Raymond McCrudden
896 posts
Raymond McCrudden
@prmphotog
GI & HPB, advanced endoscopy (ERCP & EUS), passionate about teaching, imaging, and photography. “It’s all about the light.” Trainee in classical guitar.
Bournemouth, England Katılım Ekim 2015
1.4K Takip Edilen974 Takipçiler
A 61F presented with 1-week history of sharp epigastric pain radiating to the right upper quadrant with nausea. Examination elicited severe right upper abdominal tenderness.
CT abdomen found a small metallic wire lodged between the distal stomach and gallbladder with surrounding inflammation.
She was initially managed conservatively (bowel rest, analgesia, IV fluids). Gastroscopy was normal and symptoms improved, which led to her discharge.
At follow-up, repeat CT showed migration of the foreign body into the gallbladder wall (blue arrow).
She subsequently underwent cholecystectomy. Intra-operatively, surgeons identified a thin fistulous tract from the gastric antrum to the gallbladder, which was clipped and divided. The gallbladder specimen contained the thin metallic wire, consistent with a grill brush bristle wire. The patient recovered uneventfully after her surgery.
📸: pmc.ncbi.nlm.nih.gov/articles/PMC67…
Keith Siau@drkeithsiau
*Loosely inspired by real life events* Hospital visits due to ingestion of wire bristles from BBQ cleaning brushes are an under-recognised cause of injury, with approximately 130 hospital visits in the US each year. Most injuries occur when detached wire bristles adhere to grilled food and are inadvertently swallowed. Because the bristles are thin (often 1–2 cm), sharp, and difficult to visualise on plain X-rays, diagnosis may be delayed. Clinical presentations reported in the literature include: 1. Oropharyngeal or tonsillar impaction, leading to throat pain or problems swallowing. 2. Hypopharyngeal or oesophageal penetration. 3. Migration into soft tissues of the neck with abscess formation. 4. GI perforation involving the oesophagus, stomach or small bowel. 5. Migration into the gallbladder has also been reported, caused by a wire fistulation through the stomach. Take home messages: be careful when cleaning the BBQ this summer! Consider this in a patient with unexplained throat pain after a BBQ. 📹: The Good Doctor
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Duolingo is an amazing App and I’m enjoying studying German each evening. Learning is almost immersive. Rarely, when there might be a potential issue its sometimes tricky to work out the solution.
And the problem here? My phone had run out of memory!
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I have tried this exercise many times, I think there is a flaw in the sound picked up
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@DrAaronMcG @NEndoscopy Great to be part of this course John, Bidour and Manu. I hope the teaching was helpful. Its always great to come back to Newcastle, the nursing team were excellent and welcoming as ever; thank you too to industry who played their part in teaching on different stations.
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@NEndoscopy Great course, thanks for having me John and NUTH team
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Really enjoyed running this course. Great candidates and many thanks to all the trainers.
Vikramjit Mitra@MitraVikramjit
JAG Basic Skills ERCP course in Newcastle. Lots of useful discussions and shared learning. Importance of EUS prior to ERCP. Thank you John, Manu and the entire Newcastle team @NEndoscopy @JAG_Endoscopy @NorthernETA
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Disease X
Aired on BBC2 @DoctorChrisVT describes the detective trail to find Disease X, a potential airborne virus that will be the next pandemic. Inspiring, scary, uplifting, unsettling yet ultimately reassuring that agencies worldwide are on it. Food for thought for us all…
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Raymond McCrudden retweetledi
@NEndoscopy @NSTC123 @magoo21 @manuknayar Privileged to be part of the Newcastle EUS course last week. Thank you to the home team for having me back for the 10th course! Brilliant to work alongside all the invited faculty @magoo21 @NSTC123 @manuknayar Lovely group of delegates
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Day 1 JAG Basic EUS course at the NSTC. Lots of learning for the delegates and the teachers!!! @NSTC123
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Raymond McCrudden retweetledi
Merry Christmas to all those working in the NHS
Many staff in the NHS are grossly underpaid (even on Christmas day👇) but none more so than Resident Doctors who frequently graduate with >£100k debt
RT to support them & ask government to pay them ALL fairly #PayRestoration
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Delighted to have invited to be an Associate Editor for Frontline Gastroenterology as HPB lead. Looking forward to helping the journal on from strength to strength.
@FrontGastro_BMJ
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@KirstyWark thank you so much for all the work you have done over the years.
Retiring? What on Earth is that about?
Outstanding journalism, outstanding role model for female journalism, outstanding presenter under pressure, outstanding professional bar none!
Thank You!
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Thoughts and prayers for the family of @DrMichaelMosley. A tragic event for a clinician and broadcaster who radiated positivity like a beacon, connecting to people so clearly and effectively over health in #just_one_thing
He will be greatly missed.
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Okay, let’s get this out of the way.
My focus wasn’t great; but here’s the thing: you are looking at an amazingly innovative team in HPB tuition #HPB_Masterclass
9/10 May 2024 UCL London UK
1:1 hands on, real world MDT decisions
Surviving Adverse Events & much more
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Raymond McCrudden retweetledi
All set for fantastic 2 days of all things ERCP/EUS @LLEndoscopy HPB Masterclass! Registrations closed as full house. We’ll be demonstrating/discussing:
✔️Selective access
✔️Altered anatomy
✔️Stones
✔️Leaks
✔️Strictures
✔️Pancreatic collections
✔️Chronic panc
✔️GOO
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@GongGasGirl Go for it! You will be amazing. Would love to hear you speak.
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Pre TED talk getting mic’d up, stepping into the fear…..
(ps Wallfly team are the best, Dior and crew smooth everything over, patient, organised, make us look good, not judgy…)
#ASM24BRIS
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@anjan_dhar6 I did 2-3 luminal sessions to try expand my horizons! I was the stranger at the rear under the black cape with #imposter_syndrome.
#ESGEDays2024 are to be congratulated for being brave on tackling adverse events honestly and openly. Training sessions were equally outstanding.
Kassel, Germany 🇩🇪 English
@prmphotog Agree. I usually don’t go to the EUS/ERCP sessions and you don’t attend luminal and colon sessions. So our paths didn’t cross. We should do a UK endoscopists drink reception at ESGE.
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Didn’t get to see you at the conference. You must have been sight seeing. Here is one of your photos at night!!
Prof John Leeds@NEndoscopy
Really enjoying #ESGEDays2024 Excellent high quality talks and demonstrations. Great networking. Fabulous tips and tricks. Berlin is a wonderful city also and got to have a bit of a look around…
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