Sonoeyes Blog

According to A2Z group on Facebook. Encephalocele(fetal brain) herniating through mouth Encephaloceles are rare birth defects associated with skull defects characterized by partial lacking of bone fusion leaving a gap through which a portion of the brain sticks out (protrudes). In some cases, cerebrospinal fluid or the membranes that cover the brain (meninges) may also protrude through this gap.  In some cases, cerebrospinal fluid or the membranes that cover the brain (meninges) may also protrude through this gap. The portion of the brain that sticks outside the skull is usually covered by skin or a thin membrane so that the defect resembles a small sac. Protruding tissue may be located on any part of the head, but most often affects the back of the skull (occipital area). Most encephaloceles are large and significant birth defects that are diagnosed before birth. However, in extremely rare cases, some encephaloceles may be small and go un...

Hydrocele which means "water sac" is abnormal fluid collection within the tunica vaginalis of the scrotum or a patent tunica vaginalis. It is a relatively common condition in surgical practice. However, a giant hydrocele, here defined for clinical purposes, as a hydrocele equal to or bigger than the patient's head, is rare as indicated by the limited number of reported cases in the literature. Ultrasound is the first modality usually used to evaluate hydrocele, which presents as a simple fluid collection. It is avascular on Doppler evaluation. It may contain septations, calcifications or cholesterol. In a research article published online ncbi reports giant hydrocele in specific patients. A 50-year-old man who presented with bilateral scrotal swellings for 10 years. No history of chronic cough, leg swelling or trauma to the scrotum. He is married wit...

Work-related musculoskeletal disorders (WRMSD) are a common cause of pain and injury for ultrasound practitioners.  Common sites of injury  Factors influencing ultrasound professionals’ likelihood of developing work-related musculoskeletal disorders include poor posture, repetitive movements, transducer pressure and poor grip, stress, workload, limited support or sense of control and other psychosocial factors. According to SDMS 2018 white paper series, Sonographers should remember that optimising the examination should not be at the detriment of their health. Please find attached and download the SDMS standard for WRMSD here Common causes of WRMSD in ultrasound practitioners include:  Poor and/or static posture  Repetitive movements  Transducer grip pressure and the use of force  Psychosocial factors  Workload management issues  Common sympto...

Ultrasound examination has ranked #1 choice of exam for many diagnosis probably due to it's none invasiveness, detail and safety when compared to other forms of medical imaging. Little wonder it's largely employed in antenatal care. The reportage of obstetrics exam has emphasis on many things but less is said of the importance of fetal position, most times when fetal position is indicated it's usually not detailed enough to help surgical decisions. During pregnancy, the developing baby moves into several different positions. As labor approaches, some positions are safer than others. According to medical news toda y, The ideal position for a fetus just before labor is the anterior position. In this position, the fetus's head points toward the ground and they are facing the woman's back. Most fetuses settle into this position by the last month of pregnancy. The anterior position is also known as a vertex, cephalic, or occiput ante...

There has been serious outburst from the APC and Buhari camp concerning the journey made by the presidential candidate of the PDP, Atiku Abubakar to the US. Online news media quote the president's media adviser in his reation to the Atiku development that "He travel to the US being listed as an office aide to the senatS president". The veracity of the claim is not immediately known but it is now certain that the assertion that Atiku can not travel to the US is now a fallacy. What every Nigerian want is good governance not tales of who is capable of traveling to the US.

In what appeared to be self medication an Irish man reported in the ER with chronic back pain, upon clinical investigation the man confessed to injecting himself with his own semen intravenously for 18 months as his assumed therapy for back ache. Examination reveals a red patch swelling on his right forearm, the site of administration using a hypodermic needle. The swollen region is hard on palpation. X-ray images revealed an area of trapped air beneath the man's skin. According to report publish an online news media , the research author stated that "This isn't the first we've seen something like this. Perhaps this case reminds you of Aaron Traywick, the deceased biohacker who onces gave himself an unregulated herpes treatment in front of a crowd". Doctors warned that it is dangerous for the untrained to perform intravenous injection on themselves, especially when they're injecting things that aren't supposed to be injected into veins, l...

Somewhere in North-central Nigeria a woman was delivered of a strange looking baby.  The woman who came in with labor pains had some difficulty in the labor after the membrane was ruptured. With the fetus presenting with feet the obstetrician manage to deliver the baby which turned out to be a monkey in human body. While the cause of this strange occurrence is not immediately known many have attributed it to some mystical power. The strange baby died few minutes after birth weighing 4kg. The woman is in the postnatal word making a good recovery. The case was unbooked so there was no ultrasound record of the baby. Many doctors and sonographers have argued this to be anencephaly given reasons of cranial displasia and all other sonographic  expectation and features, but this seems to be a completely formed cranial bone with and awkwardly extended ears. below is a picture of an anencephaly I personally followed up from second trimester till birth. ...

In what appears to be a rare male pelvic pathology and concluded to be sacrococcygeal teratoma, gave us some insight into seminal vesical cyst. Seminal vesical cyst is a very rare pathology in male reproductive system. According to Dr Mohammed Hossain of Shristy Institute for health science and technology , Cysts of the lower male genitourinary tract are uncommon and usually benign.  These cysts have different anatomic origins and may be associated with a variety of genitourinary abnormalities and symptoms. Various complications may be associated with these cysts, such as urinary tract infection, pain, postvoiding incontinence, recurrent epididymitis, prostatitis, and hematospermia, and they may cause infertility. Understanding the embryologic development and normal anatomy of the lower male genitourinary tract can be helpful in evaluating these cysts and in tailoring an approach for developing a differential diagnosis. There are two main groups of cys...

Bedside ultrasound has greatly improved patient care over the years and alleviated the invasive procedures which may not be necessary most times. While this non-invasive practice seem to be a blessing many practitioners may have knowingly or unknown abuse it's use. Sonography is a medical profession which has trained professionals working with other colleagues to achieve accurate diagnosis, while not all medical practitioners are Sonographers, most times they make certain request for ultrasound examination that may look very ridiculous to the Sonographer. Below are some ridiculous ultrasound request a sonographer may have encountered. 1. R/o Cephalopelvic disproportion (CPD), this is usually determined via physical examination during active labor. Ultrasound is used in estimating fetal size but not totally reliable for determining fetal weight. A physical examination that measures pelvic size can often be the most accurate method...

In the words of Lalinda Wickamaranthne, "respect your doctors". The picture below shows a patient who entered the emergency with a stab in the heart and almost bleed his whole blood out. Everyone including the doctors and nurses took the blood and fluid on them without worrying about any infection but managed to save the patient. This is undoubtedly the true face of this profession. Surgery has the ability to save lives, but a number of hazards lurking in operating rooms. Surgeons, nurses, anesthesiologists, assistants and other professionals working in surgical environments put themselves at risk every day in their careers. If you work as part of a surgical team, it's essential that you familiarize yourself with potential hazards so you can avoid getting injured or exposing yourself to other dangers while on the job. Physical Hazards Physical injuries, including cuts, pricks, electrical shocks, burns and falls are some of the most common hazards ...