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Medicaltalks  Medicine sometimes snatches away health, sometimes gives it. Sharing the amazing medical story through photos 😷

Hand of a newborn patient with complete simple syndactyly between long finger and ring finger!
Surgical treatment will be discussed next!
Syndactyly or webbed digits refers to a congenital fusion or failure of separation of two or more digits. It occurs due to failure of differentiation in which the fingers fail to separate into individual appendages. This separation usually occurs during the sixth and eighth weeks of embryologic development.
The mildest form is simple syndactyly, which refers to fingers joined only by soft tissue, while complex syndactyly refers to fingers joined by bone or cartilaginous union, usually in a side-to-side fashion at the distal phalanges.
This condition can affect toes as well as fingers but syndactyly of the hand is much more challenging as hand-and-finger use is more complex than for foot-and-toe use and if not treated, it significantly impairs finger and hand function.
In hand, the frequency of occurrence is
highest between the middle and ring fingers.
The objective of surgery is to separate the webbed fingers so that they can be spread normally and to improve function and appearance.
Surgery can be done as early as 5 or 6 months of age.
The timing of surgery is important and depends on the fingers involved and the degree of completeness and complexity of syndactyly. Fingers of unequal length, such as thumb and index fingers or little and ring fingers, should be separated early in life because the longer finger will develop lateral deviation and flexion contracture.
It is best to separate the index and middle fingers at about one year of age.
Surgery aims at dividing the finger, resurfacing the surgical wound with flaps, and full-thickness skin grafts and reconstruction of the web with dorsal fasciocutaneous flap.

A tired heart, in its final sighs! Fortunately the person who had the end stage heart failure received another heart, fruit of the self-indulgence of others.
This emphasizes how important is organ donation, an amazingly generous act and saves thousands of lives.
Do you support organ donation?
Video by @joaquimaprigio

This is a heart-warming shot of a premature baby born so tiny her mother’s wedding ring fit her forearm like a bracelet.
The baby weighed 700 grams and was born preterm at 26 weeks via emergency C-section.
She spent the next 8 weeks in hospital fighting for her life while placed on high flow oxygen and despite still needing supplemental oxygen, she gained weigh and is back at home with her parents.
Tag a friend and comment below a heart to show love! ♥️

Fairly shocking. Swipe 👉🏽 to see what was discovered in this patient’s esophagus!!! 🐁
The CT scan shown here presents a strange body with a variable density of soft-tissue parts and bone, compatible with antecedents of an ingest of a rodent, which seems to have its tail at the cervical level and the body at the thoracic level.
The esophagus at this level showed thickened wall with mild edematous changes.
Apparently, this act was a part of a bet between friends, that ended up with one of them trying to swallow the mice.
All vital signs were normal and the patient was fortunate to live.

Have you heard about the strongest tendon in your body? Here’s a surgical reconstruction of the Achilles' tendon!
Achilles repair or reconstruction following a rupture or any kind of trauma is usually performed under general anaesthetic. The surgeon makes an incision (cut) in the back of the leg just above the ankle. Then, locate the damaged tendon and bring the ends together using stitches. If the damage warrants, the surgeon may need to reinforce the tendon with a graft from another tendon in the body. Finally, closing the wound using stitches or staples and apply a temporary cast.

That monent when you don’t have a restricted lingual frenulum 👅
Imagine how easy it must be for the dentist to scale all those lingual surfaces and restore these posteriors is a breeze with no tongue in the way👌🏼
The frenulum of tongue is a small fold of mucous membrane extending from the floor of the mouth to the midline of the underside of the tongue.
The tongue is attached to the floor of the oral cavity by the frenulum, whose function is to prevent excessive tongue movement.
In its absence, the tongue can basically travel all the way back to the pharynx!! It was found to be associated with classical and hypermobility types of Ehlers-Danlos syndrome.
Captured by @drjohannamoorefield

A very precious moment of a baby taking his first breath while being delivered via cesarean-section!

