Hemorrhage
The Common Vein Copyright 2009
Definition
Hemorrhage is …
characterized by …..
caused by ..etiology or predisposing factors
resulting in a pathological feature (structural change or functional change) or clinical feauture
Sometimes complicated by ….
Diagnosis is suspected clinically by … and confirmed by ….
Imaging includes the use of
Treatment options depend on …. but includes …..
Etymology if available
Principles
Hemorrhage is escape of blood from blood vessels.
Size Shape Position Character Time Space Diseases
83567.800 Charles river Boston Massachusetts Salt and Pepper Bridge order TCV The Common VEin Davidoff photography
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Size
Small Contusion
Shape
72034c01 59 male presents with headache brain meninges tentorium circle of Willis ambient cisterns Berry aneurysm rupture subarachnoid blood subarachnoid hemorrhage headache CTscan Davidoff MD |
70000.800 skin brain cerebrum cerebral subcutaneous subdural contra coup fx acute blood fx density dense subdural hematoma subcutaneous hematoma trauma radiologists and detectives CTscan Davidoff MD |
Position
CNS
72034c01 59 male presents with headache brain meninges tentorium circle of Willis ambient cisterns Berry aneurysm rupture subarachnoid blood subarachnoid hemorrhage headache CTscan Davidoff MD |
72143c01 brain cerebral hemorrhage hemorrhagic CVA hematoma lateral ventricles 4th ventricle fourth ventricle mass effect gray matter white matter loss of the gray white interface cerebral edema blood CTscan CVA Davidoff MD |
Character
CVS
Inflammation
Mechanical Disorders
37004 abdomen aorta kidneys cortical phase subcurtaneous fat adipose tissue normal anatomy gallsones cholelthiasis CT scan Davidoff MD
18269 aorta abdomen AAA aortic aneurysm abdominal aorta retroperitoneum fx retroperitoneal hematoma fx active hemorrhage fx perinephric hematoma anterior pararenal space perirenal space posterior pararenal space hemorrhage dx rupture abdominal aortic aneurysm CTscan Davidoff MD fx ruptured AAA |
RS
GIT
Inflammation
01978b stomach gastric pylorus duodenum junction normal anatomy
12263 code stomach gastric + hemorrhagic gastritis grosspathology |
12264 code stomach gastric + hemorrhagic gastritis grosspathology |
GUT
copyright 2009 all rights resrved Courtesy Ashley Davidoff MD 85641bc01.8s |
uterus blood hematocoplos expanded cavity complex fluid Courtesy Ashley DAvidoff MD copyright 2009 all rights reserved 85940c02.8s |
MS
Skin
70000.800 skin brain cerebrum cerebral subcutaneous subdural contra coup fx acute blood fx density dense subdural hematoma subcutaneous hematoma trauma radiologists and detectives CTscan Davidoff MD |
RES
|
22521 22524 Courtesy Ashley Davidoff MD code spleen + artery + dx ruptured splenic artery aneurysm pseudoaneurysm + cystic fibrosis biliary cirrhosis portal hypertension angiography emergency |
Character
Space
Time
37004 abdomen aorta kidneys cortical phase subcurtaneous fat adipose tissue normal anatomy gallsones cholelthiasis CT scan Davidoff MD
18269 aorta abdomen AAA aortic aneurysm abdominal aorta retroperitoneum fx retroperitoneal hematoma fx active hemorrhage fx perinephric hematoma anterior pararenal space perirenal space posterior pararenal space hemorrhage dx rupture abdominal aortic aneurysm CTscan Davidoff MD fx ruptured AAA |
Diseases
Trauma
Thrombus – Acute
70000.800 skin brain cerebrum cerebral subcutaneous subdural contra coup fx acute blood fx density dense subdural hematoma subcutaneous hematoma trauma radiologists and detectives CTscan Davidoff MD |
72040c01 eye globe fx dense conjunctiva fx thickened fx hyperdense dx acute hemorrhage blood bleed CTscan Davidoff MD |
Time
Intracranial
CT
(change from HYPER- to HYPO- dense over time)
Initially – 60 – 90 Hounsfield Units (HU)
2 days – 70 HU
3 weeks – 30 HU
>5 weeks – <30 HU
20% show enhancing rim at 2-6 weeks
Reference Medpix USUHS
MRI
(T1/T2: II, ID, BD, BB, DD (I-iso, D-dark, B-bright)
Hyperacute – minutes to hours (DD => II)
– T1WI – hematoma hypointense (deoxyHb) => isointense
– T2WI – hematoma hypointense (deoxyHb) => isointense
Acute – 0-2 days (ID => BD)
– deoxyhemoglobin in intact RBCs with surrounding edema
– T1WI – hematoma isointense, low signal intensity (SI) edema
– T2WI – hematoma decreased SI at center, high SI edema
Subacute – 2-14 days (BB)
– deoxyhemoglobin changes to methemoglobin from outer to inner
– T1WI – outer core shows increased SI
– T2WI – Outer core shows increased SI due to shortened T1, longer T2
Chronic – 14 days (BB => DD)
– hemosiderin laden macrophages at periphery
– T1WI – inner core now also increased SI, rim has low SI
– T2WI – inner core also has increased SI, rim has low SI
Chronic – months later (DD)
– hemosiderin laden macrophages at periphery
– T1WI – mostly iso-/decreased SI, rim has lower SI
– T2WI – markedly hypointense rim has low SI – “blooms” with greater T2-weighting
Reference Medpix USUHS
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DOMElement Object ( [schemaTypeInfo] => [tagName] => td [firstElementChild] => (object value omitted) [lastElementChild] => (object value omitted) [childElementCount] => 2 [previousElementSibling] => [nextElementSibling] => [nodeName] => td [nodeValue] => Bilateral Subdural Hematomas [nodeType] => 1 [parentNode] => (object value omitted) [childNodes] => (object value omitted) [firstChild] => (object value omitted) [lastChild] => (object value omitted) [previousSibling] => (object value omitted) [nextSibling] => (object value omitted) [attributes] => (object value omitted) [ownerDocument] => (object value omitted) [namespaceURI] => [prefix] => [localName] => td [baseURI] => [textContent] => Bilateral Subdural Hematomas )
