This patient has staples in the midline still from surgery to remove an albuterol metered dose inhaler from the stomach. Just in the upper portion of the stomach, you see an albuterol canister from a metered dose inhaler swallowed today. Patient is a prisoner
This was the first time i saw this patient. He had a Left BKA already, presents with a cold foot. Ultimately gets vascular studies and no treatment. Plan was to await full extent of ischemia to become apparent. Patient presents a few months later with the findings in the image below.
In an effort to preserve his ability to ambulate, a forefoot amputation was undertaken. Images below were form a follow up several weeks later. It was certainly a rare opportunity to wee this each time in the ER and to participate in the excellent care of this very nice gentleman.
The image below is from the bone windows of a head CT of a patient I saw. It demonstrates Hyperostosis Frontalis Interna, a usually benign condition. The following link has more information.
This Chest XRAY depicts a large hiatal hernia. on the AP, it looks almost as if the heart is a water bottle half full (or half empty for you Debbie Downer’s out there). Also COPD id demonstrated with the hyper-inflated lungs and paucity of soft tissues, and a right sided pacemaker. Notice on the lateral how his calcified aorta has to circumnavigate the hernia.
Photos Copyright 2015 William E. Franklin, DO