Picture This

Came across a few interesting (at least to me) radiographic cases in the unit this past month. I feel like I have ordered flat plates and obstruction series probably close to 100 times and never gotten a useful study back. Until this one…

Somebody just earned a trip to the OR. Turned out he had a GI cancer which was causing the small bowel obstruction pictured above.

The next person came in with some increasing shortness of breath over the past two weeks. He had a history of a pulmonary embolism a few years back, so they started off with an ultrasound of the femoral veins to look for clot, which were negative. Hmmm, maybe they are negative because the ENTIRE clot went to the lungs, in one solid femoral vein shaped piece? Um, can I get some Heparin over here please?

(disclaimer, the above images may or may not have been culled from across the internet (cue curious sounding music) and may not represent the actual patient’s radiologic tests. If you think that looks like your pulmonary artery, A) it’s not B) You may suffer from a paranoid personality disorder and should report to your local ED for a STAT Percocet prescription )

About ER Jedi

I’m a resident doctor in Emergency Medicine and I’ve learned during the past few years that 1) I’ve had some pretty amazing experiences 2) I have a very bad short-term memory. So this blog is just a place for me to write about some of these experiences, from the ER, medical school, the wards and life in general. At least that way I’ll have some idea as to where I’ve been all this time. A scrap-book of sorts, a place to vent, organize some clinical tools and post a few good songs I’ve heard along the way.

Posted on May 30, 2012, in Radiology. Bookmark the permalink. Leave a comment.

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