The positive and negative teach many lessons
Gain a perspective – a place from which to look at the forces and energies that drive the world, learn to look, and you will stand in awe.
Outline
First principles – physical forces chemical radiational electrical
forces in structure – size shape position and character links and connections then by organ system
forces in function receiving processing exporting control protection storage growth reproduction then by organ system
forces in disease inflammation infection neoplasm mechanical trauma metabolic circulatory inherited functional then by organ system
forces in diagnosis clinical lab imaging then by organ system
forces in treatment surgery medicine then organ system
Principles
The particles of the universe are in constant motion – tumbling spinning and interacting in both chatic and in orderly fashions. The speed with which they move about relates to the energy they have – and is directly related to the heat that they contain. As they move about they interact with one another based on forces in the environment and forces that are innate. The forces may be attractive or repulsive in nature. The electrical forces of negative ands positive make the most intuitive sense. Opposite electrical forces attract and similar forces repel.
Fundamental Forces
Electrical Force
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84154b04.699 positive and negative extreme states black and white Davidoff art Davidoff MD |
Gravity
The force of garvity is a fundamental force causing every structure in the universe to be attracted to every other structure
![]() |
84232p.800 water fountain motor force wind gravity potential energy kinetic energy gravitational force Cambridge Massachusetts Davidoff photography |
Specific Gravity
![]() Acute Cholecystitis Caused by Cholesterol Crystals |
77753c03.8s young female right upperquadrant tenderness RUQ gallbladder echogenic irregular fluid fluid layer conforming to the shape of the gallbladder wall thickened linear echoes floaters crystalline SG less than bile cholesterol crystals specific gravity forces space cholelithiasis stones small acute cholecystitis USscan ultrasound Courtesy Ashley Davidoff MD For Radiologists and Detectives |
Strong Nuclear Force
This force is responsible for holding positively charged protons together in the nucleus of the atom superceding the repulsive forces of similalrly charged particles.
![]() Strong Nuclear Forces Positive Forces – Attraction in the Nucleus |
84154b05.800 positive and negative extreme states black and white strong nuclear forces Davidoff art Davidoff MD |
![]() |
73417pb01 mirror image forces through reflection water plants reflection opposites ying yang water drops gravity flower Purity Springs New Hampshire Davidoff photography Davidoff MD |
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02504pb03 water droplets window glass teardrop shape Davidoff photography water |
![]() Gravity Ascites Collecting in the Most Posterior Part of the Peritoneal Cavity |
71941c01 cul de sac pararectal space fluid water ascites forces gravity dependancy most posterior part of the peritoneal cavity anatomy position size space rectum seminal vesicles Davidoff MD |
![]() Collecting in the Most Posterior Part of the Pleural Cavity |
49454 lung pleura effusions bilateral pleural effusions compressive atelectasis left atrial enlargement coronary artery calcification congestive heart failure CHF CTscan Davidoff MD |
16045 kidney renal nephrolithiasis fx calcifications calcified fluid fluid level dx milk of calcium urine CTscan Davidoff MD 16046b01 16046 |
![]() |
16046 urinary bladder fx calcification calcified lying posterior and midline dx recently passed stone CTscan Davidoff MD 16046 16046b01 |
Hydrostattic Forces
![]() |
65423 leaves leaf water droplets rain forces green shape sphere cohesion Davidoff MD Davidoff photography |
![]() |
Created by Abby Rischin PhD – Step into Art program – Newton Mass 80238pb04 Davidoff photography |
Gravitational Forces
73417p water plants reflection water drops gravity flower Purity Springs New Hampshire Davidoff photography Davidoff MD |
Gravity
Pressure Radius Tension
![]() |
This image shows a famous cardiologist, Dr Jonathan Fisher performing as Zippy the clown revealing and exaggerating the difficulty with surface tension and radius in the early stages of blowing up a balloon. Courtesy Ashley Davidoff MD. 60730b01 code lung physiology balloon surface tension surfactant alveolus alveoli radius principles |
