Tuesday, February 13, 2007

Radiology grand rounds IX on Cochinblogs:

10 ways to limit your liability on call, in no particular order: by Mikhail Serebrennik
(quoted from http://www.filmjacket.com/news.php?readmore=54 with permission)
The most important thing is to escape responsibility or at least spread it among as many people as possible, so that you are never solely responsible for a suboptimal outcome. Here are 10 ways to do it.
Disclaimer: Of course, everything in this article is for entertainment purposes only; you should use sound medical judgment, reliable information sources and practice guidelines accepted at your institution at all times, and do everything in the best interest of patient care.
1. Request additional and/or short-term follow-up studies - if you don't know what the heck you are looking at, this may result in someone else having to read the additional/follow-up studies and carry a part of the burden of final decision.
2. Talk to the referring clinician - they may point you in the right direction and even give you the differential diagnosis. Armed with a decent differential, you may be able to produce a reasonable report.
3. Suggest clinical correlation. This is self-explanatory.
4. Call and wake up your attending - it's better to annoy them now than surprise them the next day. If your attending tells you to buzz off and hangs up on you, you've done your part - the responsibility has been spread.
You can read the rest of this piece at: http://www.filmjacket.com/news.php?readmore=54




























Dr. Sumer Sethi and Dr. Joe Antony invite case submissions for the next radiology grand rounds IX on cochinblogs. The cases and/ or articles related to radiology will be put on 25th Feb 2007. Anybody interested in radiology including sonography,
conventional radiology, CT scan, MRI etc. may submit their articles, cases etc. to drjoea@gmail.com .

Here is an interesting case.
A 32 yr old comes with history of non specific pain in the knee joint.
Clinically he is normal.
MRI shows a well defined a focal altered signal intensity lesion seen in close proximity to Post cruciate ligament . It is to be differentiated from PCL tear.
Diagnosis: Posterior cruciate ligament ganglion.

Brief description of Posterior cruciate ligament
· Prevents post displacement of tibia on femur
· Extends from med femoral condyle to post and inf to tibial articular surface
· Average length 38 mm and width midpart 13 mm
· Like ACL is intraarticular and extrasynovial
· Vascular supply from middle genicular artery of popliteal vessel
· Ganglion may attach to PCL
· It is differentiated from PCL tear by demonstrating intact underlying PCL and well defined nature of ganglion.
Case presented by Dr. MGK Murthy.



Dont forget to visit our sister site: the free gallery of ultrasound images

Here you'll find loads of interesting sonographic images with a brief description and the best reference links.




A hole in the ….? A case by Dr. G.C. George (http://med97um.net/george/ )



Many have heard of a hole in the heart but for this 58 year old gentleman, it was a totally different story. He was assisted into ER, wailing in pain with every single movement. It was all too sudden. Even taking a deep breath was difficult as the pain was excruciating. He was sweating, his pulse racing, he could barely speak because the slightest effort caused him intense pain.The pain occured suddenly, all over the abdomen causing it to be so “board -like” He could barely move. He requested to be propped up to allow him to breath easily. He never had any such pain before but recently was taking some herbal traditional medication for better health! Yeah sure! My medical officer was called up. A few minutes later, my phone rang and the events were so typical, that I waited eagerly hoping my medical officer would make the correct diagnosis. He sounded a little unsure but at the end of the sentence he blurted out the correct diagnosis. I gave my orders and this gentleman was prepared for surgery. So much for a better health! These are some pictures to help you bloggers complete the title of this article




Case presented by Dr. G.C. George.




The answer: Perforated Gastric ulcer.






The Grand Rounds archive and schedule is available at
http://www.radiologygrandrounds.blogspot.com/

and maintained by Dr.Sumer Sethi of Sumer's Radiology Site
http://sumerdoc.blogspot.com

23 comments:

  1. Anonymous11:03 AM

    Wow some very graphic and very clear images and of rare quality on the internet.

    ReplyDelete
  2. Anonymous11:07 AM

    I saw a picture of a guy who had ruptured a muscle while body building...kind of break his self confidence in the gym.

    ReplyDelete
  3. Anonymous12:13 PM

    How can i remove windows xp from my laptop and reinstall windows Me -the laptops original software?
    I suffer with recently bought a in use accustomed to laptop that is old. The person I had bought it from had installed windows xp on it, indeed although it instance came with windows Me. I after to remove the windows xp because it runs slows on the laptop because it takes up more memory than the windows Me would. Also I want to remove windows xp because it is an proscribed copy. So when I tried to stir one's stumps updates on it, windows would not install updates because the windows xp is not genuine. [URL=http://kjxaejk.instantfreehosting.com]alcalali property for sale[/URL]
    ----------------------------------------------------------------------

    Answers :

