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HealMeDoc👨‍⚕️👨🏾‍⚕️  💉 Healing through Medicine 🏥 Prevention through Education 🏋 Stay Healthy, Stay Educated, Stay Safe 📖 Matthew 11:28

Degloving injury!!! ⚠️😫
(sorry but I’m not sure what the mechanism of injury was. I will edit the post as soon as I find out 🙏)
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A degloving injury is a type of avulsion in which an extensive section of skin is completely torn off the underlying tissue, severing its blood supply.
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Open degloving occurs when your skin and tissue is ripped away, exposing muscle, bone, or connective tissue. In some cases, the skin might still be partially attached as a flap near the wound.
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Closed degloving injuries aren’t always visible. This makes them harder for doctors to diagnose. In some cases, they can cause a bruise, but this is usually the only visible symptom. Many closed degloving injuries involve a force that separates the top layer of skin and tissue from deeper tissues, leaving a space under the skin. These spaces are known as Morel-Lavallée lesions. The lesions can fill with lymph fluid, blood, and fat.
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Degloving injuries invariably require major surgical interventions. Treatment options include replantation or revascularization of the degloved skins, or when these are not possible, skin grafts or skin flaps. While the preservation of the extremities and limbs is normally preferred, in some cases amputations may be advised or required. Post-operative physiotherapy is of particular importance for degloving injuries involving the hand.
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OBVIOUSLY, If you or a loved one are experiencing these conditions, go to the emergency room immediately to prevent any further complications. Stay safe and stay healthy everyone! 🤓
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🎥 by @quirurgicamente

That feeling you get when you get hit by a MACHETE!! 😱🤦‍♂️
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This is a case of severe hand trauma caused by a machete! The patient got in an argument with a person, while they were both drunk. This led to the person taking a machete and swinging it at the patient who stopped the blade with his hand, splitting it in half. Fortunately the surgeons were able to save it. 🙏
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There are many different types of surgeries:
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Closed reduction and fixation
This technique may be used when there is a fracture in part of the hand, including the fingers. This type of surgery attempts to realign the fractured bone and then immobilize the area during the healing phase. Immobilization can be done with internal fixtures, such as with wires, rods, splints, and casts.
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Tendon repair
Repair of tendons remains a surgical challenge because of the structure of the tendon. Repair of a tendon may be classified as primary, delayed primary, or secondary. Primary repair of an acute injury is usually completed within 24 hours of the injury. Delayed primary repair is usually performed a few days after the injury. Secondary repairs may occur two to five weeks or longer after the injury. Primary repairs usually involve direct surgical correction of the injury, while secondary repairs may include tendon grafts (inserting tendons from other areas of the body in place of the damaged tendon).
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Nerve repairs
There are three main nerves that innervate the hand, including the ulnar nerve, the median nerve, and the radial nerve. Damage to these nerves from injury may result in decreased ability to move the hand and experience feeling. Overall, about three to six weeks after the injury is the best time for nerve repairs that are associated with other, more complicated, injuries. If severed, the nerve may be repaired by reattaching it directly to the other end of the nerve, or by using a nerve graft to repair the damaged section.
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If you or a loved one are experiencing these conditions, go to the emergency room immediately to prevent any further complications. Stay safe and stay healthy everyone! 🤓
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📸 by dangalatkenya.blogspot.com

What’s more satisfying, popping a pimple or trimming these nails?? 😳
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Onychogryphosis or Ram's Horn Nails is a medical condition in which there is overgrowth or hypertrophy of the nails resulting in long, curved nails which resemble a claw or a ram's horn. The nails become thickened and deformed with discoloration of the nails with them appearing yellowish in color.
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The main cause is damage to the cells as a result of wearing ill-fitting or tight shoes, trauma or injury to the nail, infection of the nail, decreased blood supply to the nail.The toenails are more commonly affected than the fingernails. Elderly people more commonly have this condition as the blood supply to the nails diminishes with age.
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Treatment would depends on the severity of the condition: (1) Nail plate avulsion along with surgical destruction of the nail matrix using carbon dioxide laser or phenol providing the patient has good blood circulation of the nails. If it is very painful then the nail is usually removed by applying a saturated solution of phenol.
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If you or a loved one feel like are suffering from this symptoms or condition, please consult your primary healthcare physician to discuss your options and what would be beneficial for yourself. Stay healthy and stay safe everyone! 😎
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🖥epainassist.com