Chemical Forces
![]() |
49462 chest esophagus PH probe intraoperative monitoring for aspiration of stomach contents CXR plain X-Ray of the chest Davidoff MD |
Electrical
![]() ![]() |
In this scene of Johannesburg taken from the highway, we can view the vital lines of electrical energy that are essential to maintain the city. In the distance we see the city that the electrical lines serves. We also see other elements that have biological equivalents. – the fence that protects and prevents and forms a border between the highway and the property of the homes that reside on the other side. An old goldmine dump to the left of the picture – the tall post office tower for communication and a host of office buildings for collaborative effort. 57692 city electricity air energy essential community need Johannesburg South Africa fence capsule tcv the common vein Davidoff photography83925 elctricity node ganglion nerve control telephone cable box connections communication control systems nerves Davidoff photography |
Radiational Forces
22975 Courtesy Ashley Davidoff MD code liver fx density straight border dx breast carcinoima dx radiation hepatitis imaging radiology CTscan DB |
Action Reaction
![]() |
49460c03 respiratory system lung left upper lobe fx atelecatsis compensation mediastinal shift lung shift volume loss plain CXR chest X-ray popcorn calcification Davidoff MD 49460c02.800 |
Forces in Structure
Size
![]() |
This image shows a famous cardiologist, Dr Jonathan Fisher performing as Zippy the clown revealing and exaggerating the difficulty with surface tension and radius in the early stages of blowing up a balloon. Courtesy Ashley Davidoff MD. 60730b01 code lung physiology balloon surface tension surfactant alveolus alveoli radius principles |
Shape
Position and Space
![]() |
49454 lung pleura effusions bilateral pleural effusions compressive atelectasis left atrial enlargement coronary artery calcification congestive heart failure CHF CTscan Davidoff MD |
Vaccuum
![]() |
49675c01 brain cerebrum cerebral frontal lobe parietal lobe young woman hx of brain trauma after MVA fx focally dilated right anterior ventricle volume loss frontoparietal region dx trumatic brain injury with gliosis volum loss and ex vacuo changes CTscan Davidoff MD |
![]() |
In this unfortunate 60 year old a stroke which is seen in the high superior and anterior frontal lobe as a low density abnormality in a, overlaid in green in b, resulted in a significant functional defect including spastic deformity and functional loss of the left arm and hand. 48641c01.800 60 year old male brain area of decreased attenuation in the superior anterior frontal laobe fx encephalomalacia dx chronic infarction CTscan 3 D resurface rendering Courtesy Ashley Davidoff MD |
Character
Links and Connections
![]() |
84574p.800 flower forces tensile strength web water droplet triangle shape Davidoff photography Davidof MD |
Trapped Forces
![]() Abscess in the Gallbladder Fossa s/p Cholecystectomy |
The CTscan represents an abscess in the post operative bed of a patient who had undergone cholecystectomy. The post op fossa and abscess has the same pyriform shape as the gallbladder and contains a fluid collection with bubbles of air characteristic of an infection with anerobic organisms. the bubbles although floating to the top are not quite free to form an air fluid layer indicating complex fluid probably with thick pus and fibrinous strands. Percutaneous drainage is indicated. of a different type 77668.8s gallbladder gallbladder fossa s/p cholecystectomy skin bile duct stent air fluid air fluid level s/p cholecystectomy abscess in post operative bed CTscan Courtesy Ashley DAvidoff MD copyright 2008 |
Forces in Function
CVS
![]() |
This image shows a famous cardiologist, Dr Jonathan Fisher performing as Zippy the clown revealing and exaggerating the difficulty with surface tension and radius in the early stages of blowing up a balloon. Courtesy Ashley Davidoff MD. 60730b01 code lung physiology balloon surface tension surfactant alveolus alveoli radius principles |
Muscular Forces
CVS
Contractile Forces Presssure Gradients
![]() |