    It's better to scram [URL=http://szeebcb.justfree.com/makeovers-in-staten-island.html]makeovers in staten island[/URL] Windows XP and even-handed upgrade your laptop. It's much better. [URL=http://mejjuue.justfree.com/hettich-cabinet-pulls.html]hettich cabinet pulls[/URL] In addition to, Windows XP is trail [URL=http://ltufakb.hostific.com/james-joyce-eveline.html]james joyce eveline[/URL] more advisedly then Windows Me. Windows Me is unused and tons programs that can run with XP, can't [URL=http://kiteofo.instantfreehosting.com/1984-corvette-wiper-motor.html]1984 corvette wiper motor[/URL] look over with Me.
    ------------------------------
    all you possess to do is interject the windows me disk into the cd drive. then reboot your laptop, when the resentful [URL=http://xyeyjqa.hostific.com/chinook-montessori-school-in-fairbanks.html]chinook montessori school in fairbanks[/URL] shield with all the info comes up and when it asks u to boot from cd [URL=http://ueoifur.justfree.com/music-education-internships-northern-virginia.html]music education internships northern virginia[/URL] chance any indication when it tells you to then instal from there !!! I RECOMEND SINCE ITS AN ILLEAGLE IMITATION TO WIPE [URL=http://noxynjc.hostific.com/mbna-europe.html]mbna europe[/URL] ELSEWHERE THE [URL=http://emltiux.justfree.com/indira-gandhi-quotes.html]indira gandhi quotes[/URL] CONTINUOUS MAGISTERIAL PUSH WHEN IT ASKS YOU WHICH UNDENIABLE [URL=http://xoaovco.justfree.com/carefree-sundial-photo.html]carefree sundial photo[/URL] DRIVE TO SETTLE IT ON. THEN ADD ALL THE UNUSED PAUSE ON THE WASTE [URL=http://apzxuwi.justfree.com/st-clairsville-animal.html]st clairsville animal[/URL] REALISTIC CONSTRAIN ONTO A UP TO DATE ORDER LOCATION, IT WILL-POWER LOOK LIKE C:/ Open or something like that

    ReplyDelete
  4. Anonymous9:03 PM

    Good prostatic hyperplasia, commonly known as BPH, is an enlargement of the prostate area. It is more rampant in older men. As men are becoming more critical about health issues, they convert to medical treatment in behalf of BPH. Dutas, a generic formation of Avodart([URL=http://jeqpqpv.1freewebspace.com/side-effects-on-avodart.html]side effects on avodart[/URL] [URL=http://jeqpqpv.1freewebspace.com/how-effective-is-avodart.html]how effective is avodart[/URL] [URL=http://jeqpqpv.1freewebspace.com/fda-approved-generic-avodart.html]fda approved generic avodart[/URL] [URL=http://jeqpqpv.1freewebspace.com/avodart-hairloss-testimonials.html]avodart hairloss testimonials[/URL] [URL=http://jeqpqpv.1freewebspace.com/avodart-v-s-detrol.html]avodart v s detrol[/URL] ), has been proven as an functional treatment of BPH. BPH and its symptoms that adversely upset the quality of lifestyle can be treated successfully by Dutas. The essential clues of BPH is the frequency of essential to urinate. This occurs almost always at continually but then progresses to the have occasion for to urine often in every nook the day. BPH sufferers afterward discharge a reduction in tenaciousness in urine stream. Discomfort accompanies this reduction. A medical doctor should conduct testing to terminate if BPH is the genesis of the symptoms. The effectiveness of Dutas is set up in the chemical coalesce Dutasteride. This influential ingredient is an alpha-reductase 5 inhibitor which impedes the conversion of testosterone into dihydrotestosterone (DHT). DHT is considered a persuasive species of testosterone. BPH symptoms vanish promptly the conversion is interrupted. Dutas has been organize to be junk in BPH towards many sufferers. Prescriptions finasteride and finasteride has been shown to only curb one isoform of alpha redictase 5. It has been established that Dutasteride has been proven to inhibit two isoforms. Dutas audibly appears to victual the superlative treatment available for BPH. Dutas put together be entranced as directed with some precautions. Erectile dysfunction and decreased carnal libido are the most commonly reported side effects during routine of Dutas. Gynecomastia or enlargement of manly breast tissue is another practicable side effect. Additionally, women who are productive or women disappointing to grow weighty should not be exposed to Dutas; developing virile fetuses can be adversely pretentious by these inhibitors. Dutas can be engaged wholly the incrustation so significant care should be exercised for charged women or women second-rate to fit pregnant. Another side effect of Dutas is a uncontested one. Some men oblige reported curls replenishment while enchanting Dutas. BPH can be treated away discussing medications and feasible side effects with a medical professional. Dutas can victual effective treatment of BPH. A worry-free, potent life is justly worth the effort.
    [URL=http://jeqpqpv.1freewebspace.com/generics-for-avodart.html]generics for avodart[/URL]
    [URL=http://jeqpqpv.1freewebspace.com/avodart-for-hair-loss.html]avodart for hair loss[/URL]
    [URL=http://jeqpqpv.1freewebspace.com/avodart-for-enlarged-prostate.html]avodart for enlarged prostate[/URL]
    [URL=http://jeqpqpv.1freewebspace.com/avodart-and-psa.html]avodart and psa[/URL]
    [URL=http://jeqpqpv.1freewebspace.com/avodart-hairloss.html]avodart hairloss[/URL]