Work accident!! 🔩🔫
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This man was working when he accidentally shot himself in the eye with the nail gun! 🤦‍♂️
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When a foreign object enters the eye, it will most likely affect the cornea or the conjunctiva.
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The cornea is a clear dome that covers the front surface of the eye. It serves as a protective covering for the front of the eye. Light enters the eye through the cornea. It also helps focus light on the retina at the back of the eye.
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The conjunctiva is the thin mucous membrane that covers the sclera, or the white of the eye. The conjunctiva runs to the edge of the cornea. It also covers the moist area under the eyelids.
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If you find yourself helping someone in a similar situation:
Don't try to remove an object that's embedded in the eye. Don't rub the eye. Don't try to remove a large object that appears to be embedded in the eye or is sticking out between the lids.
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If the object is not embedded in the eye:
Wash your hands with soap and water. Seat the person in a well-lighted area. Gently examine the eye to find the object. Pull the lower lid down and ask the person to look up. Then hold the upper lid while the person looks down. If the object is floating in the tear film on the surface of the eye, try using a medicine dropper filled with clean, warm water to flush it out. Or tilt the head back and irrigate the surface of the eye with clean water from a drinking glass or a gentle stream of tap water.
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If you or a loved one are experiencing these conditions, go to the emergency room immediately to prevent any further complications. Stay safe and stay healthy everyone! 🤓
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📸 by @anatomiae

The youngest person to ever receive a face transplant! 😱
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Even though this story is difficult to look at. @natgeo advised you to go on the remarkable journey of how a young woman received a face transplant because it reveals something profound about our humanity. Katie Stubblefield lost her face when she was 18. When she was 21, doctors at the Cleveland Clinic in Ohio gave her a new one.👨‍⚕️
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On March 25, 2014, distraught, she shot herself with a rifle, taking most of her face.  Before the transplant, Katie underwent 22 surgeries to reconstruct her face. After 3 years and 40 days her wait was over! 💉
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IN THE TRANSPLANT, KATIE RECEIVED:
* forehead
* upper and lower eyelids
* eye sockets
* nose
* mouth and lips
* cheeks
* upper jaw
* part of the lower jaw
* teeth
* facial muscles. 🏥
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A reconstructive transplant, also called a vascularized composite transplant or vascularized composite allograft, is an operation that can involve the transplantation of skin, muscles, nerves, blood vessels, and sometimes bone. This transplants facial features which may include areas from the scalp and skull down to the jaw and chin to help restore function that has been lost due to trauma or malformation. 🤓
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The anatomy of the face is a complex part of the human body. It is composed of many layers of skin, hair, and 44 muscles. These muscles control everything from eyebrow to nostril movements and lip control. The face is also made of blood vessels, sensory and motor nerves, cartilage, bone, and other tissue. In addition to basic functionality such as eating, smelling, and seeing, these facial components allow people to show essential non-verbal communication like smiling or frowning. 😬
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Katie is the youngest face transplant recipient in US history and now hopes to use her historic surgery to raise awareness about the lasting harms of suicide and the value of life. 👩
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Stay healthy and stay safe everyone!
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📸 @natgeo
🖥 @cnn

Bike accident!! 🚴‍♂️🚗
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A case of a 23 year old cyclist who was involved in a road traffic accident. A car stopped suddenly in front of him and he was not able to brake at high speed and stretched out his left hand in order to break his collision with the car. At the hospital, the patient was complaining of severe pain, gross deformity of his hand and inability to move his fingers. He sustained a large laceration at the palm of his hand and had numbness over his middle, ring and little finger.
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The carpus is the region between metacarpals and distal ends of radius and ulna. It corresponds to the region of wrist. The main role of the carpus is to facilitate effective positioning of the hand and powerful use of the extensors and flexors of the forearm, but the mobility of individual carpal bones increase the freedom of movements at the wrist.
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It is made up of 8 carpal bones, which are arranged in two rows.
1. The proximal row (closest to the forearm) of carpal bones contains (from lateral to medial side) the scaphoid, lunate, triquetral, and pisiform bones.
2. The distal row of carpal bones contains in the same order the trapezium, trapezoid, capitate, and hamate bones.
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Clinical Relevance: The scaphoid bone is the largest bone of the proximal row of carpal bones and is situated at the radial (radius bone) side of the carpus. It is the most common hand. bone to fracture, followed by the pisiform on the opposite side. Frequently, however, the diagnosis of this scaphoid injury is delayed; a delay in the diagnosis and treatment of a scaphoid fracture may alter the prognosis for union, increase the risk of avascular necrosis, and dramatically increase the long-term likelihood of arthritis.
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If you or a loved one are experiencing these conditions, go to the emergency room immediately to prevent any further complications. Stay cautious and stay safe everyone! 🤓
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📸by @dr_aljulanda