49483b01 heart cardiac LV left ventricle aorta aortic systemic circulation capillary capillaries arterioles venules right atrium RA right ventricle RV normal physiology pressures hemodynamics Davidoff MD Davidoff art |
![]() Normal (a,c) and Aortic Stenosis with Post Stenotic Dilatation (b,d) |
07969c06 heart aorta left ventricle LV normal anatomy fx hypercontractile ballet slipper ejection fraction = 80% AV aortic valve thickened doming ejection click jet turbulence shear stress post stenotic dilalation dilitation LV angiogram angiography Courtesy Ashley Davidoff MD aortic valve 07969c03 07969c02 07969c04 |
![]() Aortic Valve Open in Systole (a) and Closed in Diasttole (b) |
17512c02.800 thorax aortic valve normal anatomy physiology systole diastole aortic valve open closed 3 cusps thoracic aorta ascending aorta Courtesy Ashley Davidoff MD |
![]() Cardiac Systole – Aortic Valve Opened |
71610.800 heart cardiac aorta aortic valve replacement AVR pacemaker time systole valve open plain film of the chest CXR Davidoff MD |
![]() |
33808b.800 heart cardiac physiology pressure EKG ECG pressure curves diagram LV aorta LA left atrium left ventricle systole diastole acv waves Davidoff MD |
GIT
![]() |
49462 chest esophagus PH probe intraoperative monitoring for aspiration of stomach contents CXR plain X-Ray of the chest Davidoff MD |
GUT
![]() Urinary Bladder – Pre Void and Post Void |
71687c01 urinary bladder pre void 100ccs post void urinary voiding function muscle contraction USscan Davidoff MD |
![]() |
80753pb01.800 Dancers Arielle Davidoff art Davidoff photography Courtesy Ashley Davidoff MD |
![]() |
64163b01 health youth age time physiology boy running happy davidoff photgraphy Davidoff MD |
Forces in Disease
Inflammation – Transudation –
![]() Transudation and Exudation |
71695c02 colon splenic flexure fx fat induration dirty fat Gerotas fascia lateral conal fascia thickened thickening of the interstitium acute inflammation inflammatory exudate diverticulitis large bowel CTscan Davidoff MD 71695c01 |
Infection
![]() Loculated Air in Empyema – Air = infection in this Instance |
71441c01 lung pleura air air bubbles forces gravity fibrin complex loculated thickened pleura pleural thickening fluid accumulation trapped air dx empyema CTscan Davidoff MD |
![]() |
46308 skull maxillary sinus fx air fluid level fx air bubbles fx complex fluid dx acute sinusitis CTscan maxillofacial Davidoff MD |
Neoplasia and Other Growth Disorders
![]() Atrophy and Ex Vacuo changes |
71411c01.801 74 male with mental status changes brain cerebrum cerebral fx gliosis volume loss enlargement lateral ventricle on left encephalomalacia dx superior left frontal lobe parietal lobe in the territory of the left MCA left middle cerebral artery dilated left lateral ventricle due to tissue atrophy pull push force ex vacuo change asymmetry a= CTscan b = DWI – negative c= FLAIR d= FLAIR coronal e = T2 weighted image f = T2 weighted image MRI Davidoff MD 71411c01.800 |
Mechanical
Weakened Resistance
![]() |
49471c03 bone hx male with history of metastatic lung carcinoma bone femur femoral neck fx fracture fx osteolytic bone lesion in neck dx pathological fracture artery atherosclerosis CTscan Davidoff MD 49471c032 |
Disease and Healing
![]() Boxers Fracture 15 year old – Healing 4 Weeks Later |
72175c01.800 15 year old with pain after punching bone hand 5th metacarpal fracture growth plates epiphyses epiphysis Boxer’s fracture four weeks later 4 weeks healing osteoid periosteal reaction osteoclastic activity periosteum plain X-ray plain film Davidoff MD |
![]() |
49464 bone femur fx healed fracture compensation total knee replacement plain X-Ray Davidoff MD 49465 |
Circulatory Disease
Opposite Forces
![]() |
60438.800 s/p catheterization with painful pu;satile hematoma with new bruit artery femoral artery fx yin yang sign aka ying yang turbulent flow dx pseudoameurysm false aneurysm USscan color flow doppler red blue Davidoff MD |
![]() |
This image shows a famous cardiologist, Dr Jonathan Fisher performing as Zippy the clown revealing and exaggerating the difficulty with surface tension and radius in the early stages of blowing up a balloon. Courtesy Ashley Davidoff MD. 60730b01 code lung physiology balloon surface tension surfactant alveolus alveoli radius principles |
![]() |
70027c01 aorta abdomen abdominal aortic aneurysm normal aorta TCV applied biology AAA USscan Davidoff MD |