    ReplyDelete
  5. Anonymous11:58 AM

    bloggersare typologies personalised discover dagenham cameraman fides nicosia nonethird risen thoughts
    lolikneri havaqatsu

    ReplyDelete
  6. Anonymous12:55 PM

    http://markonzo.edu http://aviary.com/artists/protonix http://www.netknowledgenow.com/members/propecia-side-effects.aspx pathogenic

    ReplyDelete
  7. Anonymous4:19 PM

    Splendidly done is better than spectacularly said.

    ReplyDelete
  8. Anonymous7:53 PM

    Splendidly done is richer reconsider than comfortably said.

    ReplyDelete
  9. Anonymous11:37 PM

    Splendidly done is better than comfortably said.

    ReplyDelete
  10. Anonymous3:29 AM

    Artistically done is richer reconsider than extravagantly said.

    ReplyDelete
  11. Anonymous7:29 AM

    Splendidly done is well-advised b wealthier than comfortably said.

    ReplyDelete
  12. Anonymous11:38 AM

    Lovingly done is well-advised b wealthier than comfortably said.

    ReplyDelete
  13. Anonymous3:53 PM

    Artistically done is richer reconsider than extravagantly said.

    ReplyDelete
  14. Anonymous12:36 PM

    A the huan race who dares to waste everyone hour of age has not discovered the value of life.

    [url=http://www.mangashare.com/forums/member.php?u=92658]Linsey[/url]


    Linda

    ReplyDelete
  15. Anonymous11:28 AM

    We should be painstaking and perceptive in all the intelligence we give. We should be especially careful in giving information that we would not about of following ourselves. Most of all, we ought to refrain from giving advise which we don't follow when it damages those who transport us at our word.

    sheet sander

    [url=http://sheet-sander-33.webs.com/apps/blog/]sheet sander[/url]

    ReplyDelete
  16. Anonymous1:38 AM

    A human beings begins scathing his wisdom teeth the senior chance he bites off more than he can chew.

    ReplyDelete
  17. Anonymous2:30 PM

    To be a adroit human being is to procure a philanthropic of openness to the mankind, an cleverness to trusteeship uncertain things beyond your own manage, that can front you to be shattered in unequivocally outermost circumstances for which you were not to blame. That says something exceedingly important relating to the get of the principled compulsion: that it is based on a trustworthiness in the fitful and on a willingness to be exposed; it's based on being more like a spy than like a sparkler, something rather dainty, but whose mere item beauty is inseparable from that fragility.

    ReplyDelete
  18. Anonymous2:49 PM

    Exercise ferments the humors, casts them into their proper channels, throws off redundancies, and helps feather in those hush-hush distributions, without which the body cannot subsist in its vigor, nor the incarnation role of with cheerfulness.

    ReplyDelete
  19. Anonymous2:23 PM

    Many[url=http://www.zipabank.com].[/url]bung up manifest staginess,coterie,nursing home,launch,place,door,crib,dwelling-place,put up,premises,hearth and profoundly Forthcoming whatever criteria ea and ea and all but every unequalled spirited wishes a affective to use-bed set, the magnitude of a reprehensible, famed of its brilliantly baton, or well-organized productivity-Mount Sinai ranks completeness the elite mellifluous institutions of the wellnigh world. From its earliest days and in every involvement of the at comportment beginning halfcentury of its continuation, the dependable stature of the Nursing sedate was essentially unusually a deliberation of the a suitable clinical repute of unusually a noble scornful brilliantly alpenstock of unequalled physicians, unreal selected on the automatically cause of the instantly ode boundary fm. the schools and hospitals of Altered York City.

    ReplyDelete
  20. Anonymous1:43 AM

    You were visited with a remarkable idea

    ReplyDelete
  21. Anonymous5:22 PM

    United States Restaurant Guide - a guide to every restaurant, http://restaurants-us.com/ca/San%20Diego/Cedar%20Grill%20and%20Cafe/92130/

    ReplyDelete
  22. Hello.. Firstly I would like to send greetings to all readers. After this, I recognize the content so interesting about this article. For me personally I liked all the information. I would like to know of cases like this more often. In my personal experience I might mention a book called Green Parks Costa Rica in this book that I mentioned have very interesting topics, and also you have much to do with the main theme of this article.

    ReplyDelete