Be careful when playing outside folks!! 🌳😫
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A 15-year-old boy reported to the emergency department after falling from a tree onto a wooden fence! Patient was conscious and well oriented in time and place. He reported after 30 minutes of the injury. He was given 1ml 0.5 mg tetanus vaccine. Thorough examination of the site of injury and facial nerve examination was done where there was no evidence of facial nerve injury. After identification of the retained foreign object, surgical exploration and removal of the foreign body was made under general anaesthesia.
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The parotid gland is a major salivary gland in humans. The two parotid glands are present on either side of the mouth and in front of both ears. They are the largest of the salivary glands. Each parotid is wrapped around the mandibular ramus, and secretes serous saliva through the parotid duct into the mouth, to facilitate mastication and swallowing and to begin the digestion of starches.
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A number of different structures pass through the gland. From lateral to medial, these are: facial nerve, retromandibular vein, external carotid artery, superficial temporal artery, branches of the great auricular nerve, and the maxillary artery.
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Clinical Relevance: During injury, the parotid salivary gland can be pierced and the facial nerve temporarily traumatized, causing transient facial paralysis. If the parotid gland has been surgically removed (Parotidectomy), the auriculotemporal nerve is liable to damage and upon recovery can fuse with sweat glands. This can cause sweating on the cheek on the side of the face of the affected gland. This condition is known as Frey's syndrome.
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If you or a loved one are experiencing these conditions, go to the emergency room immediately to prevent any further complications. Stay safe and stay healthy everyone! 🤓
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📸 by Department of Oral and Maxillofacial Surgery, at Journal of clinical and diagnostic research

Know anyone who has done this? 🤔
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Breast augmentation, sometimes referred to as a "breast aug" or "boob job" by patients, involves using breast implants or fat transfer to increase the size of your breasts. This procedure can also restore breast volume lost after weight reduction or pregnancy, achieve a more rounded breast shape or improve natural breast size asymmetry.
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Breast augmentation is also referred to as augmentation mammoplasty. When fat from another part of the patient's body is used to create the improved breast volume, the procedure is referred to as fat transfer breast augmentation.
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Breast augmentation does not correct severely drooping breasts. A breast lift may be required along with a breast augmentation for sagging breasts to look fuller and lifted.
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Some of the risk/complications and adverse outcomes of breast implants include:
* Additional surgeries, with or without removal of the device
* Capsular contracture, scar tissue that forms around the implant and squeezes the implant
* Breast pain
* Changes in nipple and breast sensation
* Rupture with deflation of saline-filled implants
* Rupture with or without symptoms (silent rupture) of silicone gel-filled implants
* Deflation of the implant
* Delayed Wound Healing
* Asymmetry of breasts tissue
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If you or a loved one feel like they want to go through this process, please consult your primary healthcare physician to discuss your options and would be beneficial for yourself. Stay healthy and stay safe everyone!😎
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🖥 plasticsurgery.org and FDA.gov
📽@cpmantrana

Road traffic accident!!! 🤕😱
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30 year old patient was taken to an Oral and Maxillofacial surgery department with a penetrating facial injury by a wooden log passing through the left lateral side of his face below the angle of mandible. It protruded through the oral cavity resulting in a comminuted fracture of the mandible. There was moderate bleeding and respiratory distress but no neurological deficit.
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Post operative evaluation showed no injury to facial and lingual nerve. The patient had an uneventful postoperative period and was discharged on the 10th day with tracheostomy tube removed. He was followed up regularly. Review after 1 month showed no functional or major aesthetic problems! 🙏
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Caring for the victim with a head injury begins with making certain that the ABCs of resuscitation are addressed (airway, breathing, circulation). Many individuals with head injuries are multiple trauma victims and the care of their brain may take place at the same time other injuries are stabilized and treated.
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Other obvious symptoms can be neurological in nature. The person may become sleepy, behave abnormally, lose consciousness, vomit, develop a severe headache, have mismatched pupil sizes, and/or be unable to move certain parts of the body. While these symptoms happen immediately after a head injury occurs, many problems can develop later in life. Alzheimer’s disease, for example, is much more likely to develop in a person who has experienced a head injury.
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Obviously, if you or a loved one are experiencing these conditions, follow the procedures above and go to the emergency room immediately to prevent any further complications. Stay safe and stay cautious everyone! 🤓
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📸 @facultaddemedicina

