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  • Root canal treatment on an upper first molar. Inlay was placed over a year ago. Necrotic pulp. Patient was suffering from immense pain. The doctor who placed the inlay doesn't do root canal treatment, so the patient came to me. The patient  didn't want  the complete treatment initially because of financial reasons. However,  the government funded clinics refused to treat him, because they claimed that they do not have the necessary equipment. 4 canals , MB2 was found relatively easy. 4 visits to complete the whole treatment. 2 weeks of Calcium-hydroxide, symptoms went away after 3 days. Cleaning and shaping was done with hand files and TF Adaptive. Irrigation with Sodium Hypochlorite(5.25%), EDTA and Solumium Dental.
Obturation with AH Plus. GC EverX core, 3M Z550 A2 on the top. 
#dentistry #dentalwork #rct #uppermolar #endodontics #endo #endoresto #dental #dentalstudent #caseoftheday #odontologia #teeth
  • Root canal treatment on an upper first molar. Inlay was placed over a year ago. Necrotic pulp. Patient was suffering from immense pain. The doctor who placed the inlay doesn't do root canal treatment, so the patient came to me. The patient didn't want the complete treatment initially because of financial reasons. However, the government funded clinics refused to treat him, because they claimed that they do not have the necessary equipment. 4 canals , MB2 was found relatively easy. 4 visits to complete the whole treatment. 2 weeks of Calcium-hydroxide, symptoms went away after 3 days. Cleaning and shaping was done with hand files and TF Adaptive. Irrigation with Sodium Hypochlorite(5.25%), EDTA and Solumium Dental.
    Obturation with AH Plus. GC EverX core, 3M Z550 A2 on the top.
    #dentistry #dentalwork #rct #uppermolar #endodontics #endo #endoresto #dental #dentalstudent #caseoftheday #odontologia #teeth

  •  9  0  4 hours ago
  • Happy Friday Everyone!!

Interesting case today. Pt came in initially because of a chipped tooth, but upon further investigation, severe external resorption was found on the distal aspect of the tooth(see PA and CT). 
The CT scan showed that the sinus was surrounding the distal and palatal roots, which made for a tricky extraction. 
Upon extraction the little bit of bone around the distal root came out as well revealing the sinus floor. (Luckily, the membrane was still intact)
We performed a sinus lift through the access and was able to place an implant in the furcation area. 
Grafted the remaining sockets, buried the implant and covered with a non-resorbable membrane.

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.
.
#sinussurgery #sinuslift #extraction #implantdentistry #dentalimplant #implantsurgery #nobelbiocare #caseoftheday #dentistry #implantology #drhansenliang #freshsmiledentalgroup #surreydentist #southsurreydentist
  • Happy Friday Everyone!!

    Interesting case today. Pt came in initially because of a chipped tooth, but upon further investigation, severe external resorption was found on the distal aspect of the tooth(see PA and CT).
    The CT scan showed that the sinus was surrounding the distal and palatal roots, which made for a tricky extraction.
    Upon extraction the little bit of bone around the distal root came out as well revealing the sinus floor. (Luckily, the membrane was still intact)
    We performed a sinus lift through the access and was able to place an implant in the furcation area.
    Grafted the remaining sockets, buried the implant and covered with a non-resorbable membrane.

    .
    .
    .
    #sinussurgery #sinuslift #extraction #implantdentistry #dentalimplant #implantsurgery #nobelbiocare #caseoftheday #dentistry #implantology #drhansenliang #freshsmiledentalgroup #surreydentist #southsurreydentist

  •  6  2  4 hours ago

Top #caseoftheday Posts

  • *️⃣This is an illustrated previous case. MRI images demonstrate deposits of hemosiderin (short arrows) along the synovial membrane that are more characteristic for postoperative changes than for PVNS, since there is no significant hypertrophy of the synovial membrane, and in addition hemosiderin deposits are more pronounced in the area of Baker cyst resection. Possible secondary ossification is determined (probably of hemorrhagic clots) in the suprapatellar region with areas of bone marrow appearance in these bodies (dotted arrow), and needs to be confirmed by CT or radiography. Note the areas of pathy hyperintensity that are present in the subcortical regions of the bones (arrowheads) and are concomitant for disuse osteopenia.
*️⃣Представляю проиллюстрированный предыдущий случай коленного сустава. Изображения МРТ показывают отложения гемосидерина вдоль синовиальной оболочки (короткие стрелки), более характерные для послеоперационных изменений, чем для ПВНС, так как отсутствует значимая гипертрофия синовиальной оболочки, и, к тому же, отложения гемосидерина гораздо более выражены в области резекции кисты Бейкера. Определяется возможная вторичная оссификация (вероятно, геморрагических сгустков) в области супрапателлярного заворота (пунктирная стрелка), c МР-структурой, характерной для костной ткани, что необходимо подтверждать на рентгенограммах или КТ. Обратите внимание на участки изогиперинтенсивного МР-сигнала в субкортикальных отделах костей (наконечники стрелок), что характерно для остеопении вследствие отсутствия нагрузки.
#mri #knee #kneepain #radiologycase #radiology #caseoftheday #musculoskeletal #mskcases #traumatology #orthopaedics #мрт
  • *️⃣This is an illustrated previous case. MRI images demonstrate deposits of hemosiderin (short arrows) along the synovial membrane that are more characteristic for postoperative changes than for PVNS, since there is no significant hypertrophy of the synovial membrane, and in addition hemosiderin deposits are more pronounced in the area of Baker cyst resection. Possible secondary ossification is determined (probably of hemorrhagic clots) in the suprapatellar region with areas of bone marrow appearance in these bodies (dotted arrow), and needs to be confirmed by CT or radiography. Note the areas of pathy hyperintensity that are present in the subcortical regions of the bones (arrowheads) and are concomitant for disuse osteopenia.
    *️⃣Представляю проиллюстрированный предыдущий случай коленного сустава. Изображения МРТ показывают отложения гемосидерина вдоль синовиальной оболочки (короткие стрелки), более характерные для послеоперационных изменений, чем для ПВНС, так как отсутствует значимая гипертрофия синовиальной оболочки, и, к тому же, отложения гемосидерина гораздо более выражены в области резекции кисты Бейкера. Определяется возможная вторичная оссификация (вероятно, геморрагических сгустков) в области супрапателлярного заворота (пунктирная стрелка), c МР-структурой, характерной для костной ткани, что необходимо подтверждать на рентгенограммах или КТ. Обратите внимание на участки изогиперинтенсивного МР-сигнала в субкортикальных отделах костей (наконечники стрелок), что характерно для остеопении вследствие отсутствия нагрузки.
    #mri #knee #kneepain #radiologycase #radiology #caseoftheday #musculoskeletal #mskcases #traumatology #orthopaedics #мрт

  •  466  14  17 June, 2020
  • Let’s talk about foreign bodies in the ear!
-
I had a patient that woke with ear pain and a sensation of something moving around inside. They came into the ED for eval and when I took a look this little critter was staring right back at me. -
Ear Foreign Body:
-
Features - Ear pain, decreased hearing, occasional otorrhea or bleeding. In some cases of TM rupture can have tinnitus and vertigo. In Peds - often seen on side of dominant hand since kids will stuff things in their ears themselves. -
Eval - Otoscopy. In Peds particularly, always check both ears and the nares as well. -
Management - Button batteries need emergent ENT consult for removal due to high risk of burn, liquefactive necrosis and chemical injury. Live insects can be killed with mineral oil, EtOH, or 2% lidocaine prior to removal (makes this much easier). Foreign bodies penetrating the TM should receive ENT consults. -
Removal - If no suspicion of TM perforation and object appears mobile, attempt irrigation with body temp NS or sterile water. Attach a 14 or 16g catheter to a 20cc syringe and attempt to flush it out. Remember the importance of using body temp water or you can cause some SERIOUS vertigo (caloric reflex)! Other options for removal are alligator forceps, Katz extractors, right angle tools, or even dermabond on the tip of a swab stick. -
Antibiotics? - Consider ofloxacin or ciprodex drops if the ear canal has significant trauma or the TM appears perforated. -
Follow-Up - Urgent ENT follow-up for any TM injuries or suspected retained foreign bodies/insect parts. -
What’s the most interesting thing you’ve pulled from someone’s ear or nose?!
-
(Posted w/ permission)
#medicine #emergencymedicine #doctor #erdoc #nurse #pa #emt #healthcare #bugs #medical #caseoftheday #ent #ear #residency #medschool #medstudent #foamed
  • Let’s talk about foreign bodies in the ear!
    -
    I had a patient that woke with ear pain and a sensation of something moving around inside. They came into the ED for eval and when I took a look this little critter was staring right back at me. -
    Ear Foreign Body:
    -
    Features - Ear pain, decreased hearing, occasional otorrhea or bleeding. In some cases of TM rupture can have tinnitus and vertigo. In Peds - often seen on side of dominant hand since kids will stuff things in their ears themselves. -
    Eval - Otoscopy. In Peds particularly, always check both ears and the nares as well. -
    Management - Button batteries need emergent ENT consult for removal due to high risk of burn, liquefactive necrosis and chemical injury. Live insects can be killed with mineral oil, EtOH, or 2% lidocaine prior to removal (makes this much easier). Foreign bodies penetrating the TM should receive ENT consults. -
    Removal - If no suspicion of TM perforation and object appears mobile, attempt irrigation with body temp NS or sterile water. Attach a 14 or 16g catheter to a 20cc syringe and attempt to flush it out. Remember the importance of using body temp water or you can cause some SERIOUS vertigo (caloric reflex)! Other options for removal are alligator forceps, Katz extractors, right angle tools, or even dermabond on the tip of a swab stick. -
    Antibiotics? - Consider ofloxacin or ciprodex drops if the ear canal has significant trauma or the TM appears perforated. -
    Follow-Up - Urgent ENT follow-up for any TM injuries or suspected retained foreign bodies/insect parts. -
    What’s the most interesting thing you’ve pulled from someone’s ear or nose?!
    -
    (Posted w/ permission)
    #medicine #emergencymedicine #doctor #erdoc #nurse #pa #emt #healthcare #bugs #medical #caseoftheday #ent #ear #residency #medschool #medstudent #foamed

