emt-monster:

Bilateral shoulder dislocation

A 34-year-old man with a history of recurrent dislocations of both shoulders presented with sudden excruciating pain in both arms and an inability to move either of them, after attempting to lift a weight equal to his body weight above his head in the gym. On physical examination, the patient was unable to move either shoulder, and squaring of the normal shoulder contour was observed bilaterally. Radiographs showed the anterior and inferior positions of the humeral head relative to the glenoid fossa. The patient received a diagnosis of bilateral anterior shoulder dislocation. After the patient received morphine for pain relief, the shoulder dislocations were reduced individually with the use of gentle external rotation. Anterior shoulder dislocation accounts for the majority of joint dislocations seen in the emergency department. The diagnosis of dislocation is based on a number of factors, including pain and range of movement of the afflicted joint. Asymmetry of the joint typically heralds a dislocation. When bilateral dislocation occurs, this clinical asymmetry is absent, so attention must be paid to the clinical history and physical findings.

www.anatomybox.com

Image source NEJM (link) Adrian M. Moughty, M.B., and Gerard O’Connor, M.B. N Engl J Med 2012; 367:e12

(via nurse-on-duty)

42 notes

nightdutynurse:

emt-monster:

This is an x-ray of a 79 yo man who had lost weight and was being evaluated for swallowing difficulties. During the process of having him rapidly swallow barium (dense element that allows one to visualize structures), he aspirated the barium into his lungs. This led to respiratory failure.
The x-ray showed barium into both right and left main stem bronchi in the left upper and lower lobes. The barium spread to the smaller airways which produced the tree-in-bud appearance (arrow). This patient had the barium suctioned out (as much as possible), but he developed shock, his heart stopped beating and he suffered severe brain injury. He died a short time later.
(Source: www.anatomybox.com)

That’s one way to fail a barium swallow with flying colors…..

nightdutynurse:

emt-monster:

This is an x-ray of a 79 yo man who had lost weight and was being evaluated for swallowing difficulties. During the process of having him rapidly swallow barium (dense element that allows one to visualize structures), he aspirated the barium into his lungs. This led to respiratory failure.

The x-ray showed barium into both right and left main stem bronchi in the left upper and lower lobes. The barium spread to the smaller airways which produced the tree-in-bud appearance (arrow).
This patient had the barium suctioned out (as much as possible), but he developed shock, his heart stopped beating and he suffered severe brain injury. He died a short time later.

(Source: www.anatomybox.com)

That’s one way to fail a barium swallow with flying colors…..

(via themidpoint)

214 notes

anonymousatheist420:

Via https://www.facebook.com/BioPython

anonymousatheist420:

Via https://www.facebook.com/BioPython

(via uaortho)

641 notes

"Years ago, death was considered a natural part of life and most people died at home, surrounded by families. Today, most people die in hospitals and death is commonly regarded as a medical failure rather than a natural event."

Emergency Nursing made Incredibly Easy (2007) Lippincott Williams & Wilkins (via traumabarbie)

450 notes

ourpcos:

Source: www.pcosdietsupport.com

ourpcos:

Source: www.pcosdietsupport.com

(Source: )

73 notes

jtotheizzoe:

A message about forgotten diseases, and how we can keep them forgotten (hint: vaccines) from Beatrice the Biologist, whose comics are wonderful.

Do it for the testicles. And for the ovaries. And for the good of humanity.

(via uaortho)

4,128 notes

ourpcos:

I do not know who the original owner is, but seen this on Pinterest and wanted to share it.

ourpcos:

I do not know who the original owner is, but seen this on Pinterest and wanted to share it.

40 notes

I swear there are some shifts I wonder WHY I became a nurse. ARGH 

4 notes

(Source: humorofanightshiftnurse, via telenurse32)

63 notes

(Source: latenightnurse, via telenurse32)

92 notes