DOMElement Object ( [schemaTypeInfo] => [tagName] => table [firstElementChild] => (object value omitted) [lastElementChild] => (object value omitted) [childElementCount] => 1 [previousElementSibling] => (object value omitted) [nextElementSibling] => (object value omitted) [nodeName] => table [nodeValue] => Post Cesarian Section Hemorrhage in Endometrial Cavity Hemorrhage into Pelvic Cavity 84070c.8s The CTscan is from a 28 year old female following a cesarian section showing a small amount of blood in the endometrial cavity and multiple large collections in the pelvist. It is likely that the blood is from the incision of the LUS. Hematocrit levels are characterized by sedimented red cells (maroon)/fluid (serum yellow) level. Free fluid (lighter yellow) is also noted. uterus enlarged post partum endometrium hemorrhage fluid fluid level peritoneal cavity intraperitoneal blood retained products considered as well cesarian section CTscan Courtesy Ashley Davidoff MD copyright 2009 all rights reserved 84070c02.81s [nodeType] => 1 [parentNode] => (object value omitted) [childNodes] => (object value omitted) [firstChild] => (object value omitted) [lastChild] => (object value omitted) [previousSibling] => (object value omitted) [nextSibling] => (object value omitted) [attributes] => (object value omitted) [ownerDocument] => (object value omitted) [namespaceURI] => [prefix] => [localName] => table [baseURI] => [textContent] => Post Cesarian Section Hemorrhage in Endometrial Cavity Hemorrhage into Pelvic Cavity 84070c.8s The CTscan is from a 28 year old female following a cesarian section showing a small amount of blood in the endometrial cavity and multiple large collections in the pelvist. It is likely that the blood is from the incision of the LUS. Hematocrit levels are characterized by sedimented red cells (maroon)/fluid (serum yellow) level. Free fluid (lighter yellow) is also noted. uterus enlarged post partum endometrium hemorrhage fluid fluid level peritoneal cavity intraperitoneal blood retained products considered as well cesarian section CTscan Courtesy Ashley Davidoff MD copyright 2009 all rights reserved 84070c02.81s )
DOMElement Object ( [schemaTypeInfo] => [tagName] => td [firstElementChild] => (object value omitted) [lastElementChild] => (object value omitted) [childElementCount] => 2 [previousElementSibling] => [nextElementSibling] => [nodeName] => td [nodeValue] => 84070c.8s The CTscan is from a 28 year old female following a cesarian section showing a small amount of blood in the endometrial cavity and multiple large collections in the pelvist. It is likely that the blood is from the incision of the LUS. Hematocrit levels are characterized by sedimented red cells (maroon)/fluid (serum yellow) level. Free fluid (lighter yellow) is also noted. uterus enlarged post partum endometrium hemorrhage fluid fluid level peritoneal cavity intraperitoneal blood retained products considered as well cesarian section CTscan Courtesy Ashley Davidoff MD copyright 2009 all rights reserved 84070c02.81s [nodeType] => 1 [parentNode] => (object value omitted) [childNodes] => (object value omitted) [firstChild] => (object value omitted) [lastChild] => (object value omitted) [previousSibling] => (object value omitted) [nextSibling] => (object value omitted) [attributes] => (object value omitted) [ownerDocument] => (object value omitted) [namespaceURI] => [prefix] => [localName] => td [baseURI] => [textContent] => 84070c.8s The CTscan is from a 28 year old female following a cesarian section showing a small amount of blood in the endometrial cavity and multiple large collections in the pelvist. It is likely that the blood is from the incision of the LUS. Hematocrit levels are characterized by sedimented red cells (maroon)/fluid (serum yellow) level. Free fluid (lighter yellow) is also noted. uterus enlarged post partum endometrium hemorrhage fluid fluid level peritoneal cavity intraperitoneal blood retained products considered as well cesarian section CTscan Courtesy Ashley Davidoff MD copyright 2009 all rights reserved 84070c02.81s )
DOMElement Object ( [schemaTypeInfo] => [tagName] => td [firstElementChild] => (object value omitted) [lastElementChild] => (object value omitted) [childElementCount] => 3 [previousElementSibling] => [nextElementSibling] => [nodeName] => td [nodeValue] => Post Cesarian Section Hemorrhage in Endometrial Cavity Hemorrhage into Pelvic Cavity [nodeType] => 1 [parentNode] => (object value omitted) [childNodes] => (object value omitted) [firstChild] => (object value omitted) [lastChild] => (object value omitted) [previousSibling] => (object value omitted) [nextSibling] => (object value omitted) [attributes] => (object value omitted) [ownerDocument] => (object value omitted) [namespaceURI] => [prefix] => [localName] => td [baseURI] => [textContent] => Post Cesarian Section Hemorrhage in Endometrial Cavity Hemorrhage into Pelvic Cavity )
DOMElement Object ( [schemaTypeInfo] => [tagName] => table [firstElementChild] => (object value omitted) [lastElementChild] => (object value omitted) [childElementCount] => 1 [previousElementSibling] => (object value omitted) [nextElementSibling] => (object value omitted) [nodeName] => table [nodeValue] => Post Cesarian Section Hemorrhage in Endometrial Cavity Hemorrhage into Pelvic Cavity The CTscan is from a 28 year old female following a cesarian section showing a small amount of blood in the endometrial cavity and two large collections anterior to the low uterine segment. It is likely that the blood is from the incision of the LUS. A Hematocrit level is characterized by a clot (maroon)/fluid (serum yellow) level. Free fluid anterior to the liver is also noted. uterus enlarged post partum endometrium hemorrhage fluid fluid level peritoneal cavity intraperitoneal blood retained products considered as well cesarian section CTscan Courtesy Ashley Davidoff MD copyright 2009 all rights reserved 84070c02.81s [nodeType] => 1 [parentNode] => (object value omitted) [childNodes] => (object value omitted) [firstChild] => (object value omitted) [lastChild] => (object value omitted) [previousSibling] => (object value omitted) [nextSibling] => (object value omitted) [attributes] => (object value omitted) [ownerDocument] => (object value omitted) [namespaceURI] => [prefix] => [localName] => table [baseURI] => [textContent] => Post Cesarian Section Hemorrhage in Endometrial Cavity Hemorrhage into Pelvic Cavity The CTscan is from a 28 year old female following a cesarian section showing a small amount of blood in the endometrial cavity and two large collections anterior to the low uterine segment. It is likely that the blood is from the incision of the LUS. A Hematocrit level is characterized by a clot (maroon)/fluid (serum yellow) level. Free fluid anterior to the liver is also noted. uterus enlarged post partum endometrium hemorrhage fluid fluid level peritoneal cavity intraperitoneal blood retained products considered as well cesarian section CTscan Courtesy Ashley Davidoff MD copyright 2009 all rights reserved 84070c02.81s )