  •  179  66  22 January, 2020
  • A patient presents for a routine exam with this finding. How would you evaluate this patient?
•

By Sophia El Hamichi, MD 
Murray Ocular Oncology and Retina 
Co-author(s): Aaron S Gold, OD, Murray Ocular Oncology and Retina; Timothy G Murray, MD, MBA, Murray Ocular Oncology and Retina
•

#eye #ophthalmology #ophtalmologie #oftalmologia #oftalmología #visionloss #eyeclinic #eyehealth #medicalpictures #medicalcase #doctor #medico #medecin #medical #residents #caseoftheday #oeil #oyo #oci #oko #eyes #oculos #ojos #olhos #optometry #ophthalmology #drragusa #okap #boardexam
  • A patient presents for a routine exam with this finding. How would you evaluate this patient?


    By Sophia El Hamichi, MD
    Murray Ocular Oncology and Retina
    Co-author(s): Aaron S Gold, OD, Murray Ocular Oncology and Retina; Timothy G Murray, MD, MBA, Murray Ocular Oncology and Retina


    #eye #ophthalmology #ophtalmologie #oftalmologia #oftalmología #visionloss #eyeclinic #eyehealth #medicalpictures #medicalcase #doctor #medico #medecin #medical #residents #caseoftheday #oeil #oyo #oci #oko #eyes #oculos #ojos #olhos #optometry #ophthalmology #drragusa #okap #boardexam

  •  492  16  20 November, 2019
  • A 38 year old patient presents presents for a routine exam. He has no complaints. He has a medical history significant for diabetes mellitus type 2. On exam his vision is 20/30 and his intraocular pressure is normotensive. What is your favorite diagnosis and management?
•
By Deepak Bhojwani, MS 
Raghudeep Eye Hospital
•
#eye #ophtalmologie #oftalmologia #oftalmología #eyeclinic #eyehealth #medicalpictures #medicalcase #doctor #medico #residents #caseoftheday #oeil #oko #eyes #oculos #ojos #olhos #optometry #ophthalmology #drragusa #okap #boardexam
  • A 38 year old patient presents presents for a routine exam. He has no complaints. He has a medical history significant for diabetes mellitus type 2. On exam his vision is 20/30 and his intraocular pressure is normotensive. What is your favorite diagnosis and management?

    By Deepak Bhojwani, MS
    Raghudeep Eye Hospital

    #eye #ophtalmologie #oftalmologia #oftalmología #eyeclinic #eyehealth #medicalpictures #medicalcase #doctor #medico #residents #caseoftheday #oeil #oko #eyes #oculos #ojos #olhos #optometry #ophthalmology #drragusa #okap #boardexam

  •  290  32  18 April, 2020