This enormous lump is an acute infectious olecranon bursitis upon presentation to emergency department!!
Bursae are generally fluid-filled sac-like structures located between mobile structures of the musculoskeletal system, between skin and bone, or between the joints.
In normal conditions, small amounts of synovial fluid are produced within the bursa and reduce friction by lubrication.
Bursitis is the result of inflammation that leads to increased fluid production from the synovial cells that line the bursa. Increased fluid production leads to increasing pressure of the bursa and in the result, increased pain. Trauma or puncture of skin at the site of a bursa can lead to the direct introduction of bacteria and subsequent inflammation and infection.
This inflammation can be caused by prolonged pressure, overuse, inflammatory and crystalloid arthritis, and direct injury or trauma.
Septic (or infectious) bursitis occurs when infection from either direct inoculation (usually superficial bursa) or hematogenous or direct spread from other sites (deep bursa involvement) causes inflammatory bursitis.
On physical examination, patients have tenderness at the site of the inflamed bursa. If the bursa is superficial, physical examination findings are significant for localized tenderness, warmth, edema, and erythema of the skin.
The treatment for septic bursitis is always antibiotic therapy, but In chronic or severe cases, incision and drainage or bursectomy may be warranted.
Image courtesy of Christopher Kabrhel, MD.

Foreign body alert!
Well guys, what’s better than a good ol’ fashion foreign body? 😎
I don’t know why they make dildos this long (24 inches), but this one is so big it goes all the way to the diaphragm, just inches below the heart!
That’s a little too close for comfort if you ask me.... Image Credit: @drcellini

A sandwich bag kept her warm!! ♥️
Baby Pixie was born at just 28-weeks after an emergency C-section was performed on her mother. Pixie stopped gaining weight at 20 weeks gestation because her mother’s placenta and umbilical cord weren’t functioning properly and despite doctors’ best efforts to delay the labor, the risky C-section was their only option.
Although, as a general rule, a baby's gestation period is 40 weeks, the baby arrived in the world during the sixth month of pregnancy with a weight of 500 grams, or 1.1 pounds.
Babies born prematurely often have medical challenges right out the gate. Doctors worry not only about their birth weights, but their organs, blood, breathing patterns, body temperature, and a host of other complications.
She was so tiny and fragile that doctors used an unusual way to keep her warm: they placed her inside a sandwich baggie.
It may sound unconventional, but is not unusual for babies in these critical situations.
From the chest down, Pixie’s body was placed in a sandwich bag to keep her warm. She was rushed to the neonatal intensive care unit to prevent hypothermia. 
This method is common for premature infants who weigh under 3.3 pounds, where babies were wrapped in sterile plastic to keep their body temperatures from dropping. An added benefit was that the babies did not suffer from overheating or rashes when using this technique.

In an environment where they could suffer from heat loss, it was discovered that this was an inexpensive yet effective way to save their lives. 
It worked for Pixie, giving the baby girl a chance to fight for her life. She was in an incubator for three months until she grew stronger. And yet she was not out of the woods.
During the 5 months that Pixie was in the hospital, she fought multiple infections and had to receive close to 10 blood transfusions. She also had fluctuations in her weight, warranting periods of isolation from her parents until she could recover.
By the time little Pixie was released from the hospital at five months old, she weighed 7 ½ pounds. Her name was chosen because of her tiny size, but it’s clear Pixie had a huge will to survive. Truly a miracle!

Still think smoking is not that bad?
This 37 year old patient presented with a nonhealing ulcer at the ventrolateral surface of his tongue. Further physical examination showed lumps in his neck suggestive of metastasis.

The surgery began by dissecting the structures in the neck and explore for metastatic lesions. Two rubbery firm nodules were excised, one inferior to the stylohyoid muscle and another deep under the sternocleidomastoid muscle.
The next step was a partial glossectomy to remove the lesion on the tongue.

The most common head and neck cancers are squamous cell carcinomas, and tobacco smoking remains one of the most dangerous risk factors.
Side note: It's hypothesized that squamous cell carcinomas of the tongue occur frequently ventrolaterally due to pooling of the carcinogens at the sides of the tongue.
There is also a strong association between a history of smoking and carcinoma involving the posterolateral tongue and floor of mouth.
Photos credit @abedatoui

As promised, the extraordinary moment when the lungs begin to work after a lung transplant surgery!
Notice how they inflate and respirate intra-operatively for the first time in the recipients’ body!
Video by @_neurosurgery_

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