We have a 54 year old woman who developed left sided hemiplegia at 0830 after waking. Her past history is positive for smoking and hypertension. She has received labetolol in the emergency dept to lower her BP from 190/89 and is now at 159/74. HR = 74 and normal sinus. She is not on any blood thinners. She has no contraindications to tpa therapy. We are requesting an acute stroke neurology consultation to determine the appropriateness of tpa therapy.

Subretinal neovascularization; Retinal neovascularisation; Choroidal retinal neovascularisation; Age related macular degeneration; Classic choroidal neovascular membrane; Choroidal neovascular membrane; Exudative age-related macular degeneration

Keywords: post-operative physiotherapy; Habitual dislocation of the patellofemoral joint; Transfer of patellar tendon.

It shows a 27-year-old women who underwent thirteen years ago a realignment surgery for recurrent patellar dislocation in her left knee

Keywords: Radical resection of tumor of soft tissue of hand; Hand surgery department; Hand surgery service

Is the 2nd most common hand tumor. Unlike the fluid-filled ganglion cyst, these tumors are solid masses. They can occur anywhere there is a nearby tendon sheath. They are benign, slow-growing masses that spread through the soft tissue underneath the skin

This case has been the Awarded Clinical Case for the Physician 2.0 in Spain.

Read full case here: http://medting.com/case/view.php?id=2041

Medting Case of the week presents the winner case of the Physician 2.0 Award presented during the Medicine 2.0 International Congres in Toronto.

The winner case was presented byKeith Kaplan from Mayo Clinic: Synovial sarcoma of the pericardium (http://medting.com/case/view.php?id=2040)

The thyroid is a butterfly shaped or H shaped gland in the lower neck and is an essential endocrine organ for our very survival. At my site:

What’s new on Ultrasound image gallery (October 2007):

It is not anything unusual- a child swallows a coin and goes to the pediatrician. This is where the story becomes interesting. The kid is referred to a radiologist for a scan and X-ray. Both confirm the presence of the foreign body in the stomach. See:

At the link:

http://www.ultrasound-images.com/gall-bladder.htm I have posted ultrasound iamges of a case of gall bladder carcinoma. A typical GB mass with a stone right within it.

At: http://www.ultrasound-images.com/musculoskeletal.htm I have beautiful sonographic images of a ruptured cruciate ligament from a master in the field :-)

Hi,
The big day has finally arrived- I have launched an all new website to display interesting ultrasound images. Please see: http://www.ultrasound-images.com
Why do this? Primarily, because, the previous site was getting overloaded (see-
http://drjoea.googlepages.com ) Also, because googlepages, I learnt, has limitations to available bandwidth and download capacity.
The first images I have posted can be seen at: