Відео

Thank you for sharing

It might be worth adding that anterior discectomies are done from the right side of the neck mormally. The sugical anatomy differs between the left and right amd the right side is regarded as a safer approach. Of course this needs to be confirmed in this case but it looks likely. The presence of gas is worrisome. Typical post op infections are due the Staph aereus which is not mormally a gas former. Gas may be due to gangrene but this would be vertly unususl here. Another possibility is a perforated orsophagus with a leak. This couid ischemic during retraction or direct injury during operation. If i am correct the injury must have been overlooked at op.

Thy Doc. Bone window will help us to see it better.

Appreciate your explanation 🙏

Thy Doc interesting finding.

Thanks for the informative video. What are the solution for such medical condition? Is it curable?

Possibly your best video yet. The clinical pics and typical history help a lot. Mind you nothing new to me nut fabulous revision. One tiny point. The frontal sinuses drain into the recess between the inferior and middle tirbunates adjacent to or even sharing the exit to the maxillary sinuses. If the maxillary sinus becomes blocked the inflamation may block the frontal drainage also. You also omitted to discuss the marked septal deviation seen here which is the cause of the blockage of the sinuses. This will need to be fixed if the patient survives. The sinuses enlarge quickly during puberty as part of the growth spurt. Asymetical growth in the septum can become a problem. ENT hate working on adolescent sinuses and noses because growth can mess up the post op result. Please please keep the cases coming.

🎉🎉🎉thank you

Thy Doctor.

So nice

Pott's puffy tumour. The nasal septum is markedly deviated to the left. This is probably blocking drainage from the maxillary and front sinuses on the left

THanks! but, why your voice vibrate and u should also read us the article as it is not visible

Vow

Ulttasound shows bursitis and gluteal tendonopathy very clearly without the need for radiation

🎉🎉🎉

Thank you, Doctor very interesting case.

Thank you Doctor.

Thank you

This patient should have had an ultrasound rather than a CT. Inflammed appendices are trivial to see provided they are not retro ceacal. Retro caecal appendix cannot normally be seen because of gas in the caecum. Inflamation on ultrasound in such cases is much easier to see than with CT. Such an early case should be treatable with antibiotics. Remember 25% plus of such cases are caused by Yersinia - a gram negative bacillus - which has a constitutive beta lactamase. You need a non beta lactam or one with beta lactamase resistance or an inhibitor of beta lactamases.

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Thank you Doctor appy tips are always appreciated

надо делать мрт и строить 3д реконструкцию

The main differential is infectious vs malignant. Both can co exist. The main infectious causes of such a lesion are S aureus and Mycobacterium tuberculosis. If the patient was immunosupressed - HIV, long term steroids, etc - the differential gets longer. A rarer cause might be fungal. From what we can see of the chest on the CT tuberculosis seems unlikely as the lungs are clear. This does not rule it out completely but it does make it less likely. Assuming that the patient is not immunosupressed the likely cause is S aureus. This patient needs iv antibiotics. These must include one or more agents active against S aureus. Other pathogens may be on the radar eg E coli after say a prostate operation but this will depend on the clinical history. S aureus is still top of the leader board until proven otherwise. Treatment. Urgent referal to a spinal unit. Once there a laminectomy with debridement followed by stabilization of the spine will be needed. Details are best left to a spinal surgeon. Finally there is something in the video of happy eye. There is a disc protrusion at C6/7. This does not look bad but clinical history and exanination will clarify its importance.

Thank you Doctor.

Very informative! Thank you :)

Thank you Doctor.

Thank you Doc.

хорошая работа! у меня в шее в вене примерно то же самое, и никто не хотел видеть даже после того как я сам увидел и показал.

Dissection aortique extend to abdominale aorta Classification biky 3

Thank you for explaining.

Thank you very much. Appreciated.

Beautiful ❤

Thanks dear for those excellent cases. Was this lesion& fat globules intra axial? and any suggestion about management? Thank you very much again.

Any views of the right heart? Carcinoid is a rare cause of right heart pronlems. I would have started with a colonoscopy here unless there was a good reason not to. I realise the scope would not be diagnostic in retrospect but one is not to know that

Thank you!

The T1 is simply amazing

Is the patient diabetic? Perforated gall bladders are more common in diabetics. Not known why. Possibly small vessel disease?? Plural of biloma is bilomae. Its latin.

Your cases are awesome

всё это видно на мрт без контраста.зря облучали и кололи в вену ядовитые вещества.

Transient global amnesia? Or just a radiologist after one too many?

No comment on the Osteoarhritis of the spine i see 😀 More seriously ib heparin or thrombectomy?

Thank you very much! I must say you are a great teacher. I always make sure to watch every case you upload. شكرًا :)

I really appreciate you uploading these videos thank you!

Thanks for sharing.

может это Перистальтика.надо смотреть в динамике

Thank you

Thank you! Very educational video! I am a radiology resident from Italy

Wet, weird and wobbly. Incontinence, dementia like changes and ataxia. Clinical features of chronic raised intracranial pressure. There are others. Pseudo papilloedema springs to mind. But it doesnt start with W. Not many people know that the first ventricle is the left lateral ventricle and that the right is the second. Even fewer know that there is a fifth and sixth ventricle. These last two normally disappear in the fetus but can be present in some weird congenital cases

thanks for sharing