DOMElement Object ( [schemaTypeInfo] => [tagName] => td [firstElementChild] => (object value omitted) [lastElementChild] => (object value omitted) [childElementCount] => 2 [previousElementSibling] => [nextElementSibling] => [nodeName] => td [nodeValue] => The CTscan is from a 28 year old female following a cesarian section showing a small amount of blood in the endometrial cavity and two large collections anterior to the low uterine segment. It is likely that the blood is from the incision of the LUS. A Hematocrit level is characterized by a clot (maroon)/fluid (serum yellow) level. Free fluid anterior to the liver is also noted. uterus enlarged post partum endometrium hemorrhage fluid fluid level peritoneal cavity intraperitoneal blood retained products considered as well cesarian section CTscan Courtesy Ashley Davidoff MD copyright 2009 all rights reserved 84070c02.81s [nodeType] => 1 [parentNode] => (object value omitted) [childNodes] => (object value omitted) [firstChild] => (object value omitted) [lastChild] => (object value omitted) [previousSibling] => (object value omitted) [nextSibling] => (object value omitted) [attributes] => (object value omitted) [ownerDocument] => (object value omitted) [namespaceURI] => [prefix] => [localName] => td [baseURI] => [textContent] => The CTscan is from a 28 year old female following a cesarian section showing a small amount of blood in the endometrial cavity and two large collections anterior to the low uterine segment. It is likely that the blood is from the incision of the LUS. A Hematocrit level is characterized by a clot (maroon)/fluid (serum yellow) level. Free fluid anterior to the liver is also noted. uterus enlarged post partum endometrium hemorrhage fluid fluid level peritoneal cavity intraperitoneal blood retained products considered as well cesarian section CTscan Courtesy Ashley Davidoff MD copyright 2009 all rights reserved 84070c02.81s )
DOMElement Object ( [schemaTypeInfo] => [tagName] => td [firstElementChild] => (object value omitted) [lastElementChild] => (object value omitted) [childElementCount] => 3 [previousElementSibling] => [nextElementSibling] => [nodeName] => td [nodeValue] => Post Cesarian Section Hemorrhage in Endometrial Cavity Hemorrhage into Pelvic Cavity [nodeType] => 1 [parentNode] => (object value omitted) [childNodes] => (object value omitted) [firstChild] => (object value omitted) [lastChild] => (object value omitted) [previousSibling] => (object value omitted) [nextSibling] => (object value omitted) [attributes] => (object value omitted) [ownerDocument] => (object value omitted) [namespaceURI] => [prefix] => [localName] => td [baseURI] => [textContent] => Post Cesarian Section Hemorrhage in Endometrial Cavity Hemorrhage into Pelvic Cavity )
DOMElement Object ( [schemaTypeInfo] => [tagName] => table [firstElementChild] => (object value omitted) [lastElementChild] => (object value omitted) [childElementCount] => 1 [previousElementSibling] => (object value omitted) [nextElementSibling] => (object value omitted) [nodeName] => table [nodeValue] => Hemorrhage into the Endometrial Cavity The ultrasound is from a 33 year old female who had a cervical biopsy and then showed complex fluid in a distended endometrial cavity. the findings are consistent with hematocolpos, but in the appropriate clinical setting could represent pyocolpos uterus blood hematocoplos expanded cavity complex fluid Courtesy Ashley DAvidoff MD copyright 2009 all rights reserved 85940c02.8s [nodeType] => 1 [parentNode] => (object value omitted) [childNodes] => (object value omitted) [firstChild] => (object value omitted) [lastChild] => (object value omitted) [previousSibling] => (object value omitted) [nextSibling] => (object value omitted) [attributes] => (object value omitted) [ownerDocument] => (object value omitted) [namespaceURI] => [prefix] => [localName] => table [baseURI] => [textContent] => Hemorrhage into the Endometrial Cavity The ultrasound is from a 33 year old female who had a cervical biopsy and then showed complex fluid in a distended endometrial cavity. the findings are consistent with hematocolpos, but in the appropriate clinical setting could represent pyocolpos uterus blood hematocoplos expanded cavity complex fluid Courtesy Ashley DAvidoff MD copyright 2009 all rights reserved 85940c02.8s )
DOMElement Object ( [schemaTypeInfo] => [tagName] => td [firstElementChild] => (object value omitted) [lastElementChild] => (object value omitted) [childElementCount] => 2 [previousElementSibling] => [nextElementSibling] => [nodeName] => td [nodeValue] => The ultrasound is from a 33 year old female who had a cervical biopsy and then showed complex fluid in a distended endometrial cavity. the findings are consistent with hematocolpos, but in the appropriate clinical setting could represent pyocolpos uterus blood hematocoplos expanded cavity complex fluid Courtesy Ashley DAvidoff MD copyright 2009 all rights reserved 85940c02.8s [nodeType] => 1 [parentNode] => (object value omitted) [childNodes] => (object value omitted) [firstChild] => (object value omitted) [lastChild] => (object value omitted) [previousSibling] => (object value omitted) [nextSibling] => (object value omitted) [attributes] => (object value omitted) [ownerDocument] => (object value omitted) [namespaceURI] => [prefix] => [localName] => td [baseURI] => [textContent] => The ultrasound is from a 33 year old female who had a cervical biopsy and then showed complex fluid in a distended endometrial cavity. the findings are consistent with hematocolpos, but in the appropriate clinical setting could represent pyocolpos uterus blood hematocoplos expanded cavity complex fluid Courtesy Ashley DAvidoff MD copyright 2009 all rights reserved 85940c02.8s )