Compressive Forces
![]() |
49454 lung pleura effusions bilateral pleural effusions compressive atelectasis left atrial enlargement coronary artery calcification congestive heart failure CHF CTscan Davidoff MD |
Mechanical Disease
![]() |
Flow in this tube is demonstrated by the arrows going from right to left through a narrowingin the tube (red) demonstrating a vacuum or suction effect caused by the sudden acceleration of the fluid as it goes through the narrowing or stenosis. This is seen in the U shaped monometer with the fluid level in blue being relatively higher at the site of the stenosis in relation to the pressure more upstream. The suction phenomenon is kown as the Venturi effect is seen in IHSS where the narrowing of the LVOT causes a vacuum effect on the anterior leaflet of the MV resulting in mitral regurgitation. The Venturi effect is also utilised in the functioning of carburettors in fuel driven engines. 34807b05 code heart cardiac SAM IHSS pressure drop vacuum suction acceleration stnosis Venturi effect tube principles |
Mechanical Forces
Obstructive
![]() |
49430c01 esopagus GE junction stricture hiatis hernia barium swsllow upper GI size Davidoff MD |
![]() |
In this unfortunate 60 year old a stroke which is seen in the high superior and anterior frontal lobe as a low density abnormality in a, overlaid in green in b, resulted in a significant functional defect including spastic deformity and functional loss of the left arm and hand. 48641c01.800 60 year old male brain area of decreased attenuation in the superior anterior frontal laobe fx encephalomalacia dx chronic infarction CTscan 3 D resurface rendering Courtesy Ashley Davidoff MD |
Traumatic Forces
![]() Normal and Abnormal Falling on the Outstretched Hand – Colle’s Fracture |
70034c03 bone radius ulna wrist dorsally angulated fracture of distal radial metaphysis 2-3 cm proximal to wrist joint,sometimes associated frx of ulnar styloid frx line is almost always on volar side dx Colle’s fracture plain X-ray plain film of wrist normal wrist 70034c03 70034c04 Davidoff MD |
![]() Acute Traumatic Injury with Floor of Orbit and Roof of Maxillary Sinus Fracture Footprints of the Path of the Force |
48729c01 bone face skull inferior orbital wall maxillary sinus air fluid level blood swelling fracture skin edema bruise trauma forces 3D volume rendering CTscan Davidoff MD |
Systems
Forces in Diagnosis
![]() |
70026 gallbladder stones shadowing forces reflection transmission dx cholelithiasis USscan Davidoff MD |
Gravity
16045 kidney renal nephrolithiasis fx calcifications calcified fluid fluid level dx milk of calcium urine CTscan Davidoff MD 16046b01 16046 |
Role of Gravity in Diagnosis
![]() Small Bowel Supported by Mesentery in a Patient with Ascites |
72564.800 small bowel mesentery support ascites fluid floating small bowel USscan Davidoff MD |
![]() |
16046 urinary bladder fx calcification calcified lying posterior and midline dx recently passed stone CTscan Davidoff MD 16046 16046b01 |
Velocity and Direction
![]() |
60650 iliac artery doppler one toward and one away relative position depending on the observer perception deduction USscan Davidoff MD |
Lack of Forces – No Protons in Air
![]() Air in a Brain Abscess – T1 T2 FLAIR GRE |
71604.c02b 40 year old female with headache brain maxillary sinus frontal lobe fx air fluid level parafalcine falx cerebri a= T1 weighted b= T2 weighted c = FLAIR d= GRE dx left maxillary sinusitis with brain abscess air fluid level thickened mucosa of maxillary sinus MRI Davidoff MD 71604.c02 71604.c03 71604.c04 71604.c02b |
![]() Tension Pneumothorax in the Supine Position |
24149 hx 65M s/p multitrauma presents to radiology to evaluate abdominal pain chest lung mediastinum fx expanded left lower lobe LLL fx lucent fx mediastinal shift mediastinum fx deep sulcus sign dx tension pneumothorax scout film CTscan imaging radiology radiologists and detectives 5star Courtesy Ashley Davidoff MD 24149 24150 24151 24152 24153 |
![]() Deep Sulcus Sign No Evidence of Tension due to Pneumonia |
44666 chest lung CXR fx deep sulcus sign pneumothorax PTX supine projection fx RLL pneumonia imaging radiology Courtesy Ashley Davidoff MD |
Second text
Positive and Negative Force and The Common Vein
Units, bonds and driving forces in the context of space and time are part of world in and around us.
