No sound or context.

OP (sourced from reddit, /u/jboznik) explains: "Yeah sorry didn't mean to bury the lede but it was due to a severe nosebleed. I recently had nasal surgery and this might be from an arterial bleed that became too dry. It was deep enough that despite pinching with a towel it was pouring down the back of my throat. Until it became too much for my stomach and all came up."

Idk if this is tartar because this could be everything...

If tthis isnt allowed i will take jt down

Disgustang

Death due to neurogenic shock following gastric rupture in an anorexia nervosa patient.

"Take notice of her position, the discoloring of her limbs and her stomach. She was 19 and had anorexia and bulimia for 5 years. Died at 5' 1" (155cm) and 94 lbs (43kg) after her stomach ripped after eating 5.6 liters (pic of stomach contents) of food.

Case notes:

She was in full rigor mortis - which is present from 12-72 hours. The bruises set the time frame at around 8+ hours. Her eyes had clouded, which happens at progressively from about 2 -4 hours on. If you look really closely at her stomach, you can see a greenish tint, which is a typical sign of her internal organs decaying - called livor mortis. I think this process may have been accelerated as her insides were digested since it normally takes a few days to set in.

The bruises called for the autopsy. Because of her position when her stomach exploded, it spilled all its contents into her body cavity. The blood and food settled around her anus and vagina and caused what looked like "fresh bruises." So to rule out sexual [assault, etc.], they had to autopsy. When they did the autopsy, they found that her stomach had been extended from where your ribs meet each other all the way to her pubic bone, right behind that pad of fat above the genitals (mons pubis). And her stomach had a large rip in it...

She also had some other abnormalities going on. Her heart was small and displayed typical characteristics of a starving heart - destroyed muscles and dead immune cells (lipofuscin bodies). Her brain had swelled, my guess due to the massive increase in blood flow after her stomach ruptured - it had started to squeeze out her skull before she died. She also had evidence of focal pneumonia in her lungs - not really surprising as starvation hurts the immune response to viruses.

Like a typical binger, her stomach was dying before it ripped. What I mean is that every time we binge our stomachs expand, if they expand far enough, the vessels supplying them blood are crushed - cutting off the blood supply to that area, killing the tissue. That area is weakened and the next binge of that caliber becomes more dangerous. Purging just adds fuel to the fire by increasing stomach pressure above and beyond the natural level.

But believe it or not the ruptured stomach didn't kill her. A natural reaction did. When the stomach exploded, her body responded with a typical immune reaction. It dilated her blood vessels, her blood pressure dropped, she blacked out, and her heart slowed down and stopped. They also did a tox screen and found nothing. Potassium levels are obviously of no use as when you die potassium leaks out of your cells.

Another things to note about this. Back in the 1800s, they determined that the stomach should only be able to hold 4 liters of stuff (by filling corpses). To surpass this, we have to adapt our stomach sizes - resulting in gastric dilatation. Ruptures via overfilling the stomach appear along the lesser curvature of the stomach, whereas vomiting induced ruptures normally occur along the greater curvature and fundus (the top of the stomach) - it's unusual that her stomach ripped how it did, right down the front. Apart from the intellectual value of the report it does illustrate an important point - the endpoint of these diseases is very ugly. "There is no glamour or beauty spending your last living moments over a toilet."

The text isn't mine

Source:

https://www.2medusa.com/2008/09/bulimia-killswarning-graphic-pictures.html

Hope this was interesting or helpful

how can u be that horny

Imagine you have to get in this Position for doc to help you

Idk what happened but damn hes fucked...

A 35-year-old male presented to the emergency department with bilateral forearm wounds. His past medical history was significant for untreated hepatitis C. He was unemployed and homeless. He reported injecting xylazine-laced fentanyl into his bilateral forearms. A physical exam revealed bilateral full-thickness skin wounds from the wrist to the proximal forearm over the ulnar border measuring [Figure 1]. The wounds appeared cavernous with undulated regions of eschar. Further, examination revealed exposed muscle and tendon bilaterally and some exposed muscle of the dorsal forearm compartments. His hand function was preserved.

The patient was admitted to the hospitalist and initiated on broad antibiotic treatment with intravenous vancomycin and piperacillin/tazobactam. His wounds were washed and covered at the bedside, and he underwent surgical debridement in the operating room the following day. Intraoperatively, the eschar layers were removed sharply with a knife until a bleeding surface was encountered. Exposed muscle layers were removed with a curette. The ulna had an intact periosteum. Large-volume irrigation was used to clean the wounds. A negative pressure wound therapy device was fitted to the bilateral forearms. The sponge was changed twice over six days. On a postoperative day seven, the patient was returned to the operating room. Granulation tissue was observed over the ulna, and the wounds appeared clean. The surgeon covered the area with a split-thickness skin graft taken from the thigh. A negative pressure wound dressing was placed over the skin graft. The patient left the hospital against medical advice (AMA) two days following the second surgery and did not follow up in the surgeon's office.

Approximately nine months later, the patient returned to the emergency room with a similar, smaller wound on the left forearm. On exam, both previous skin grafts had healed well, and the new wound was adjacent to the volar border of the skin graft and measured 8x4cm. The wound exhibited a cavernous appearance but did not have exposed muscle. The next day, surgical debridement was performed, followed by negative pressure wound therapy. The day after surgery, the patient left AMA with no follow-up reported since.

https://surgicoll.scholasticahq.com/article/71308-upper-extremity-soft-tissue-wound-related-to-xylazine-laced-fentanyl-intravenous-iv-drug-abuse-a-case-report

Genitalia are a key element for male self-esteem, contributing towards mental and physical balance and influencing their social life [2]. The Authors confirm that the most frequent cause of penile skin loss is trauma. Tumors, infection and iatrogenic causes are also reported in the literature. In a previous paper of this journal we presented a case of iatrogenic skin shaft sub-amputation of a 27-years old HIV positive man, after a catastrophic circumcision procedure, repaired with a scrotal dartos-fascio-myo-cutaneous flap [3]. Skin graft represents the most popular and simplest reconstructive procedure and H. Aineskog et al. presented a very suitable case. Nevertheless, we reckon that skin graft provides poor tissue elasticity with less resistance to sexual intercourse and higher risk of retraction than free o local flaps [4]. Scrotal dartos – fascia – myo-cutaneous flaps were harvested on both the lateral parts of the scrotum (Fig. 1) and the donor site was easily closed for primary intention using cutaneous non absorbable interrupted sutures. Anterior scrotal vessels and nerves supply the flaps.

Scrotal dartos-fascio-mio-cutaneous flap for shaft coverage offers a large amount of tissue with low donor site morbidity, avoiding unsightly scars in more visible parts of the body. The skin of the scrotum is the most similar to the skin of the shaft both for color, thickness, elasticity and consistency. Due to its pliability and extensibility during erection it provides satisfactory functional and cosmetic results. On the other hand the high density of hair of the scrotum represents a serious disadvantage and may require laser treatment removal. In conclusion we believe that the method we proposed works successfully representing a single stage procedure easy and safe to perform for like-for-like shaft reconstruction. This work is in line with the SCARE criteria [5].

A) Intra-operative view showing the dartos myo cutneous flaps harvested from the lateral part of the scrotum. B) The dartos myo cutneous flaps are rotated to cover the anterior surface of the shaft and sutured on the midline.

https://www.sciencedirect.com/science/article/pii/S2210261217302122

Here's an interesting case of subdural hematoma. In simpler terms, it's when blood leaks from your vessels into the space between the brain and the skull. Quite a spectacle, isn't it? As you can imagine, nothing good comes out of it.