Endometrial hyperplaisa in a child

These ultrasound images of the uterus in a 12 yr. old female child with intermittent bleeding per vagina reveal- a) markedly thickened endometrium (3.3 cms). b) color doppler images reveal vascularity within the thickened endometrium. These images suggest endometrial hyperplasia (benign) in a child. The cause is presumably, increased oestrogen activity. Images courtesy of Dr. Richa Dikshit, India.
Visit: http://www.ultrasound-images.com/pediatric.htm for interesting pediatric and neonatal sonography images.

Fetus nibbling its own cord

The fetus is seen nibbling the umbilical cord in this 3D ultrasound image courtesy of Dr. Arun Mahajan, Delhi, India.

A few moments later the cord falls away.

For more such images visit:

http://www.ultrasound-images.com/amusing-pics.htm

Some interesting sonographic images:

There is a whole load of ultrasound images added to my site at:
http://www.ultrasound-images.com/ The site has been pepped up with a new look and easy to use interface. I have added a search box on the home page to sift through the contents of the site. I wanted to add a slide show option for the images but found it problematic. As before, all images are free to view.
1) At the page: http://www.ultrasound-images.com/fetus-general.htm is a case of IUFD with Spalding’s sign. Many books these days simply don’t have images of this sign.
2) At http://www.ultrasound-images.com/early-pregnancy.htm , there is nice case of bicornuate uterus with a gestation sac in one cornu.
3) At http://www.ultrasound-images.com/fetal-brain.htm : I have added a rare image of Vein of Galen aneurysm.
4) At: http://www.ultrasound-images.com/fetal-heart.htm : there are new cases of fetal cardiac anomalies including AVSD and pericardial mass. I hope to add some nice fetal echo videos to this section, but need a little help to edit mpg videos. Can somebody help me?
There are plenty more pictures but, I’ll tell you later.
JOE ANTONY, MD.

Announcing my new ultrasound images website:

Hi all,
After having observed the runaway success of my older site (the ultrasound gallery) at: http://drjoea.googlepages.com/ I have now shifted the action to my new 200 GB capacity site at:
http://www.ultrasound-images.com/ The main features of the new web site is:
1) plenty of byte space.. you can expect loads of free high resolution sonographic images here, plus ultrasound videos when I get them.
2) More bandwidth for web access.
3) Faster download times
I have added a couple of cases already. See:
a) http://www.ultrasound-images.com/fetal-brain.htm where I discuss a fetal anomaly, Dandy-Walker malformation.
b) http://www.ultrasound-images.com/musculoskeletal.htm where I have a case of Medial Cruciate ligament injury.
Dr.Joe Antony, MD.

Viral fever epidemic in Kerala

Kerala is once again in the grip of a viral fever. This time the situation is worse than last year (2006). All the more mysterious is the fact that most lab tests are negative for most known pathogens (viruses) and the cause is presumed to be chikungunya virus. Then why are tests for chikungunya negative. Possibly, this time (May to Sep 2007), the virus is a mutated sub-strain. Worst is the distribution of the epidemic; whole villages and towns in the rural areas are affected, sparing almost no one. Surprisingly, children are relatively spared with the elderly worst affected. As before, most patients have symptoms of severe bodyache, low grade fever and joint pain and swelling.
Treatment:
1) bed rest
2) Meftal 500 mg (oral) -2 to 3 times a day is found to be VERY effective in controlling the joint pain and bodyache. (Meftal- is mefenamic acid with paracetamol). Caution: not be taken on empty stomach. May cause gastritis.
3) plenty of fluids
Note: Please consult your physician before starting treatment.

18th September- update

Have a look at some of the best 3D images of Cleft palate (with cleft lip) available on the internet at: http://drjoea.googlepages.com/obstetric-3 This is 3D sonography at its best. Also added to the free gallery: a new page on lesions of the pancreas at: http://drjoea.googlepages.com/pancreas The first case here is one on pancreatitis.
Dr. Joe Antony, MD