Shout Outs

Updated 3/2017 -- all links removed (except to my own posts) as many no longer active.


Nick Genes is hosting this week’s Grand Rounds at his blogborygmi tumblr.  You can read this week’s edition here.

Hello and welcome to this collection of medical links from across the web, written by providers, patients and analysts that work on the frontlines of modern healthcare.

This is my sixth time hosting Grand Rounds (three prior times on blogborygmi’s blogspot site, twice on Medgadget.com), and my first time with Tumblr.

I’ve been hearing about Tumblr for years, and after finally making the leap a few weeks back, I figured it might be a good fit for Grand Rounds today, as well. .….

………………………………….

@doctorblackbear who blog at Asystole is the Most Stable Rhythm has written a beautiful post: Trust

"So the patient has been temporarily paralyzed by the drugs, and you're the one keeping them alive by squeezing air into their lungs...but...no pressure".

Gulp. 

I was holding the mask as tightly against her face as I could, sealing the rubber to her cheeks in the effort to keep highly oxygenated air from leaking out. Looking down at her from the head of the bed I saw the patient from a different vantage point, a place that made her look so vulnerable.

And she was vulnerable.  …….

…………………………………….

H/T to @antidoped who gave me the head’s up on @imapactednurse’s post:  1 shift, 3 stories

My name is Caleb.
Ive had this pain in my arse for 2 weeks now. The doc says its a hemorrhoid or something. All I know is, it fucking hurts like shit.
I am supposed to have surgery, but the hospital has cancelled it twice now. Says its too busy. ….

……………………………….

From Street Anatomy: A Woman’s Back is Beauty

Edinburgh-based photographer Diana Eastman shot this gorgeous photograph overlayed with a classic anatomical illustration from what I believe is Grey’s Anatomy……..

…………………………………

The Alliance for American Quilts received 119 quilts for it’s 2011 "Alliances: People, Patterns, Passion" contest.  My entry was “Redwork Quilt” and is included in this week’s (Week Four --Mon, Dec 5 – Dec 12) quilts being auctioned off on eBay.

All contest quilts will be auctioned via eBay starting on Monday, November 14, 2011 and ending December 12, 2011. All proceeds will support the AAQ and its projects. ….

Week FOUR auction guide: Monday, December 5 - Monday, December 12……
New this year: "Alliances" contest artist's were offered the chance to record their artist's statements thanks to the generous services of AAQ Business member, VoiceQuilt, visit them at www.voicequilt.com.

Shout Outs

 Updated 3/2017-- photos and all links (except to my own posts) removed as many are no longer active and it was easier than checking each one.

Amanda Brown, DVM is the host for this week’s Grand Rounds! You can read this week’s edition here (photo credit).

I'd like to welcome you all to the Thanksgiving 2010 edition of Grand Rounds (ok, actually this is Grand Rounds Vol. 7, No. 9 - but who's counting?) - it is VERY gratifying to me that so many of you have contributed, offered support, and generally welcomed me into this traditionally human-only medical blog carnival. At this time of year, I always stop and think about what I'm thankful for, and this year I'd say the medical blogging community is definitely on my list. And the office call drinking game! That, and Starbucks, of course. Triple grande nonfat latte FTW! Oh. Um. Sorry, I got a little carried away. I'm also incredibly grateful that my clinic microscope got tuned up today - I may actually have let the Nikon tech see me do the happy dance, in fact. So...anyway... Here we go!

……………………………………….

MedGadget is hosting a new contest:   Imagine Medicine: The Photography / Photoshop Contest

…………Welcome to the Imagine Medicine contest!

We are looking for fascinating medical photography that... imagines medicine.

Nothing is off the table: portraits, group shots, happy shots, tragic shots, clinical shots, photoshop illustrations, macro, micro, and anything in between. Can you imagine medicine, showcase it as art, and make us wonder?