Units bonds and driving force for wholeness
Two Opposite Forces Attract but Do Not Negate Each Other
Gravity
The force of garvity is a fundamental force causing every structure in the universe to be attracted to every other structure
![]() |
Mechanical Forces84232p.800 water fountain motor force wind gravity potential energy kinetic energy gravitational force Cambridge Massachusetts Davidoff photography
Water Driven Mill
89045p water mill gravity force power river Disney World Magic Kingdom Davidoff photography
Strong Nuclear Force
This force is responsible for holding positively charged protons together in the nucleus of the atom superceding the repulsive forces of similalrly charged particles.
![]() |
Strong Nuclear Forces
Positive Forces – Attraction in the Nucleus
84154b05.800 positive and negative extreme states black and white strong nuclear forces Davidoff art Davidoff MD
![]() |
Gravity
Reflection73417pb01 mirror image forces through reflection water plants reflection opposites ying yang water drops gravity flower Purity Springs New Hampshire Davidoff photography Davidoff MD
![]() |
Tear Drop02504pb03 water droplets window glass teardrop shape Davidoff photography water
Hydrostattic Forces
![]() |
Droplets on Leaves65423 leaves leaf water droplets rain forces green shape sphere cohesion Davidoff MD Davidoff photography
![]() |
Tulips in a VaseCreated by Abby Rischin PhD – Step into Art program – Newton Mass 80238pb04 Davidoff photography
Gravitational Forces
Waterplants after the Rain73417p water plants reflection water drops gravity flower Purity Springs New Hampshire Davidoff photography Davidoff MD
Gravity
16045 kidney renal nephrolithiasis fx calcifications calcified fluid fluid level dx milk of calcium urine CTscan Davidoff MD 16046b01 16046 |
![]() |
16046 urinary bladder fx calcification calcified lying posterior and midline dx recently passed stone CTscan Davidoff MD 16046 16046b01 |
Pressure Radius Tension
![]() |
Pressure Tension Radius Laplace’s LawThis image shows a famous cardiologist, Dr Jonathan Fisher performing as Zippy the clown revealing and exaggerating the difficulty with surface tension and radius in the early stages of blowing up a balloon. Courtesy Ashley Davidoff MD. 60730b01 code lung physiology balloon surface tension surfactant alveolus alveoli radius principles
Chemical Forces
Electrical
![]() ![]() |
System of Wires Nerves and Autonomic GangliaIn this scene of Johannesburg taken from the highway, we can view the vital lines of electrical energy that are essential to maintain the city. In the distance we see the city that the electrical lines serves. We also see other elements that have biological equivalents. – the fence that protects and prevents and forms a border between the highway and the property of the homes that reside on the other side. An old goldmine dump to the left of the picture – the tall post office tower for communication and a host of office buildings for collaborative effort.
