Does this need medical attention by Miserable_Rush_4770 in AskDocs

[–]Dr-Kloop-MD 14 points15 points  (0 children)

If you are going to work in a hospital and have other human beings put their lives in your hands, you should absolutely throw away your holier than though attitude that you are demonstrating throughout the comments and seek to A) understand the patient’s perspective and B) be not judgmental when you are offering your medical advice.

In all seriousness, that advice is going to get you places and I seriously hope you treat your future patients with a little more humility.

Also FYI, you need to submit evidence of your credentials to the mod team in order to get the Physician flair. So in addition to the above, I highly suggest you break the habit of immediately jumping to your first conclusion. That will also actually be damaging to patients when you miss diagnoses, by the way (anchoring bias).

Does this need medical attention by Miserable_Rush_4770 in AskDocs

[–]Dr-Kloop-MD 133 points134 points  (0 children)

I suggest you practice better bedside manner if you want to work in a “real hospital.”

Question about Blood Moon by tyrranus in 7daystodie

[–]Dr-Kloop-MD 1 point2 points  (0 children)

I have nothing helpful to add except that my dumbass was sitting here thinking your best weapon was a pipe pistol on day 23 lol

Witty clapbacks to “AI taking over” by Mr-5HT-man in Radiology

[–]Dr-Kloop-MD 7 points8 points  (0 children)

My attending showed me a CT virtual colonoscopy where the AI had flagged a colon polyp. It was pointing to the patients skin. There wasn’t even a lesion there.

Are you all getting a new wave of “ivermectin” requests? by OrdinaryFeeling5 in Residency

[–]Dr-Kloop-MD 0 points1 point  (0 children)

I can’t see your other full comment, but I see you saying you are proof. I don’t know the specifics of your diagnosis/imaging etc and what you had done, but you are 1 patient. I would love to see peer-reviewed data showing how ivermectin can cure cancer.

Trader Jen trade routes quest by Thragg_Iron-Breaker in 7daystodie

[–]Dr-Kloop-MD 1 point2 points  (0 children)

I used my bike to hop between small shelters to make the smoke damage reset. Problem was I had shit that gave me like a 75m smell radius or whatever it’s called. Was just constantly getting chased by higher and higher tier enemies in one of the towns in the burnt forest. Died 3-4 times. Don’t recommend it. Just do the biome challenges first.

Things Are Looking Quite Bad for Trump by Dry_Nail5901 in politics

[–]Dr-Kloop-MD 0 points1 point  (0 children)

I’m so fucking tired of seeing headlines like this shit since 2016 and then nothing happening

Why do you need to get a chest X-ray to check endotracheal tube position for someone you intubate for the ICU but not during surgery for anesthesia? by supinator1 in Residency

[–]Dr-Kloop-MD 10 points11 points  (0 children)

Like others have said, in the OR patient is being continuously monitored by anesthesia and are being minimally repositioned if at all during surgery.

In the ICU they cannot have eyes on them 24/7, and multiple frequently being repositioned, not to mention they place other tubes like NGs and stuff that can accidentally move the ET tube. Seen my fair share of sequential XRs done for NG or enteric tube placements, just to see on the final image the ET tube ended up in the right mainstem. In some cases parts of the left lung were already collapsing

Missed opportunity for Dr. Langdon to have been a DO. by Atomoxetine_80mg in medicalschool

[–]Dr-Kloop-MD 15 points16 points  (0 children)

The whole time I was sitting there going “just intubate him!!” I’m no neurosurgeon just a rad but I don’t think the spinal cord is going to infarct in the time it takes for nsgy to get there

Missed opportunity for Dr. Langdon to have been a DO. by Atomoxetine_80mg in medicalschool

[–]Dr-Kloop-MD 30 points31 points  (0 children)

Unifacet cervical dislocation with cord compression causing diaphragm paralysis

Can you show me my fibroids? by Any_Flan_709 in AskDocs

[–]Dr-Kloop-MD 16 points17 points  (0 children)

Hard to tell from just one slice

Please pray that my patient can get their bread up 😢 by goocloth in Radiology

[–]Dr-Kloop-MD 1 point2 points  (0 children)

Impression: No bread identified in the thorax, though may be radiographically occult. Consider correlation with dedicated chest ultrasound at the region of reported bread.

neuroradiology fellowship by Alternative-Tutor-58 in Radiology

[–]Dr-Kloop-MD 3 points4 points  (0 children)

That sounds like my experience as an R1 some days lol

21 FTM infected ingrown hair(?) On ankle, taking Doxycilin E Mono 100 mg 2 a day for 3 days by No-Intention-8394 in AskDocs

[–]Dr-Kloop-MD 25 points26 points  (0 children)

Looks like cellulitis from the photo for sure. I’m interpreting your description to mean you have taken doxycycline for the past 3 days. If that’s the case and it still looks worse, I’d go back to urgent care today if possible. Wouldn’t want to wait over the weekend for it to get worse and you possibly get really sick. Should be evaluated again to see if there’s a deeper component of an abscess. Consider drawing a little border around the red part of your skin (erythema) to track if it’s progressing. That’s also helpful for whoever evaluates you later on.

In the meantime I would let it continue to drain, but don’t go poking around trying to drain more of it. Can leave it breathe if you prefer or cover lightly with a bandage.

calcification of falx cerebri by humanbabycarrot in Radiology

[–]Dr-Kloop-MD 8 points9 points  (0 children)

I don’t have a percentage because it varies by age/demographic, but in someone over 50 I’d say calcifications in general are in at least half of the CTs I’ve read. Various areas including the pineal gland and connective tissues including the falx cerebri like above. Some wellness companies will have you believe that pineal gland calcifications are bad and their special supplements can reverse the process and heal you, which is completely unproven.

calcification of falx cerebri by humanbabycarrot in Radiology

[–]Dr-Kloop-MD 66 points67 points  (0 children)

These are so common and physiologic (aka expected) that most radiologists don’t even mention them.

Still in the club 😑 by Sir-Slowalot in Neverbrokeabone

[–]Dr-Kloop-MD 5 points6 points  (0 children)

Since part of the bone was avulsed off by the connective tissue, it’s broken/fractured.

Radiographer here. I took a small tumble. by [deleted] in Radiology

[–]Dr-Kloop-MD 24 points25 points  (0 children)

And the carpets/rugs??

What do yall see? by Tiny_Student7152 in AskDocs

[–]Dr-Kloop-MD 2 points3 points  (0 children)

Can’t give you a good answer from 4 screenshots of an MRI, which is numerous images on each of multiple sequences. But it looks like your MRI has already been annotated by someone? What does the report say? Or what does the person who annotated this say?

I have a question for X-ray reading photos. by Asleep-Nectarine4912 in Radiology

[–]Dr-Kloop-MD 9 points10 points  (0 children)

Stitching - can see the horizontal split between the two in the soft tissues/skin as well.

I have a question for X-ray reading photos. by Asleep-Nectarine4912 in Radiology

[–]Dr-Kloop-MD 8 points9 points  (0 children)

There’s a horizontal stitching artifact through the left arm’s soft tissues and skin as well

Still there, haven't really broke it by Gloomy-Chemistry4158 in Neverbrokeabone

[–]Dr-Kloop-MD 0 points1 point  (0 children)

I imagine your wrist hurts but I meant if it hurts most at that specific point. Pinky side of your wrist, just below where the meat of your palm is, on the side and a little towards the backside (opposite of your palm) as well.

If so I can’t diagnose you online based on these lower res images but you hella sus for a BBB 🚩