Google lanza MedGemma 1.5 (4B), un LLM open para interpretar imágenes médicas CT, MRI e histopatología, además de RX, dermatologí, fondo de ojo…) con burnos resultados. Y lo acompaña además con MedASR, un modelo abierto de speech-to-text clínico (dictado médico).+
🩺 Trauma retroperitoneal:
•Zona I (central): aorta, VCI, páncreas, duodeno → siempre explorar.
•Zona II (laterales): riñones/uréteres → explorar solo si penetrante o expansivo.
•Zona III (pélvica): vasos ilíacos/pelvis → 🚫 no abrir, dejar tamponamiento.
👉 Conocer zonas = salvar vidas.
📘🔪 Aprender cirugía empieza por la base
El libro Learning Surgical Technique: Basic Skills (2020) de Alexandr I. Lemeschewskij es una guía práctica para dominar las destrezas quirúrgicas esenciales: suturas, anudados, manejo de instrumental y más.
Anyone can see the bright spot of diffusion imaging!
What sets you apart is your ability to tell them where it is—what vascular territory
Here are the vascular territories you need to know:
* Posterior Inferior Cerebellar Artery (PICA)
Soft under surface of the cerebellum
* Superior Cerebellar Artery (SCA)
The SCA territory is the top of the cerebellum (SCA is the SCAlp of the cerebellum)
* Basilar perforators
Make a line in the pons like a penetrating injury. So perforator infarcts look like perforating injuries
* Anterior Choroidal artery
This supplies the posterior limb of the internal capsule & corticospinal tract. Remember COR-roidal is COR-ticospinal
* Lenticulostriate arteries
Infarct territory looks like a tadpole
* Heubner's artery: infarct is the caudate head.
Remember "who called" which sounds like "heu caud" so heubner takes out the caudate
* Anterior cerebral artery (ACA)
Medial, anterior surface of the cerebral hemispheres
* Middle cerebral artery (MCA)
Lateral surface of the cerebral hemispheres
* Posterior cerebral artery (PCA)
Medial, posterior surface of the cerebral hemispheres
Hopefully now when it comes to the vascular territories, you will always be right when it's bright!!
I would like to thank Dr Lucas Freire for the wonderful opportunity he gave me to make this request and make my dream come true.
My work was presented in London at one of the largest world congresses, Charing Cross!!@Dr_Ma_of_PUMC @AortaEd@PenseAorta@PipeCabreraV
Surgical Implications - The Rogie quadrilateral! It’s a landmark during surgeries involving the pancreas, spleen or colorectal procedures. Surgeons must navigate this area to avoid damaging major veins (significant bleeding or compromised liver and left kidney venous return!
@MiltonBeniteztv No Milton... yo estuve en contra de JOH por corrupto y narco.. por eso te admire . Pero no puedes ser.. "con uno si y con otros no".. perdiste un seguidor de tu trabajo . Eres uno mas del sistema, que pena.
Miracle Outcome: Two-year-old boy was enjoying his meal, fell down, and a single chopstick penetrated though his mouth and went intracranially passing right by his brainstem. 🧵
Conocimientos básicos de astronomía. 🌠
- Timón.
- ¿Qué?
- ¿Nunca te has preguntado que son esos puntos brillantes de arriba?
- Pumba. No me lo pregunto, lo sé.
- Ah, ¿y qué son?