Skip to main content

Answer to Gory Medical Challenge.

(Scroll down to see the challenge)

The Answer to the gory image from NEJM is #2, Ischemic gangrene.

This patient had a 4 month history of progressive gangrene.  Untreated diabetes can lead to lack of blood flow to extremities which causes the tissue to die.  This foot will require amputation.  Readers of EverythingHealth are smart and many of you got the answer.

Comments

tracy said…
Bring on the gore!!
Toni Brayer, MD said…
tracy: Thanks, I will take that as permission for 2011 blogging.
KM said…
The gorier the better and more interesting!
Unknown said…
Yes I absolutely agree with Tracy. Bring on the gore!!
Sylvester said…
It cannot have effect as a matter of fact, that's exactly what I suppose.
loan calculator | map New Mexico | rubber feet

Popular posts from this blog

scintillating scotoma

image from myaspiebrain Nothing like experiencing a medical condition first-hand to really help a doctor understand it from the patient's point of view.  After all these years, I had my first (and hopefully last) scintillating scotoma while sitting on the couch playing "words with friends" on my ipad and watching TV.  A scotoma is a partial loss of vision in a normal visual field.  Scintillate is flashing, sparkles.  Put them together and you have moving, flashing sparkles with a blind spot in your eyes. This visual aura was first described in the 19th century  by a Dr. Hubert Airy who had migraine headaches.  The visual sparks and flashes are in a zig-zag pattern and they can precede a migraine headache or occur without any pain.   The scotoma affects both eyes and closing one or the other does not make it go away.  Sometimes the term "ocular migraine" or "retinal migraine"  are used to describe this phenomenon but these involve only one eye, not

Do Doctors Make Too Much Money?

An article in the New York Times says the reason health care costs are so high in the United States is because doctors are paid too much. I saw that and my eyes bugged out. I just came home from a meeting with physicians and hospital administrators and the entire meeting was spent discussing the financial challenges physicians face in keeping their doors open to see patients. The goal of this meeting was to keep health services in that community so patients will have someone to care for them. Not a person in the room would agree that the doctors earn too much. Physicians paid too much? Lets break that down. A doctor spends a minimum of 11 years in education and training after the age of 18. Many are in training for 15 or more years. They are living on student loans and contributing zero to their family's income until the residency years. At that time they earn less than minimum wage if you factor in the 80-100 hour workweek. When a doctor emerges from training (and believe

Spots on the Scrotum

The answer to yesterday's Image Challenge was #2 - Fordyce's angiokeratomas. Like many unusual medical names, the condition was first described by John Addison Fordyce in 1896. These tiny blood vessels (capillaries) are under the superficial dermis and can be found on both men and women in the scrotum and vulva area.  They are painless and appear in the 2nd and third decade and may continue to appear as the person ages. Fordyce's angiokeratomas should not be confused with warts, herpes or other conditions.  They are completely benign and require no treatment. There are a number of chat rooms on-line where men are concerned about these lesions and want them removed by laser.  That can be an expensive and time consuming treatment and there is no guarantee that they will not recur.   The best treatment is awareness and acceptance that every body is varied and Fordyce angiokeratoma is just another appearance. Thanks everyone for your guesses and great diagnostic a