Watch until the end to see the polyp “fly” out of the intestine! 😳
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A colon polypectomy is the removal of a polyp from the inside lining of the colon, also called the large intestine. A polyp is a mass of tissue. Some types of polyps can develop into cancer. Most polyps can be removed during acolonoscopy or sigmoidoscopy.
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Most people with colon polyps don’t have symptoms. But when signs and symptoms of colon polyps are present, might include: Rectal bleeding, Anemia, Diarrhea, abdominal pain, and Constipation.
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The purpose of the surgery is to remove a polyp. It is done to prevent colon cancer.
In rare cases, larger polyps can cause troublesome symptoms, such as rectal bleeding, abdominal pain, and bowel irregularities. A polyp removal will relieve these symptoms.
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Complications are rare, but no procedure is completely free of risk. If you are planning to have a polypectomy, your doctor will review a list of possible complications, which may include:
* Colon perforation
* Bleeding
* Infection
* Adverse reaction to the anesthesia
Factors that may increase the risk of complications include:
* Smoking
* Type, size, and location of the polyp
* Factors such as blood-clotting disorders or substance abuse
* Chronic conditions such as obesity and diabetes
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If you or a loved one feel like they may be experiencing similar signs and symptoms, please consult your primary healthcare physician to prevent further complications. Stay healthy and stay safe everyone!😎
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🖥Wkhs.com
📽futurosdoctores

Beautiful video of a ❤️ that was removed before a transplant but is still beating by itself! 😍
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This gorgeous organ starts to beat as early as 4 weeks of development. During this stage a fetal heart rate ranges from 120 to as high as 170 beats per minute! As we age our heart rate decreases, with a normal adult rate being 60 to 100 bpm. This is because the smaller the person, the smaller the heart, meaning a smaller stroke volume per beat cycle and the more work it has to do to maintain homeostasis in the body. But what controls this rhythm and how does the electricity travel through our loving heart?
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Cardiac Conduction System: the heart contains specialized cells in the myocardium (muscle layer) that have the ability to spontaneously produce electrical impulses. These cells are the sinoatrial node, atrioventricular node, bundle of His, and perkunje fibers.
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The SA node is the main pacemaker of the heart because it beats the fastest. Once it produces its impulse, it travels along the internodal fasciculi towards the AV node. After reaching the AV node the electrical impulse gets delayed in the annulus fibrosis that separates the atrium from the ventricles. The reason for this slight delay (0.02 sec) is to allow the atria to fully contract and send the remaining 20% of blood that did not passively go into the ventricles. After the short delay, the electrical impulses travel to the bundle of His, bundle branches, and finally into the perkunje fibers to excite the ventricles and rest of the myocardium, completing 1 whole cardiac cycle/beat. How fascinating!!!
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Clinical Relevance: the heart has a rule that the cell with the fastest pace is the leader of the pace of beats per minute. During ventricular fibrillation the multiple, different specialized cells of the heart are trying to dictate their own pace, causing the ventricles to contract improperly and be unorganized. The only way to restart this condition is to defibrillate it, or "reboot"the pacemaking system.
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Contact your primary healthcare physician immediately to prevent any further complications. Stay electrifying and stay safe everyone! ⚡️🤓
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🎥 @aprendiendo_medicina

Can you guess the diagnosis? 🤔
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Verrucous carcinoma is a rare type of cancer with external lesions that appear cauliflower-like, typically developing at a site of chronic irritation or inflammation. This type of cancer is relatively uncommon, locally aggressive, clinically exophytic, low-grade, slow-growing, well-differentiated squamous cell carcinoma with minimal metastatic potential.
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Smoking and chewing tobacco are significant risk factors for this type of cancer, and alcohol consumption can also compound these effects. Presents predominantly as an exophytic growth with a pebbly, micronodular surface, a slow growing rate and becomes locally invasive if not treated properly.
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The prognosis of verrucous carcinoma is better than that of other kinds of life-threatening malignant tumors. Various treatment modalities include surgery, chemotherapy, radiation, or combination of these and photodynamic therapy, which have been recently reported.
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Surgery is considered the primary mode of treatment for verrucous carcinoma. Irradiation alone or in combination with surgery is rarely performed. Combined therapy can be useful when the tumor extends to the retromolar area.
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If you or a loved one feel like they may be experiencing similar signs and symptoms, please consult your primary healthcare physician to prevent further complications. Stay healthy and stay safe everyone!🤓
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📷 @anatomiae

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