Here's the lowdown. The contest is open to all. Upload your photograph(s) to Flickr, and tag them with "imaginemedicine" and "medgadget" keywords. Make sure you add at least one sentence describing your work. The deadline for submissions is 11:59pm ET on December 5, 2010. The winner will be announced on December 10th and the prize is a brand new 16GB iPad with Wi-Fi. ………

…………………………….

I wish I could go see this exhibit of work from Street Anatomy at the International Museum of Surgical Science in Chicago, IL.  Initially, the exhibit was to run from September 3 through November 19, 2010, but has been extended to December 19th!  Congratulations, Vanessa! (photo/info credit)

  ………This exhibition, the latest in the Museum's ongoing "Anatomy in the Gallery" program, is guest curated by Vanessa Ruiz, the author of a popular niche blog, www.streetanatomy.com, that has covered the intersections between medicine, art, and design for the past two and a half years……

………………………….

Via tweeter: RT @blogborygmi RT @poisonreview: Did astronomer Tycho Brahe die of mercury poisoning or voluntary urinary retention? http://bbc.in/cfoRxU

BBC News article: Danish astronomer Tycho Brahe exhumed to solve mystery

Tycho Brahe was a Danish nobleman who served as royal mathematician to the Bohemian Emperor Rudolf II.

He was thought to have died of a bladder infection, but a previous exhumation found traces of mercury in his hair.

A team of Danish and Czech scientists hope to solve the mystery by analysing bone, hair and clothing samples. ……

…………………………………….

My siblings and I are very different.  I have always been fascinated and sometimes befuddled by this.  It’s probably why I enjoyed this piece on NPR by Alix Spiegel:  Siblings Share Genes, But Rarely Personalities

…………In fact, in terms of personality, we are similar to our siblings only about 20 percent of the time. Given the fact that we share genes, homes, routines and parents, this makes no sense. What makes children in the same family so different?…………

………………………………

I’m hoping to attend with a couple of friends --  Arkansas Women Bloggers Meetup Scheduled! (photo credit)

When: December 11, 2010 11am-1pm

Where: Museum of Discovery @ 500 President Clinton Avenue

Why: Meet other bloggers and help decide future activities/goals for AWB

We will keep you updated with event details as we pull them together.  

To RSVP, you can leave a comment on this post.  If you're on Facebook, you can RSVP and invite friends at the event page. You can also RSVP by emailing us at arkansasbloggers@gmail.com.

…………………………..

The Alliance for American Quilts received 118 quilts for it’s “New from Old Quilt Contest Contest.” You can see all the quilts here. My entry was “Label Me” and is included in this weeks quilts being auctioned off.

Click on an auction week below to view or download an auction guide for that week.

Week Four: Monday, Nov. 29-Monday, Dec. 6

The bidding for each quilt will start at $50 and each 7-day auction week starts and ends at 9:00 pm Eastern.

All proceeds will support the AAQ and its projects.

………………………………….

There does not seem to be any Dr Anonymous’ show scheduled for this week. 

You may want to listen to the shows in his Archives. Here are some to get you started:

GruntDoc, Sid Schwab, Dr. Val, Kevin MD, Rural Doctoring, Emergiblog, Crzegrl, Dr. Wes, TBTAM, Gwenn O'Keeffe, Bongi, Paul Levy, John Halamka, and ScanMan