DOMElement Object ( [schemaTypeInfo] => [tagName] => td [firstElementChild] => (object value omitted) [lastElementChild] => (object value omitted) [childElementCount] => 2 [previousElementSibling] => [nextElementSibling] => [nodeName] => td [nodeValue] => Hemorrhage into the Endometrial Cavity [nodeType] => 1 [parentNode] => (object value omitted) [childNodes] => (object value omitted) [firstChild] => (object value omitted) [lastChild] => (object value omitted) [previousSibling] => (object value omitted) [nextSibling] => (object value omitted) [attributes] => (object value omitted) [ownerDocument] => (object value omitted) [namespaceURI] => [prefix] => [localName] => td [baseURI] => [textContent] => Hemorrhage into the Endometrial Cavity )
DOMElement Object ( [schemaTypeInfo] => [tagName] => table [firstElementChild] => (object value omitted) [lastElementChild] => (object value omitted) [childElementCount] => 1 [previousElementSibling] => (object value omitted) [nextElementSibling] => (object value omitted) [nodeName] => table [nodeValue] => Two Lesions in the Junctional Zone Impinging on the Endometrium This patient presents with menorrhagia. Two echogenic nodules (overlaid in green) are seen in the subendometrial layer, (junctional zone). They are in close proximity and do appear to have appositional relationships with the endometrial stripe. They appear to and distort the endometrial lining. These findings could account for the patient’s menorrhagia. Note that the uterus is retroverted Included in the differential diagnosis are submucosal fibroids, and dystrophic changes in prior foci of adenomyosis. An MRI would be helpful in further characterizing these lesions in the subendometrial layer copyright 2009 all rights resrved Courtesy Ashley Davidoff MD 85641bc01.8s [nodeType] => 1 [parentNode] => (object value omitted) [childNodes] => (object value omitted) [firstChild] => (object value omitted) [lastChild] => (object value omitted) [previousSibling] => (object value omitted) [nextSibling] => (object value omitted) [attributes] => (object value omitted) [ownerDocument] => (object value omitted) [namespaceURI] => [prefix] => [localName] => table [baseURI] => [textContent] => Two Lesions in the Junctional Zone Impinging on the Endometrium This patient presents with menorrhagia. Two echogenic nodules (overlaid in green) are seen in the subendometrial layer, (junctional zone). They are in close proximity and do appear to have appositional relationships with the endometrial stripe. They appear to and distort the endometrial lining. These findings could account for the patient’s menorrhagia. Note that the uterus is retroverted Included in the differential diagnosis are submucosal fibroids, and dystrophic changes in prior foci of adenomyosis. An MRI would be helpful in further characterizing these lesions in the subendometrial layer copyright 2009 all rights resrved Courtesy Ashley Davidoff MD 85641bc01.8s )
DOMElement Object ( [schemaTypeInfo] => [tagName] => td [firstElementChild] => (object value omitted) [lastElementChild] => (object value omitted) [childElementCount] => 2 [previousElementSibling] => [nextElementSibling] => [nodeName] => td [nodeValue] => This patient presents with menorrhagia. Two echogenic nodules (overlaid in green) are seen in the subendometrial layer, (junctional zone). They are in close proximity and do appear to have appositional relationships with the endometrial stripe. They appear to and distort the endometrial lining. These findings could account for the patient’s menorrhagia. Note that the uterus is retroverted Included in the differential diagnosis are submucosal fibroids, and dystrophic changes in prior foci of adenomyosis. An MRI would be helpful in further characterizing these lesions in the subendometrial layer copyright 2009 all rights resrved Courtesy Ashley Davidoff MD 85641bc01.8s [nodeType] => 1 [parentNode] => (object value omitted) [childNodes] => (object value omitted) [firstChild] => (object value omitted) [lastChild] => (object value omitted) [previousSibling] => (object value omitted) [nextSibling] => (object value omitted) [attributes] => (object value omitted) [ownerDocument] => (object value omitted) [namespaceURI] => [prefix] => [localName] => td [baseURI] => [textContent] => This patient presents with menorrhagia. Two echogenic nodules (overlaid in green) are seen in the subendometrial layer, (junctional zone). They are in close proximity and do appear to have appositional relationships with the endometrial stripe. They appear to and distort the endometrial lining. These findings could account for the patient’s menorrhagia. Note that the uterus is retroverted Included in the differential diagnosis are submucosal fibroids, and dystrophic changes in prior foci of adenomyosis. An MRI would be helpful in further characterizing these lesions in the subendometrial layer copyright 2009 all rights resrved Courtesy Ashley Davidoff MD 85641bc01.8s )
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DOMElement Object ( [schemaTypeInfo] => [tagName] => table [firstElementChild] => (object value omitted) [lastElementChild] => (object value omitted) [childElementCount] => 1 [previousElementSibling] => (object value omitted) [nextElementSibling] => (object value omitted) [nodeName] => table [nodeValue] => Hemorrhagic Gastritis 12264 code stomach gastric + hemorrhagic gastritis grosspathology [nodeType] => 1 [parentNode] => (object value omitted) [childNodes] => (object value omitted) [firstChild] => (object value omitted) [lastChild] => (object value omitted) [previousSibling] => (object value omitted) [nextSibling] => (object value omitted) [attributes] => (object value omitted) [ownerDocument] => (object value omitted) [namespaceURI] => [prefix] => [localName] => table [baseURI] => [textContent] => Hemorrhagic Gastritis 12264 code stomach gastric + hemorrhagic gastritis grosspathology )