57692 city electricity air energy essential community need Johannesburg South Africa fence capsule tcv the common vein Davidoff photography
83925 elctricity node ganglion nerve control telephone cable box connections communication control systems nerves Davidoff photography
![]() Cardiac Systole – Aortic Valve Opened |
71610.800 heart cardiac aorta aortic valve replacement AVR pacemaker time systole valve open plain film of the chest CXR Davidoff MD |
Radiational Forces
XRT – Radiation Effects on the liver22975 Courtesy Ashley Davidoff MD code liver fx density straight border dx breast carcinoima dx radiation hepatitis imaging radiology CTscan DB
Action Reaction
Forces in Structure
Size
![]() |
Pressure Tension Radius Laplace’s LawThis image shows a famous cardiologist, Dr Jonathan Fisher performing as Zippy the clown revealing and exaggerating the difficulty with surface tension and radius in the early stages of blowing up a balloon. Courtesy Ashley Davidoff MD. 60730b01 code lung physiology balloon surface tension surfactant alveolus alveoli radius principles
Shape
Position and Space
Vaccuum
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Vaccuum
![]() |
49675c01 brain cerebrum cerebral frontal lobe parietal lobe young woman hx of brain trauma after MVA fx focally dilated right anterior ventricle volume loss frontoparietal region dx trumatic brain injury with gliosis volum loss and ex vacuo changes CTscan Davidoff MD |
Character
Links and Connections
![]() |
Tensile Strength84574p.800 flower forces tensile strength web water droplet triangle shape Davidoff photography Davidof MD
Trapped Forces
Forces in Function
CVS
Muscular Forces
CVS
Contractile Forces Presssure Gradients
![]() |
Normal Pressures49483b01 heart cardiac LV left ventricle aorta aortic systemic circulation capillary capillaries arterioles venules right atrium RA right ventricle RV normal physiology pressures hemodynamics Davidoff MD Davidoff art
![]() |
Normal (a,c) and Aortic Stenosis with Post Stenotic Dilatation (b,d)
07969c06 heart aorta left ventricle LV normal anatomy fx hypercontractile ballet slipper ejection fraction = 80% AV aortic valve thickened doming ejection click jet turbulence shear stress post stenotic dilalation dilitation LV angiogram angiography Courtesy Ashley Davidoff MD aortic valve 07969c03 07969c02 07969c04
// ul”).tabs();
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// ]]>Untitled Document
![]() Aortic Valve Open in Systole (a) and Closed in Diasttole (b) |
17512c02.800 thorax aortic valve normal anatomy physiology systole diastole aortic valve open closed 3 cusps thoracic aorta ascending aorta Courtesy Ashley Davidoff MD |
![]() |
Wiggers Diagram – Pressures in th Cardiovascular System33808b.800 heart cardiac physiology pressure EKG ECG pressure curves diagram LV aorta LA left atrium left ventricle systole diastole acv waves Davidoff MD
GIT
GUT
![]() Urinary Bladder – Pre Void and Post Void |
71687c01 urinary bladder pre void 100ccs post void urinary voiding function muscle contraction USscan Davidoff MD |
![]() |
Coordinated Muscular Forces80753pb01.800 Dancers Arielle Davidoff art Davidoff photography Courtesy Ashley Davidoff MD
![]() |
Running64163b01 health youth age time physiology boy running happy davidoff photgraphy Davidoff MD
Chemical Forces
// ul”).tabs();
});
// ]]>Untitled Document
Chemical Forces
![]() |
49462 chest esophagus PH probe intraoperative monitoring for aspiration of stomach contents CXR plain X-Ray of the chest Davidoff MD |
Forces in Disease
Inflammation – Transudation –
![]() |
Transudation and Exudation
71695c02 colon splenic flexure fx fat induration dirty fat Gerotas fascia lateral conal fascia thickened thickening of the interstitium acute inflammation inflammatory exudate diverticulitis large bowel CTscan Davidoff MD 71695c01
Infection
![]() |
