You are looking at a shiny silver tone MD Italian charm. This charm is set on a black enamel disc background. In the center, there is a medical Caduceus in gold tone with two pale yellow snakes encircling the staff and white feathered wings. At the bottom of the staff, there is the letter M on the left and D on the right, done in dark blue. The charm is outlined and detailed in gold tone. This is a very pretty charm!
What a great gift for any doctor, or someone studying to be a doctor... or why not add it to your own bracelet?