I’d like some H2O too ππππππππππππ
Adult Patient KJ portrayed by Jennifer Wryn, PA Ben Anthony
References to subject matter and related cases below
A Student Ate 108 Gummy Antacids For Breakfast. βΊ https://youtu.be/sx93aUj4A_o
A Mukbanger Ate 1 Gallon Pickles. βΊ https://youtu.be/gF69voHU_ys
A Gamer Drank 12 Energy Drinks In 10 Minutes. βΊ https://youtu.be/tAtaIZD0Ebs
IG me: https://www.instagram.com/chubbyemus
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Search for Chubbyemu on Snapchat, I have videos there π
Music by @Lifeformed βΊ https://lifeformed.bandcamp.com
Medicine βΊ https://www.youtube.com/playlist?list=PL26HeTCO57qcMQB6CrU6QRzEi9tt9l1FI
Some images by Getty
These cases are patients who I, or my colleagues have seen. They are de-identified and many instances have been presented in more depth in an academic setting. These videos are not individual medical advice and are for general educational purposes only. I do not give medical advice over the internet.
References:
Outcomes After High-Concentration Peroxide Ingestions. https://www.annemergmed.com/article/S0196-0644(16)31389-0/fulltext
Hydrogen Peroxide PoisoningβA Rare Cause of Portal Venous Gas
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8448209/
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Hi! My name is Jonathan and I am a Chiropodist (Foot Specialist) in Toronto, Canada.
May is ‘Foot Health Month’ in Canada and I am going to try to use this month to give you guys as much advice and information about how to keep your feet healthy.
FOOT HEALTH MONTH 2018 #15
Sometimes we step on things and can get splinters or other objects stuck in the toe. If left untreated, what can start as a small splinter can turn into a foot wound which could even progress into an amputation.
If you feel that you have something stuck in your foot, it is very important you visit your family doctor or foot specialist in order to have your foot examined.
Today we have an unbelievable case of a splinter gone missing. A patient suffered an injury where something got stuck in his foot. He was able to take some of it out but couldn’t find anything else. His foot was not getting better so he went to the emergency room, had x-rays and ultrasounds done, but unfortunately no one could find anything. After doing more research, he found a foot specialist (Chiropodist) that could help him.
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Dr. Ebraheim’s animated educational video describes the history and examination of painful and injured knee.
A history of dashboard injury or fall onto a plantarflexed foot will cause a posterior cruciate ligament PCL injury.
PCL injury is examined by performing the posterior drawer test. The posterior drawer test will be done in 70-90ο° flexion. Watch for the sag. The amount of translation in relationship to the femur is observed. In general if the knee is bent or the foot is plantar flexed, this can give you a PCL injury. However, if the knee is extended, in valgus or there is a hyperextension injury, this can give you an ACL injury.
A noncontact pivoting injury with large swelling of the knee after hearing a βPopβ is usually an anterior cruciate ligament injury ACL. The middle genicular artery will be injured and there will usually be hemorrhaging inside the knee joint. The Lachmanβs test is used to diagnose injury of the ACL.
Lachmanβs test
β’Bend the knee to about 20-30ο° degrees of flexion.
β’The tibia is reduced and when you pull it forward, the instability can be seen.
β’At this point the tibia is subluxed forward.
Pivot shift test
β’The pivot shift test is also done for ACL tears.
β’It is used more for chronic ACL tears.
β’The pivot shift test is different from the Lachmanβs test.
β’When the knee is straight, the lateral tibial plateau will be subluxed in extension.
β’In 20-30ο° of flexion, it will be reduced in flexion by the iliotibial band.
Patellar fracture
β’If the patient has a history of a fall onto a dorsiflexed foot, the patient may have a patellar fracture. The patella can fracture due to a direct impact injury or indirect due to eccentric contraction.
Meniscal injury
β’Occurs due to a twisting injury. There will be some swelling and pain that is worse with twisting or squatting motions. The patient may complain of locking of the knee.
β’Examination will show joint line tenderness which is specific of a meniscal injury.
β’The McMurrayβs test is used to diagnose the presence of meniscal tear.
McMurrayβs test
β’A painful click may be obtained as the knee is brought from flexion to extension in either internal or external rotation.
β’There will be a βclickβ or βpopβ with valgus plus external rotation with injury to the medial meniscus.
β’A βclickβ or βpopβ sensation will be felt during internal rotation and extension of the knee with injury to the lateral meniscus.
Pain in the knee around the patella with climbing stairs or during sitting may be a sign of a patella problem.
The lateral patellar apprehension test is performed to check the knee for symptoms of dislocating or subluxing patella.
Lateral patellar apprehension test
β’With the finger placed on the patella medially, try to push the patella laterally.
β’If this causes pain and apprehension, then the test is considered positive.
Isolated injuries of the posterolateral corner are rare and often cause instability and varus thrust. By performing the dial test, you can detect if there is an isolated or combined injury of the posterolateral corner of the knee.
Dial test
β’In isolated posterolateral corner injury, the dial test will be positive at 30ο° of flexion.
β’The test is better when done in the prone position and always compare the two sides together.
β’Flexion at the 90ο° angle will test the posterior cruciate ligament (PCL) for injury.
β’More than 10ο° of external rotation asymmetry at 30ο° and at 90ο° is consistent with posterolateral corner and PCL injury.
Medial collateral ligament tear (MCL)
β’Pain on the inside of the knee with β a poppingβ sound after a blow to the outside of the knee, this is probably a sign of medial collateral ligament (MCL) injury.
β’The typical mechanism of injury of the MCL is due to a valgus and external rotation force.
β’Proximal tear of the MCL usually heals well, and this is the most common location of the tear.
β’Examine the MCL with the valgus stress test (30ο° of flexion).
β’The valgus stress test at 30ο° of flexion tests the superficial part of the medial collateral ligament (MCL).
β’If the MCL appears to be lax in 0ο° of extension, then this will signal a combined injury (MCL plus other ligaments and possibly posterior capsule injury).
Lateral collateral ligament tear (LCL)
β’Lateral collateral ligament (LCL) injuries result from a varus force across the knee. Contact injury, such as a direct blow to the medial side of the knee, or a non-contact injury, such as hyperextension stress, which may result in a varus force across the knee injuring the LCL.
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This propaganda footage, shot right before the fall of the Third Reich, was supposed to be destroyed. And for good reason – it reveals the medical condition Hitler tried to hide.
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From: SECRETS OF THE THIRD REICH: Hitler’s Madness
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Watch another awkward Biden hug as he hangs on to Hillary. CNN’s Jeanne Moos shows the endless embrace.
