A 57-year-old male came with C/O pain, tenderness in umbilical region, bilious vomiting for 3 days, No other comorbidities O/E - abdominal distension, reddish bluish discoloration. USG- Umbilical hernia with dilated bowel loops and intestinal obstruction Sx - Emergency laparotomy with umbilical hernia repair.
#医学生Medic[超话]##medicaltalks#

Large soft tissue tumor excision in the medial aspect of left thigh!!
To start off, soft tissue is the supportive tissue of various organs and the nonepithelial, extraskeletal structures exclusive of lymphohematopoietic tissues. It includes fibrous connective tissue, adipose tissue, skeletal muscle, blood/lymph vessels, and the peripheral nervous system.
Tumors are classified according to histogenetic features. Fibrosarcoma, for example, is a tumor arising from fibroblasts, and liposarcomas arise from a lipoblasts.
At the clinical level, soft tissue tumors (or sarcomas) are classified according to location, growth pattern, likelihood of recurrence, presence and distribution of metastases, patient age, and prognosis.
Most soft-tissue tumors respect fascial boundaries, remaining confined to the compartment of origin until the later stages of development.
Once the tumor reaches the anatomic limits of the compartment, the tumor is more likely to breach compartmental boundaries.
Complete local excision is adequate treatment for benign soft-tissue tumors. However, a variety of treatment options, including surgery alone or combined with radiation therapy or chemotherapy, may be considered for treatment of localized primary and recurrent sarcomas.
#医学生Medic[超话]##medicaltalks#

Branch impaled in patients leg!

The patient was on a ride after the storm the weekend before when the guy he was riding behind ran over a large branch. The branch got kicked up and impaled his leg. The EMTs had to cut the ends of the branch off to get him in the ambulance. The branch shattered his fibula but the patient recovered well after the surgery.
#医学生Medic[超话]##medicaltalks#