Loculated Air in Empyema – Air = infection in this Instance
71441c01 lung pleura air air bubbles forces gravity fibrin complex loculated thickened pleura pleural thickening fluid accumulation trapped air dx empyema CTscan Davidoff MD
![]() |
Air Trapped by Fibrin – Implications 46308 skull maxillary sinus fx air fluid level fx air bubbles fx complex fluid dx acute sinusitis CTscan maxillofacial Davidoff MD
// ul”).tabs();
});
// ]]>Untitled Document
02504pb03 water droplets window glass teardrop shape Davidoff photography water |
![]() Gravity Ascites Collecting in the Most Posterior Part of the Peritoneal Cavity |
71941c01 cul de sac pararectal space fluid water ascites forces gravity dependancy most posterior part of the peritoneal cavity anatomy position size space rectum seminal vesicles Davidoff MD |
![]() Collecting in the Most Posterior Part of the Pleural Cavity |
49454 lung pleura effusions bilateral pleural effusions compressive atelectasis left atrial enlargement coronary artery calcification congestive heart failure CHF CTscan Davidoff MD |
16045 kidney renal nephrolithiasis fx calcifications calcified fluid fluid level dx milk of calcium urine CTscan Davidoff MD 16046b01 16046 |
![]() |
16046 urinary bladder fx calcification calcified lying posterior and midline dx recently passed stone CTscan Davidoff MD 16046 16046b01 |
![]() |
In this unfortunate 60 year old a stroke which is seen in the high superior and anterior frontal lobe as a low density abnormality in a, overlaid in green in b, resulted in a significant functional defect including spastic deformity and functional loss of the left arm and hand. 48641c01.800 60 year old male brain area of decreased attenuation in the superior anterior frontal laobe fx encephalomalacia dx chronic infarction CTscan 3 D resurface rendering Courtesy Ashley Davidoff MD |
Neoplasia and Other Growth Disorders
![]() |
Atrophy and Ex Vacuo changes
71411c01.801 74 male with mental status changes brain cerebrum cerebral fx gliosis volume loss enlargement lateral ventricle on left encephalomalacia dx superior left frontal lobe parietal lobe in the territory of the left MCA left middle cerebral artery dilated left lateral ventricle due to tissue atrophy pull push force ex vacuo change asymmetry a= CTscan b = DWI – negative c= FLAIR d= FLAIR coronal e = T2 weighted image f = T2 weighted image MRI Davidoff MD 71411c01.800
Mechanical
Weakened Resistance
![]() |
Pathological Fracture49471c03 bone hx male with history of metastatic lung carcinoma bone femur femoral neck fx fracture fx osteolytic bone lesion in neck dx pathological fracture artery atherosclerosis CTscan Davidoff MD 49471c032
Action Reaction
![]() |
49460c03 respiratory system lung left upper lobe fx atelecatsis compensation mediastinal shift lung shift volume loss plain CXR chest X-ray popcorn calcification Davidoff MD 49460c02.800 |
Disease and Healing
![]() |
Boxers Fracture 15 year old – Healing 4 Weeks Later
72175c01.800 15 year old with pain after punching bone hand 5th metacarpal fracture growth plates epiphyses epiphysis Boxer’s fracture four weeks later 4 weeks healing osteoid periosteal reaction osteoclastic activity periosteum plain X-ray plain film Davidoff MD
![]() |
Healing49464 bone femur fx healed fracture compensation total knee replacement plain X-Ray Davidoff MD 49465
Circulatory Disease
Opposite Forces
![]() |
Yin Yang Sign of Flow Reversal60438.800 s/p catheterization with painful pu;satile hematoma with new bruit artery femoral artery fx yin yang sign aka ying yang turbulent flow dx pseudoameurysm false aneurysm USscan color flow doppler red blue Davidoff MD
Compressive Forces
![]() |
Mechanical Disease
![]() |