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DOMElement Object ( [schemaTypeInfo] => [tagName] => table [firstElementChild] => (object value omitted) [lastElementChild] => (object value omitted) [childElementCount] => 1 [previousElementSibling] => (object value omitted) [nextElementSibling] => (object value omitted) [nodeName] => table [nodeValue] => Normal Antrum and Stomach with Hemorrhagic Gastritis 01978b stomach gastric pylorus duodenum junction normal anatomy 12263 code stomach gastric + hemorrhagic gastritis grosspathology [nodeType] => 1 [parentNode] => (object value omitted) [childNodes] => (object value omitted) [firstChild] => (object value omitted) [lastChild] => (object value omitted) [previousSibling] => (object value omitted) [nextSibling] => (object value omitted) [attributes] => (object value omitted) [ownerDocument] => (object value omitted) [namespaceURI] => [prefix] => [localName] => table [baseURI] => [textContent] => Normal Antrum and Stomach with Hemorrhagic Gastritis 01978b stomach gastric pylorus duodenum junction normal anatomy 12263 code stomach gastric + hemorrhagic gastritis grosspathology )
DOMElement Object ( [schemaTypeInfo] => [tagName] => td [firstElementChild] => (object value omitted) [lastElementChild] => (object value omitted) [childElementCount] => 2 [previousElementSibling] => [nextElementSibling] => [nodeName] => td [nodeValue] => 01978b stomach gastric pylorus duodenum junction normal anatomy 12263 code stomach gastric + hemorrhagic gastritis grosspathology [nodeType] => 1 [parentNode] => (object value omitted) [childNodes] => (object value omitted) [firstChild] => (object value omitted) [lastChild] => (object value omitted) [previousSibling] => (object value omitted) [nextSibling] => (object value omitted) [attributes] => (object value omitted) [ownerDocument] => (object value omitted) [namespaceURI] => [prefix] => [localName] => td [baseURI] => [textContent] => 01978b stomach gastric pylorus duodenum junction normal anatomy 12263 code stomach gastric + hemorrhagic gastritis grosspathology )
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DOMElement Object ( [schemaTypeInfo] => [tagName] => table [firstElementChild] => (object value omitted) [lastElementChild] => (object value omitted) [childElementCount] => 1 [previousElementSibling] => (object value omitted) [nextElementSibling] => (object value omitted) [nodeName] => table [nodeValue] => Normal and Ruptured Aorta 37004 abdomen aorta kidneys cortical phase subcurtaneous fat adipose tissue normal anatomy gallsones cholelthiasis CT scan Davidoff MD 18269 aorta abdomen AAA aortic aneurysm abdominal aorta retroperitoneum fx retroperitoneal hematoma fx active hemorrhage fx perinephric hematoma anterior pararenal space perirenal space posterior pararenal space hemorrhage dx rupture abdominal aortic aneurysm CTscan Davidoff MD fx ruptured AAA [nodeType] => 1 [parentNode] => (object value omitted) [childNodes] => (object value omitted) [firstChild] => (object value omitted) [lastChild] => (object value omitted) [previousSibling] => (object value omitted) [nextSibling] => (object value omitted) [attributes] => (object value omitted) [ownerDocument] => (object value omitted) [namespaceURI] => [prefix] => [localName] => table [baseURI] => [textContent] => Normal and Ruptured Aorta 37004 abdomen aorta kidneys cortical phase subcurtaneous fat adipose tissue normal anatomy gallsones cholelthiasis CT scan Davidoff MD 18269 aorta abdomen AAA aortic aneurysm abdominal aorta retroperitoneum fx retroperitoneal hematoma fx active hemorrhage fx perinephric hematoma anterior pararenal space perirenal space posterior pararenal space hemorrhage dx rupture abdominal aortic aneurysm CTscan Davidoff MD fx ruptured AAA )
DOMElement Object ( [schemaTypeInfo] => [tagName] => td [firstElementChild] => (object value omitted) [lastElementChild] => (object value omitted) [childElementCount] => 2 [previousElementSibling] => [nextElementSibling] => [nodeName] => td [nodeValue] => 37004 abdomen aorta kidneys cortical phase subcurtaneous fat adipose tissue normal anatomy gallsones cholelthiasis CT scan Davidoff MD 18269 aorta abdomen AAA aortic aneurysm abdominal aorta retroperitoneum fx retroperitoneal hematoma fx active hemorrhage fx perinephric hematoma anterior pararenal space perirenal space posterior pararenal space hemorrhage dx rupture abdominal aortic aneurysm CTscan Davidoff MD fx ruptured AAA [nodeType] => 1 [parentNode] => (object value omitted) [childNodes] => (object value omitted) [firstChild] => (object value omitted) [lastChild] => (object value omitted) [previousSibling] => (object value omitted) [nextSibling] => (object value omitted) [attributes] => (object value omitted) [ownerDocument] => (object value omitted) [namespaceURI] => [prefix] => [localName] => td [baseURI] => [textContent] => 37004 abdomen aorta kidneys cortical phase subcurtaneous fat adipose tissue normal anatomy gallsones cholelthiasis CT scan Davidoff MD 18269 aorta abdomen AAA aortic aneurysm abdominal aorta retroperitoneum fx retroperitoneal hematoma fx active hemorrhage fx perinephric hematoma anterior pararenal space perirenal space posterior pararenal space hemorrhage dx rupture abdominal aortic aneurysm CTscan Davidoff MD fx ruptured AAA )
