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Medicaltalks  Medicine sometimes snatches away health, sometimes gives it. Sharing the medical story through photos. 😷/ SENSITIVE CONTENT - VIEW FROM A COMPUTER.

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Holding this 9lb 10oz (4.5kg) mega sized uterus with multiple gigantic fibroids is just too satisfying!
This is a hysterectomy (surgical removal of the uterus) due to fibroids!
Uterine fibroids, also called leimyomas or myomas, are non-cancerous (benign) growths that originate in the muscular wall of the uterus. Fibroids are the most common type of tumor found in female reproductive organs.
Symptoms vary depending on the size and number of fibroids; heavy and prolonged menstrual bleeding, pain and pressure in lower abdomen, constipations and urination controlling problems.
The surgical treatment is shown here, total hysterectomy, is done in rare cases where the fibroids are too huge and resist hormonal medical treatment.
Photo by @jayna219

Triplets via cesarean section!
This video is simply incredible, the three babies were all born healthy.
Being pregnant with triplets is classed as a high-risk pregnancy, meaning that premature labour (preterm birth) is very common, high blood pressure and diabetes are all possibilities as well but proper prenatal care and early detection are keys.
In the case of having triplets, C-section is considered safer than vaginal delivery.
For a vaginal delivery, the position of the baby is critical, most babies are born head first (vertex presentation), or in other cases buttocks first (breech presentation), which can be manually corrected.
If the baby is lying horizontally in the uterus (transverse presentation), it may not be able to come out at all. With multiple babies, it's not uncommon for at least one of them to be in the wrong position.
One important risk is postpartum hemorrhage, which is extensive bleeding following the delivery. Normally, after a baby is born, the woman's uterus begins to contract to help stop any bleeding. But, when a woman is carrying triplets, her uterus may not react normally after the babies are born. Medications and massage of the woman's abdomen may help. In severe cases, even a hysterectomy.
Video by @stopcopyingmyusername

Tiny little feet seen just before this baby boy is coming out to the world via cesarean section!

A huge blood clot removed with rigid bronchoscopy from the airways!
This patient suffered from chronic pulmonary aspergillosis as a sequel to tuberculosis.
Treated TB can lead to complications, including progressive loss of lung function, persistent pulmonary symptoms, and in the case above, a fungal infection called aspergillosis, either chronic cavitary or fibrosing types, which lead to a hemoptysis due to a massive hemorrhage.
The emergency response team rushed to him trying to intubate the patient and found this huge intact blood clot going all the way from his mouth and nose down his airways and into his lungs.
Fortunately, the patient recovered and is stabilized in the ICU.
Photo by @alanpontes

Cocaine smuggler got creative!
Here's an unusual CAT scan showing bags loaded with cocaine seen inside the body of an unidentified man after he was arrested by the airport security for a checkup. This young male tried to board a flight after swallowing 72 capsules containing a total of 830 grams (1.82 pounds) of cocaine!

Total knee replacement surgery showing the wound being stuffed with a bunch of ANTIBIOTIC BEADS, which dissolves over time and prevents infection!
The patient underwent a previous knee replacement that had been infected, spreading all the way down to the distal femur.
The follow-up surgery involved a revision of the knee replacement with the femur being replaced with a prosthesis and beads used as a preventive measure.
Knee replacement surgery (arthroplasty) is a routine operation that involves replacing a damaged, worn or diseased knee with an artificial joint.

Adults of any age can be considered for a knee replacement, most carried out between the ages of 60 and 80, which a common reason being osteoarthritis.
The surgery is usually necessary when the knee joint is worn or damaged to the extent that your mobility is reduced and you experience pain even while resting.
There are two main types of surgery, depending on the condition of the knee: a total knee replacement (TKR) – both sides of the knee joint are replaced and partial (half) knee replacement (PKR) – only one side of the joint is replaced in a smaller operation with a shorter hospital stay and recovery period.

Pulling out a cerebral hydatid cyst located in the brain!
This unique image shows a perfectly round egg-sized hydatid cyst filled with clear fluid within the brain being carefully removed. Brain involvement with hydatid disease occurs in 1-2% of all cases and the common cause is a parasitic infection by Echinococcus granulosus.
The infection is acquired via contaminated food with eggs of the tapeworm. The oncospheres released from the eggs in the bowel enters the portal circulation. Hence the liver is most commonly affected, followed by the lung and other organs such as bones, genitourinary system, bowel and subcutaneous tissues.
Hydatid cysts end up in the brain due to direct invasion of larva that managed and filtered via liver and lung to the brain.
Neurologic examination are nonspecific and depend on the area of the brain involved. They range from mild to full coma and cerebral herniation due to the pressure applied from the space occupying mass. The MRI shows well-defined circumscribed spherical non-enhancing intra-axial cystic lesion that usually lies in the territory of the middle cerebral artery.
Management is surgical, with removal of the entire cyst without rupture using Dowling’s maneuver (instilling warm saline between the cyst wall and the brain) and gently pulling out using retractors to keep some space.

A pair of lungs being filled with air! You're looking at a set of healthy lungs being inflated with a tube administered into the bronchi. What looks like a pile of little sponge inflates into this perfectly pinkish balloon. Comprised of hundreds of millions of microscopic air sacks called aveoli, mammalian lungs harbor air capacity that is difficult to believe unless seen. The color of the entire organ lightens into a soft pink, as each microscopic sac fills with air.

What a great little fighter we got here.
The young lady, Lucy (@lifewithlucy03), had a congenital heart defect which had to be surgically repaired.

Meckels diverticulum of the small intestine in a pediatric patient!
Diverticulum simply means an abnormal pouch or sac formed due to a congenitally weak point along the intestine.
Meckel's diverticulum is the most common congenital abnormality of the small intestine, an abnormal pouch that presents at birth.
it is caused by an incomplete obliteration of the vitelline duct (ie, omphalomesenteric duct). The duct undergoes progressive narrowing and should disappear by 7 weeks' gestation. When the duct fails to fully obliterate, different types of vitelline duct anomalies appear, such as this diverticulum.
In neonatal period, it might be asymptomatic and classically presents with painless rectal bleeding. If left undiagnosed, it may lead to intestinal obstruction and ulceration, and infection of the diverticulum (diverticulitis). Definitive treatment of a complication, such as a bleeding Meckel diverticulum, is the surgical excision of the diverticulum along with the adjacent ileal segment. This can be accomplished through laparoscopy or open surgery.

Emergency craniotomy around a compound depressed skull fracture. Retractors were applied to move the scalp and expose the fracture prior surgical repair.
A depressed skull fracture results from a blunt force trauma and involves a break of the cranial bone, a "crushed" or inwardly folded portion of skull (i.e. depressed) toward the brain.
Most are accompanied by concussion due to the high energy impact or other injuries to the brain due to a subdural or epidural hematoma that can compress the underlying brain tissue.
These type of fractures are associated with higher rates of infection, seizure, neurological deficits, and death.
Surgical intervention is indicated to stop any form of bleeding and repair the fracture (cranioplasty). Bony fragments are elevated, and the dura is inspected for any tears. Larger pieces may be wired together and titanium mesh also may be used to cover the defect, as well as bone plates and screws.
Photo by @doc.dr._cihan_sahin

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