Anatomical ABC’s

A is for Abdomen, Aorta, Appendix

B is for Bones, Brain,  Breast

C is for Clavicle, Colon, Cornea

D is for Dermatomes, Diaphragm, Duodenum

E is for Ear, Epiglottis, Esophagus

F is for Face, Femur, Fibula

G is for Gallbladder, Ganglion, Glands

H is for Hand, Heart, Hip, Hyoid

I is for Ileum, Intestines, Iris

J is for Jaw, Joint, Jugular

K is for Kidney, Knee

L is for Ligament, Lip, Liver, Lung

M is for Mandible, Mouth, Muscles

N is for Nerves, Nipple, Nose

O is for Omentum, Orbit, Ovary

P is for Palate, Pancreas, Pelvis, Prostate

Q is for Quadriceps Muscle

R is for Radius, Rectum, Ribs

S is for Scalp, Spleen, Spine, Stomach

T is for Tendon, Thyroid, Tongue, Trachea

U is for Ulna, Umbilicus, Ureter, Uterus

V is for Vagina, Veins, Ventricle, Vertebra

W is for Wing (of sphenoid bone), Wrist

X  is for Xyphoid

Y is for Y-chromosome

Z is for Zygoma

Histologic Relationship of Preauricular Sinuses to Auricular Cartilage: an Article Review

Updated 3/2017-- photos and all links (except to my own posts) removed as many no longer active. and it was easier than checking each one.

There is a nice article in the journal Archives of  Otolaryngology-- Head Neck Surgery (first reference below) which examines the relationship of preauricular sinuses to auricular cartilage. 

Preauricular sinuses are a congenital malformation of the preauricular soft tissues.   They can be both sporadic and inherited. They are bilateral in approximately 25% to 50% of patients. When bilateral, the sinuses are more likely to be inherited in an autosomal dominant pattern with reduced penetrance and variable expression. 

Although the true prevalence is not well established, preauricular sinuses are thought to occur most commonly in black populations. The incidence of preauricular sinuses has been estimated to be 0.1% to 0.9% in Europe and the United States.

Preauricular sinuses are the most common variant of all the periauricular cysts, fistulas, and sinuses. The cutaneous pit of the preauricular pit is most often located on or near the ascending limb of the helical rim but can also open along the superior posterior margin of the helix as well as the tragus. 

While both cutaneous opening and fistulous tracts are classically located anterior to the external auditory canal, a reported variant form has its opening behind an imaginary vertical line drawn at the posterior most aspect of the tragus and the posterior aspect of the ascending limb of the helix. This variant typically presents with postauricular swelling and requires both postauricular and preauricular incisions for its removal.

The article takes you through a review of the embryology and then takes you through surgical treatment

Classically, the surgical approach consists of a simple sinectomy with an elliptical island of skin removed around the opening of the sinus and excision of the epithelial sinus tract. Various authors have advocated the use of either methylene blue or gentle probing of the tract to carefully delineate the tract.   However, neither approach guarantees full removal of the tracts: reported recurrence rates are quite high, typically near 20%…………..

There conclusions

Because the present study is not a randomized controlled trial, our findings cannot be used to determine whether excision of cartilage or perichondrium prevents recurrence of preauricular sinuses. …… In over 50% of the specimens reviewed, the sinocartilaginous distance was less than 0.5 mm, and in nearly all of these cases, the epithelial tract was in continuity with stromal tissue histologically indistinguishable from the perichondrium.

The removal of a small piece of cartilage or perichondrium does not produce a visible cosmetic deformity or add any significant morbidity. Therefore, the routine removal of a small portion of perichondrium and/or auricular cartilage along with the sinus tract may yield a more thorough excision and help to prevent recurrence.

REFERENCE

The Histologic Relationship of Preauricular Sinuses to Auricular Cartilage; Arch Otolaryngol Head Neck Surg. 2009;135(12):1262-1265; Brian Dunham, MD; Martha Guttenberg, MD; Wynne Morrison, MD; Lawrence Tom, MD

Preauricular Sinuses; eMedicine Article, January 8, 2010; Noah Scheinfeld, MD, Valerie Nozad, DO, and Jeffrey Weinberg, MD

Surgical Treatment of Recurring Preauricular Sinus: Supra-auricular Approach; Acta Otorhinolaryngol Ital. 2008 December; 28(6): 302–305; G Leopardi, G Chiarella,  S Conti, and E Cassandro

The Preauricular Sinus: A Review of Its Aetiology, Clinical Presentation and Management; International Journal of Pediatric Otorhinolaryngology (2005) 69, 1469—1474; T. Tan, H. Constantinides, T.E. Mitchell