This patient is a nursing student who thought she had a mild case of chicken pox as a child (according to her mother). As a nursing student, she was exposed to a patient with shingles. Days later she end up with a painful rash on her body along with other symptoms that put her through 3 weeks of hell. Her doctors diagnosed her with adult chickenpox.
Chickenpox and shingles are both caused by the same virus called varicella-zoster virus. This virus is extremely contagious. Back in the day when I was a kid, up to 4 million kids would get chickenpox a year in the US alone (including me!) Now, with vaccination, infections are rare- and if people do get it the symptoms are much less severe. In theory, once a kid gets chickenpox, they should not be able to catch the virus again. After you are exposed to the virus, the itchy rash clears up, but the virus stays in your body forever. It goes to sleep in nerve cells, and can wake up at any time as a secondary infection called shingles. A person that has active chickenpox or shingles can spread the varicella-zoster virus to a person who has either not had the chickenpox or who has not been vaccinated against chickenpox.
So how did this girl get chickenpox if she already had it? Her doctors think her mother may have misdiagnosed her as a child, and she more than likely had another rash that was mistaken for chickenpox. Due to the severity of her rash, her doctors think it is unlikely she was ever exposed to varicella-zoster. For the most part, chickenpox for a child is more of a nuisance than life threatening. Vaccination is important for everyone though because it can cause death in babies and those with compromised immune systems (like people with HIV, people on chemotherapy, etc.). The less virus floating around, the less likely those groups will catch it and get seriously ill.
Check out these @scrubpocket reference cards I use! They conveniently hang right behind your ID badge- perfect when when you can’t pull your phone out!
L I N K
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Apparently this a common injury!! This is one of several emails I received since yesterday’s post.
This woman was delivering a cup of coffee to her husband who was working. She had her car/ house keys in her hands with the ring of one of the keys wrapped around her middle finger. She tripped, fell and instinctively put her hands out to catch her fall. Her keys punctured her hand, but luckily hit no bones or nerves. This injury happened because of her love for her husband, you can even see it in her X-ray!❤️
Forensics in the news!💀
Since the reporting of scumbag Jeffrey Epstein’s death last Saturday, speculation surrounding his manner of death has been all over the news. Yesterday, there was a leak from the autopsy report that his neck bones were fractured. This finding caused news “medical experts” to speculate he could have also been murdered by strangulation. It was just reported today that the NY ME has released his official manner of death as suicide. Since this was all over the news, I decided to show you guys some photos from one of my autopsy books to show you exactly the ME determines this.
Photos 1: this is an autopsy technique called a neck dissection. If trauma to this area is suspected, the skin will be lifted and each layer of the strap muscles will be carefully separated all the way down to the larynx looking for blood and bruising. Photos 2: yellow lines point to hemorrhage in muscles indicating trauma occurred here. Photo 3: location of the hyoid bone. Photo 4: the larynx dissected out. This contains the trachea, thyroid cartilage and hyoid bone. Photos 5 and 6: the larynx is dissected to look for fractures. Photo 7: example of a fractured hyoid bone.
I have not seen the official autopsy report yet, but this is the technique used to determine neck trauma. This information, along with forensic investigation is how they determined the manner of death to be suicide.
OR table to autopsy table.
This is the OR after an emergency thoracotomy done on a patient who had a gun shot wound to the heart.
This is imaging of a skull. The angle of the anatomy in the image looks like a tiny skull within a skull. No pathology here, just cute💀🖤