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DOMElement Object ( [schemaTypeInfo] => [tagName] => table [firstElementChild] => (object value omitted) [lastElementChild] => (object value omitted) [childElementCount] => 1 [previousElementSibling] => (object value omitted) [nextElementSibling] => (object value omitted) [nodeName] => table [nodeValue] => Henoch Schonlein Arteritis Segmental Spasm with Hemorrhage Young female presents with GI bleed hemorrhage bleeding blood small bowel colon SMA superior mesenteric artery jejunal branches ileocolic artery fx arterial spasm fx contrast extravasation RLQ in cecum dx arteritis angiitis vasculitis arteriopathy dx Henoch -Schonlein arteritis angiography angiogram Courtesy Ashley Davidoff MD 28514 28515 28516 28517 surgical specimen showed plaque like ulcers in the bowel consistent with chronic ischemia [nodeType] => 1 [parentNode] => (object value omitted) [childNodes] => (object value omitted) [firstChild] => (object value omitted) [lastChild] => (object value omitted) [previousSibling] => (object value omitted) [nextSibling] => (object value omitted) [attributes] => (object value omitted) [ownerDocument] => (object value omitted) [namespaceURI] => [prefix] => [localName] => table [baseURI] => [textContent] => Henoch Schonlein Arteritis Segmental Spasm with Hemorrhage Young female presents with GI bleed hemorrhage bleeding blood small bowel colon SMA superior mesenteric artery jejunal branches ileocolic artery fx arterial spasm fx contrast extravasation RLQ in cecum dx arteritis angiitis vasculitis arteriopathy dx Henoch -Schonlein arteritis angiography angiogram Courtesy Ashley Davidoff MD 28514 28515 28516 28517 surgical specimen showed plaque like ulcers in the bowel consistent with chronic ischemia )
DOMElement Object ( [schemaTypeInfo] => [tagName] => td [firstElementChild] => (object value omitted) [lastElementChild] => (object value omitted) [childElementCount] => 1 [previousElementSibling] => [nextElementSibling] => [nodeName] => td [nodeValue] => Young female presents with GI bleed hemorrhage bleeding blood small bowel colon SMA superior mesenteric artery jejunal branches ileocolic artery fx arterial spasm fx contrast extravasation RLQ in cecum dx arteritis angiitis vasculitis arteriopathy dx Henoch -Schonlein arteritis angiography angiogram Courtesy Ashley Davidoff MD 28514 28515 28516 28517 surgical specimen showed plaque like ulcers in the bowel consistent with chronic ischemia [nodeType] => 1 [parentNode] => (object value omitted) [childNodes] => (object value omitted) [firstChild] => (object value omitted) [lastChild] => (object value omitted) [previousSibling] => (object value omitted) [nextSibling] => (object value omitted) [attributes] => (object value omitted) [ownerDocument] => (object value omitted) [namespaceURI] => [prefix] => [localName] => td [baseURI] => [textContent] => Young female presents with GI bleed hemorrhage bleeding blood small bowel colon SMA superior mesenteric artery jejunal branches ileocolic artery fx arterial spasm fx contrast extravasation RLQ in cecum dx arteritis angiitis vasculitis arteriopathy dx Henoch -Schonlein arteritis angiography angiogram Courtesy Ashley Davidoff MD 28514 28515 28516 28517 surgical specimen showed plaque like ulcers in the bowel consistent with chronic ischemia )
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DOMElement Object ( [schemaTypeInfo] => [tagName] => table [firstElementChild] => (object value omitted) [lastElementChild] => (object value omitted) [childElementCount] => 1 [previousElementSibling] => (object value omitted) [nextElementSibling] => (object value omitted) [nodeName] => table [nodeValue] => Glioblastoma of the Corpus Callosum S/P Debulking 72420c01 46 male brain cerebrum genu of the corpus callosum crosses midline enhancing tumor in periphery surrounding edema dilated right hor mass effect on the lateral ventricles tumor arises from the corpus callosum post operative resection of the left side of the tumor methemoglobin effects in the left side a = T1 post gadolinium b= T1 weighted post contrast c= T2 weighted d = GRE blood products T2* effects dx glioblastoma s/p debulking Davidoff MD [nodeType] => 1 [parentNode] => (object value omitted) [childNodes] => (object value omitted) [firstChild] => (object value omitted) [lastChild] => (object value omitted) [previousSibling] => (object value omitted) [nextSibling] => (object value omitted) [attributes] => (object value omitted) [ownerDocument] => (object value omitted) [namespaceURI] => [prefix] => [localName] => table [baseURI] => [textContent] => Glioblastoma of the Corpus Callosum S/P Debulking 72420c01 46 male brain cerebrum genu of the corpus callosum crosses midline enhancing tumor in periphery surrounding edema dilated right hor mass effect on the lateral ventricles tumor arises from the corpus callosum post operative resection of the left side of the tumor methemoglobin effects in the left side a = T1 post gadolinium b= T1 weighted post contrast c= T2 weighted d = GRE blood products T2* effects dx glioblastoma s/p debulking Davidoff MD )
DOMElement Object ( [schemaTypeInfo] => [tagName] => td [firstElementChild] => (object value omitted) [lastElementChild] => (object value omitted) [childElementCount] => 1 [previousElementSibling] => [nextElementSibling] => [nodeName] => td [nodeValue] => 72420c01 46 male brain cerebrum genu of the corpus callosum crosses midline enhancing tumor in periphery surrounding edema dilated right hor mass effect on the lateral ventricles tumor arises from the corpus callosum post operative resection of the left side of the tumor methemoglobin effects in the left side a = T1 post gadolinium b= T1 weighted post contrast c= T2 weighted d = GRE blood products T2* effects dx glioblastoma s/p debulking Davidoff MD [nodeType] => 1 [parentNode] => (object value omitted) [childNodes] => (object value omitted) [firstChild] => (object value omitted) [lastChild] => (object value omitted) [previousSibling] => (object value omitted) [nextSibling] => (object value omitted) [attributes] => (object value omitted) [ownerDocument] => (object value omitted) [namespaceURI] => [prefix] => [localName] => td [baseURI] => [textContent] => 72420c01 46 male brain cerebrum genu of the corpus callosum crosses midline enhancing tumor in periphery surrounding edema dilated right hor mass effect on the lateral ventricles tumor arises from the corpus callosum post operative resection of the left side of the tumor methemoglobin effects in the left side a = T1 post gadolinium b= T1 weighted post contrast c= T2 weighted d = GRE blood products T2* effects dx glioblastoma s/p debulking Davidoff MD )
