Emblem and coat of arms / academic medal of the <a href="https://en.wikipedia.org/wiki/Royal_Academy_(disambiguation)" class="extiw" title="en:Royal Academy (disambiguation)">Royal National Academy of Medicine of Spain</a>
<a href="//commons.wikimedia.org/wiki/User:Heralder" title="User:Heralder">Heralder</a>
CC BY-SA 3.0
<span class="int-own-work" lang="en">Own work</span>