are already there. So I jumped and went to the ER. Upon reaching the ER, I noted that the patient intubated in the ER was just discharged from the hospital yesterday.

He was a 23 year old male who was previously admitted at our institution due to a vehicular accident around 2 weeks ago. He was hit by a dump truck and was immediately brought to the ER. During his stay at the hospital, he underwent a craniostomy due to a bleed in his brain. Yesterday, he was doing ok with stable vital signs and was already discharged. Unfortunately around 2 in the morning, according to his relatives, he started to complain of severe headache and his condition continued to detoriorate and he was immediately rushed to the ER. At the ER, a repeat CT scan was done reveling an intracranial hemorrhage and a stat craniotomy for evacuation of hematoma was done.

I again rushed to our bed quarters and grabbed my scrubs then went directly to the OR. Patient was immediately brought to the OR and his brain was cut opened. Intraoperatively around 5 to 6 big clots were noted on the right side of his brain and was immediately removed. A part of his skull was removed and was scheduled to placed again some other time to relieve brain pressure. After the operation he was then admitted to the ICU. Hopefully his status will improve in the coming days. Pleasant Day.

The CT scan above was somewhat the same as the repeat CT scan of the patient mentioned above.

Infected BIG Toe

noreply@blogger.com (jhun) — Tue, 25 Nov 2008 09:50:00 +0000

I m assigned to the OPD today since I m just on pre duty status. We only met a couple of patients, most were follow ups. I grabed one folder and the chief complaint labeled as swelling of the big toe. Then I called out on the patient, then there was this little boy who went towards me. Then I asked the parent what happened, she said the a week ago, her child accidentally stepped on a broken piece of glass which caused a puncture wound on his right big toe.

Unfortunately, after being punctured the boy was not brought to a hospital for tetanus shots and a simple cleaning of the wound was done. Yesterday, according to the mother, the big toe started to swell and started to turn red. Pain was also noted upon touching the affected part. Upon careful examination, a pus was already noted aroung the wound site. Incision and drainage was then advised to the patient which the patient, crying, complied. A 2 cm incision was done which produced outflow of the pus inside. Patient was then prescribed with antibiotics and daily wound care was instructed. He is to come back next week and hopefully his big toe wont be that engorged due to infection so that he can walk straight. So guys be careful of little pieces that causes a break in your skin, who knows they might caught a local inflammation and eventually an infection. Pleasant Day

The picture above was somewhat the replica of the patient's big toe.

Bone Flap Placement

noreply@blogger.com (jhun) — Mon, 24 Nov 2008 04:06:00 +0000

Another tour of duty in surgery has ended and we had a total of 4 admissions yesterday. We had a 25 year old male who underwent craniotomy (removal of a part of the skull) 5 weeks ago due to a bleed in the brain secondary to a vehicular accident. He was admitted for placement of the part of the skull which was earlier removed.

When we visited the patient, he was currently eating and was doing ok. No signs of any deficits were noted and he was even speaking well. The only striking part in him is that the right side of his head is somehow deformed due to the absene of a skull part in that region. He is scheduled this afternoon and hopefully by tomorrow when I see him again hopefully his head won't be deformed anymore. Pleasant Day