The result of the impact of a mine.

Diagnosis : MVR. Incomplete separation of n/3 of the left shin.

Help provided :

➖ Amputation “according to PHO type”

➖ Medication: Ceftriaxone 2g IV, tramadol 50 mg IV, metoclopramide 10 mg IV, NaCl 500 ml, Sterofundin 1 l.

Wound tamponade was performed with GeoMed hemostatic bandages.

Duchenne muscular dystrophy (DMD) is an inherited (genetic) condition which affects the muscles, causing muscle weakness. It is a serious condition which starts in early childhood. The muscle weakness is mainly in the ‘proximal' muscles, which are those near the trunk of the body, around the hips and the shoulders. This means that fine movements, such as those using the hands and fingers, are less affected than movements like walking.

The muscle weakness is not noticeable at birth, even though the child is born with the gene which causes it. The weakness develops gradually. It usually shows up in early childhood. Symptoms are mild at first, but increase as the child gets older.

The name Duchenne comes from the doctor who first studied this condition.

Nasal and nasopharyngeal examination otherwise is normal.⁠ oral cavity and palate are normal too. no history of trauma or tuberculosis. biopsy of the site revealed non specific results.⁠ ⁠ Swab study for Adenosine deaminase was negative along with mantaux test. no other systemic symptoms. Intermittent pain and cellulitis over the area is managed with anti biotic a and analgesics. but the lip has been progressively indurated over the last 2 years.⁠ ⁠

This one fucking scares me and I don't know why

It may not be possible to determine the manner of death, in circumstances such as death following fall from height. When a dead body is found in front of a tall building, the ascertainment of the manner of death is difficult and in this case, the importance of a psychological autopsy in such circumstance is discussed. Middle-aged female with bronchial asthma, arterial hypertension, chronic venous insufficiency, Forestier disease, hyperlordosis of lumbar spine and vitamin D deficiency developed bilateral leg swelling and rash following 14 hours of air travel. Duplex scan excluded lower limb venous thrombosis. She did not have past history of psychiatric disorder but suddenly developed aggressive abnormal behaviour, confusion and bizarre activities. She removed her clothes and finally jumped off from 6th floor of her residency. She was succumbed to death due to multiple injuries following fall from height. No suicidal letter was recovered from the scene. The manner of death was ascertained as suicide based on eyewitness evidence. Her sudden onset of abnormal and violent behaviour may be an act of automatism without volitional control due to undiagnosed inorganic or organic disease of the brain. The witnessed suicidal behaviour was reverted to accident as a manner of death. The importance of psychological autopsy and teamwork between Forensic Pathologist and Forensic Psychiatrist in suspicious circumstances to ascertain the manner of death is highlighted. Labelling as suicide will end up in negative social stigma and loss of insurance claims. (2) (PDF) Importance of a psychological autopsy to identify the manner of death; a case of fall from height.

thanks to DrGlocktapus (I'm pretty sure that's his/her user) for teaching me how to post multiple images! you rock dude!

An 87-year-old man with chronic kidney disease, hypertension, and atrial fibrillation presented to the emergency department on a remote South Atlantic island where he resided with a 3-day history of constipation and lower abdominal pain. The patient's body temperature was 39.2°C, the heart rate was 97 beats per minute, the respiratory rate was 28 breaths per minute, and the blood pressure was normal.

Physical examination was notable for abdominal distention and tenderness to palpation of the right lower quadrant without rebound or guarding. A plain radiograph of the abdomen showed an air-filled loop of large bowel resembling a coffee bean (Panel A, arrows; supine view), a finding that may be seen in cecal or sigmoid volvulus. Although computed tomography of the abdomen is the definitive study in the diagnosis of bowel volvulus, it was not available at this hospital. On the basis of the available clinical data, the patient was taken urgently to the operating room. A cecal volvulus without signs of bowel compromise was identified (Panel B, arrow) and successfully detorsed.

Owing to intraoperative hemodynamic instability, a cecopexy and cecostomy were performed rather than an ileocecectomy or right colectomy. The patient's postoperative course was uncomplicated. At 6 months of follow-up, he was doing well and declined ostomy reversal at that time.

Happened in India. If it's a repost or needs to be taken down lmk, sorry about the spam uploads

This is so painful to look at 😣

Images from reddit.

https://jts.health.mil/assets/docs/cpgs/Invasive_Fungal_Infection_in_War_Wounds_17_Jul_2023_ID28.pdf is an article on how to prevent and treat these.

Apparently taken in North Carolina, person I got the pic from says they came into the ER walking on it and then left against medical advice