Venturi EffectFlow in this tube is demonstrated by the arrows going from right to left through a narrowingin the tube (red) demonstrating a vacuum or suction effect caused by the sudden acceleration of the fluid as it goes through the narrowing or stenosis. This is seen in the U shaped monometer with the fluid level in blue being relatively higher at the site of the stenosis in relation to the pressure more upstream. The suction phenomenon is kown as the Venturi effect is seen in IHSS where the narrowing of the LVOT causes a vacuum effect on the anterior leaflet of the MV resulting in mitral regurgitation. The Venturi effect is also utilised in the functioning of carburettors in fuel driven engines. 34807b05 code heart cardiac SAM IHSS pressure drop vacuum suction acceleration stnosis Venturi effect tube principles
// ul”).tabs();
});
// ]]>Untitled Document
Mechanical Forces
Obstructive
![]() |
49430c01 esopagus GE junction stricture hiatis hernia barium swsllow upper GI size Davidoff MD |
![]() |
In this unfortunate 60 year old a stroke which is seen in the high superior and anterior frontal lobe as a low density abnormality in a, overlaid in green in b, resulted in a significant functional defect including spastic deformity and functional loss of the left arm and hand. 48641c01.800 60 year old male brain area of decreased attenuation in the superior anterior frontal laobe fx encephalomalacia dx chronic infarction CTscan 3 D resurface rendering Courtesy Ashley Davidoff MD |
Traumatic Forces
![]() Normal and Abnormal Falling on the Outstretched Hand – Colle’s Fracture |
70034c03 bone radius ulna wrist dorsally angulated fracture of distal radial metaphysis 2-3 cm proximal to wrist joint,sometimes associated frx of ulnar styloid frx line is almost always on volar side dx Colle’s fracture plain X-ray plain film of wrist normal wrist 70034c03 70034c04 Davidoff MD |
![]() Acute Traumatic Injury with Floor of Orbit and Roof of Maxillary Sinus Fracture Footprints of the Path of the Force |
48729c01 bone face skull inferior orbital wall maxillary sinus air fluid level blood swelling fracture skin edema bruise trauma forces 3D volume rendering CTscan Davidoff MD |
Systems
Forces in Diagnosis
![]() |
70026 gallbladder stones shadowing forces reflection transmission dx cholelithiasis USscan Davidoff MD |
Gravity
16045 kidney renal nephrolithiasis fx calcifications calcified fluid fluid level dx milk of calcium urine CTscan Davidoff MD 16046b01 16046 |
Role of Gravity in Diagnosis
![]() Small Bowel Supported by Mesentery in a Patient with Ascites |
72564.800 small bowel mesentery support ascites fluid floating small bowel USscan Davidoff MD |
![]() |
16046 urinary bladder fx calcification calcified lying posterior and midline dx recently passed stone CTscan Davidoff MD 16046 16046b01 |
Velocity and Direction
![]() |
60650 iliac artery doppler one toward and one away relative position depending on the observer perception deduction USscan Davidoff MD |
Lack of Forces – No Protons in Air
![]() Air in a Brain Abscess – T1 T2 FLAIR GRE |
71604.c02b 40 year old female with headache brain maxillary sinus frontal lobe fx air fluid level parafalcine falx cerebri a= T1 weighted b= T2 weighted c = FLAIR d= GRE dx left maxillary sinusitis with brain abscess air fluid level thickened mucosa of maxillary sinus MRI Davidoff MD 71604.c02 71604.c03 71604.c04 71604.c02b |
![]() Tension Pneumothorax in the Supine Position |
24149 hx 65M s/p multitrauma presents to radiology to evaluate abdominal pain chest lung mediastinum fx expanded left lower lobe LLL fx lucent fx mediastinal shift mediastinum fx deep sulcus sign dx tension pneumothorax scout film CTscan imaging radiology radiologists and detectives 5star Courtesy Ashley Davidoff MD 24149 24150 24151 24152 24153 |
![]() Deep Sulcus Sign No Evidence of Tension due to Pneumonia |
44666 chest lung CXR fx deep sulcus sign pneumothorax PTX supine projection fx RLL pneumonia imaging radiology Courtesy Ashley Davidoff MD |