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DOMElement Object ( [schemaTypeInfo] => [tagName] => table [firstElementChild] => (object value omitted) [lastElementChild] => (object value omitted) [childElementCount] => 1 [previousElementSibling] => (object value omitted) [nextElementSibling] => (object value omitted) [nodeName] => table [nodeValue] => Acute Cerebral Hemorrhage with Mass Effect and Rupture into the Ventricles 72143c01 brain cerebral hemorrhage hemorrhagic CVA hematoma lateral ventricles 4th ventricle fourth ventricle mass effect gray matter white matter loss of the gray white interface cerebral edema blood CTscan CVA Davidoff MD [nodeType] => 1 [parentNode] => (object value omitted) [childNodes] => (object value omitted) [firstChild] => (object value omitted) [lastChild] => (object value omitted) [previousSibling] => (object value omitted) [nextSibling] => (object value omitted) [attributes] => (object value omitted) [ownerDocument] => (object value omitted) [namespaceURI] => [prefix] => [localName] => table [baseURI] => [textContent] => Acute Cerebral Hemorrhage with Mass Effect and Rupture into the Ventricles 72143c01 brain cerebral hemorrhage hemorrhagic CVA hematoma lateral ventricles 4th ventricle fourth ventricle mass effect gray matter white matter loss of the gray white interface cerebral edema blood CTscan CVA Davidoff MD )
DOMElement Object ( [schemaTypeInfo] => [tagName] => td [firstElementChild] => (object value omitted) [lastElementChild] => (object value omitted) [childElementCount] => 1 [previousElementSibling] => [nextElementSibling] => [nodeName] => td [nodeValue] => 72143c01 brain cerebral hemorrhage hemorrhagic CVA hematoma lateral ventricles 4th ventricle fourth ventricle mass effect gray matter white matter loss of the gray white interface cerebral edema blood CTscan CVA Davidoff MD [nodeType] => 1 [parentNode] => (object value omitted) [childNodes] => (object value omitted) [firstChild] => (object value omitted) [lastChild] => (object value omitted) [previousSibling] => (object value omitted) [nextSibling] => (object value omitted) [attributes] => (object value omitted) [ownerDocument] => (object value omitted) [namespaceURI] => [prefix] => [localName] => td [baseURI] => [textContent] => 72143c01 brain cerebral hemorrhage hemorrhagic CVA hematoma lateral ventricles 4th ventricle fourth ventricle mass effect gray matter white matter loss of the gray white interface cerebral edema blood CTscan CVA Davidoff MD )
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DOMElement Object ( [schemaTypeInfo] => [tagName] => table [firstElementChild] => (object value omitted) [lastElementChild] => (object value omitted) [childElementCount] => 1 [previousElementSibling] => (object value omitted) [nextElementSibling] => (object value omitted) [nodeName] => table [nodeValue] => Acute Hemorrhage in the Left Cerebellar Vermis 71730 male with acute ataxia roof of fourth 4th ventricle acute bleed left vermis venous angioma brain cerebellum vermis vein cerebellar venous malformation vascular malformation T1 pre gadolinium T1 bright lesion dx acute hemorrhage MRI Davidoff MD [nodeType] => 1 [parentNode] => (object value omitted) [childNodes] => (object value omitted) [firstChild] => (object value omitted) [lastChild] => (object value omitted) [previousSibling] => (object value omitted) [nextSibling] => (object value omitted) [attributes] => (object value omitted) [ownerDocument] => (object value omitted) [namespaceURI] => [prefix] => [localName] => table [baseURI] => [textContent] => Acute Hemorrhage in the Left Cerebellar Vermis 71730 male with acute ataxia roof of fourth 4th ventricle acute bleed left vermis venous angioma brain cerebellum vermis vein cerebellar venous malformation vascular malformation T1 pre gadolinium T1 bright lesion dx acute hemorrhage MRI Davidoff MD )
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DOMElement Object ( [schemaTypeInfo] => [tagName] => table [firstElementChild] => (object value omitted) [lastElementChild] => (object value omitted) [childElementCount] => 1 [previousElementSibling] => (object value omitted) [nextElementSibling] => (object value omitted) [nodeName] => table [nodeValue] => Subarachnoid Bleed – Ruptured Aneurysm 72034c01 59 male presents with headache brain meninges tentorium circle of Willis ambient cisterns Berry aneurysm rupture subarachnoid blood subarachnoid hemorrhage headache CTscan Davidoff MD [nodeType] => 1 [parentNode] => (object value omitted) [childNodes] => (object value omitted) [firstChild] => (object value omitted) [lastChild] => (object value omitted) [previousSibling] => (object value omitted) [nextSibling] => (object value omitted) [attributes] => (object value omitted) [ownerDocument] => (object value omitted) [namespaceURI] => [prefix] => [localName] => table [baseURI] => [textContent] => Subarachnoid Bleed – Ruptured Aneurysm 72034c01 59 male presents with headache brain meninges tentorium circle of Willis ambient cisterns Berry aneurysm rupture subarachnoid blood subarachnoid hemorrhage headache CTscan Davidoff MD )
DOMElement Object ( [schemaTypeInfo] => [tagName] => td [firstElementChild] => (object value omitted) [lastElementChild] => (object value omitted) [childElementCount] => 1 [previousElementSibling] => [nextElementSibling] => [nodeName] => td [nodeValue] => 72034c01 59 male presents with headache brain meninges tentorium circle of Willis ambient cisterns Berry aneurysm rupture subarachnoid blood subarachnoid hemorrhage headache CTscan Davidoff MD [nodeType] => 1 [parentNode] => (object value omitted) [childNodes] => (object value omitted) [firstChild] => (object value omitted) [lastChild] => (object value omitted) [previousSibling] => (object value omitted) [nextSibling] => (object value omitted) [attributes] => (object value omitted) [ownerDocument] => (object value omitted) [namespaceURI] => [prefix] => [localName] => td [baseURI] => [textContent] => 72034c01 59 male presents with headache brain meninges tentorium circle of Willis ambient cisterns Berry aneurysm rupture subarachnoid blood subarachnoid hemorrhage headache CTscan Davidoff MD )
DOMElement Object ( [schemaTypeInfo] => [tagName] => td [firstElementChild] => (object value omitted) [lastElementChild] => (object value omitted) [childElementCount] => 2 [previousElementSibling] => [nextElementSibling] => [nodeName] => td [nodeValue] => Subarachnoid Bleed – Ruptured Aneurysm [nodeType] => 1 [parentNode] => (object value omitted) [childNodes] => (object value omitted) [firstChild] => (object value omitted) [lastChild] => (object value omitted) [previousSibling] => (object value omitted) [nextSibling] => (object value omitted) [attributes] => (object value omitted) [ownerDocument] => (object value omitted) [namespaceURI] => [prefix] => [localName] => td [baseURI] => [textContent] => Subarachnoid Bleed – Ruptured Aneurysm )
DOMElement Object ( [schemaTypeInfo] => [tagName] => table [firstElementChild] => (object value omitted) [lastElementChild] => (object value omitted) [childElementCount] => 1 [previousElementSibling] => (object value omitted) [nextElementSibling] => (object value omitted) [nodeName] => table [nodeValue] => Bilateral Subdural Hematomas 70000.800 skin brain cerebrum cerebral subcutaneous subdural contra coup fx acute blood fx density dense subdural hematoma subcutaneous hematoma trauma radiologists and detectives CTscan Davidoff MD [nodeType] => 1 [parentNode] => (object value omitted) [childNodes] => (object value omitted) [firstChild] => (object value omitted) [lastChild] => (object value omitted) [previousSibling] => (object value omitted) [nextSibling] => (object value omitted) [attributes] => (object value omitted) [ownerDocument] => (object value omitted) [namespaceURI] => [prefix] => [localName] => table [baseURI] => [textContent] => Bilateral Subdural Hematomas 70000.800 skin brain cerebrum cerebral subcutaneous subdural contra coup fx acute blood fx density dense subdural hematoma subcutaneous hematoma trauma radiologists and detectives CTscan Davidoff MD )
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DOMElement Object ( [schemaTypeInfo] => [tagName] => table [firstElementChild] => (object value omitted) [lastElementChild] => (object value omitted) [childElementCount] => 1 [previousElementSibling] => (object value omitted) [nextElementSibling] => (object value omitted) [nodeName] => table [nodeValue] => Acute Hemorrhagic Infarction 71239c01 patient with atrial fibrillation brain cerebrum parietal lobe increased density hyperdense parasagittal hemorrhagic infarct paracentral DWII bright T2 bright GRE mixed blood products dx acute hemorrhagic infarction secondary to embolic event the patient disd have other non hemorrhagic infrctions in other parts of the brain CTscan MRI Davidoff MD [nodeType] => 1 [parentNode] => (object value omitted) [childNodes] => (object value omitted) [firstChild] => (object value omitted) [lastChild] => (object value omitted) [previousSibling] => (object value omitted) [nextSibling] => (object value omitted) [attributes] => (object value omitted) [ownerDocument] => (object value omitted) [namespaceURI] => [prefix] => [localName] => table [baseURI] => [textContent] => Acute Hemorrhagic Infarction 71239c01 patient with atrial fibrillation brain cerebrum parietal lobe increased density hyperdense parasagittal hemorrhagic infarct paracentral DWII bright T2 bright GRE mixed blood products dx acute hemorrhagic infarction secondary to embolic event the patient disd have other non hemorrhagic infrctions in other parts of the brain CTscan MRI Davidoff MD )
DOMElement Object ( [schemaTypeInfo] => [tagName] => td [firstElementChild] => (object value omitted) [lastElementChild] => (object value omitted) [childElementCount] => 1 [previousElementSibling] => [nextElementSibling] => [nodeName] => td [nodeValue] => 71239c01 patient with atrial fibrillation brain cerebrum parietal lobe increased density hyperdense parasagittal hemorrhagic infarct paracentral DWII bright T2 bright GRE mixed blood products dx acute hemorrhagic infarction secondary to embolic event the patient disd have other non hemorrhagic infrctions in other parts of the brain CTscan MRI Davidoff MD [nodeType] => 1 [parentNode] => (object value omitted) [childNodes] => (object value omitted) [firstChild] => (object value omitted) [lastChild] => (object value omitted) [previousSibling] => (object value omitted) [nextSibling] => (object value omitted) [attributes] => (object value omitted) [ownerDocument] => (object value omitted) [namespaceURI] => [prefix] => [localName] => td [baseURI] => [textContent] => 71239c01 patient with atrial fibrillation brain cerebrum parietal lobe increased density hyperdense parasagittal hemorrhagic infarct paracentral DWII bright T2 bright GRE mixed blood products dx acute hemorrhagic infarction secondary to embolic event the patient disd have other non hemorrhagic infrctions in other parts of the brain CTscan MRI Davidoff MD )
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DOMElement Object ( [schemaTypeInfo] => [tagName] => td [firstElementChild] => (object value omitted) [lastElementChild] => (object value omitted) [childElementCount] => 1 [previousElementSibling] => [nextElementSibling] => [nodeName] => td [nodeValue] => 70048c01 brain parietal lobe fx hyperdensity small halo edema dx traumatic cerebral contusion bruise injury of brain without a break in the skin. L. Contusio, from contundere = to bruise CTscan 70048c01 70048.800 Davidoff MD [nodeType] => 1 [parentNode] => (object value omitted) [childNodes] => (object value omitted) [firstChild] => (object value omitted) [lastChild] => (object value omitted) [previousSibling] => (object value omitted) [nextSibling] => (object value omitted) [attributes] => (object value omitted) [ownerDocument] => (object value omitted) [namespaceURI] => [prefix] => [localName] => td [baseURI] => [textContent] => 70048c01 brain parietal lobe fx hyperdensity small halo edema dx traumatic cerebral contusion bruise injury of brain without a break in the skin. L. Contusio, from contundere = to bruise CTscan 70048c01 70048.800 Davidoff MD )
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