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Title: What's the Diagnosis? Written by Zachary Dezman

Category: Visual Diagnosis

Posted: 12/3/2012 by Haney Mallemat, MD (Updated: 12/3/2012)

Question

11 year-old boy presents with right knee pain and swelling after falling off of his bicycle. What's the diagnosis?

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Title: What's the diagnosis? Case by Dr. Jennifer Guyther

Category: Visual Diagnosis

Posted: 11/26/2012 by Haney Mallemat, MD (Updated: 11/26/2012)

Question

2 year-old male with past medical history of asthma presents with fever and respiratory distress. CXR is shown below. What’s the diagnosis? (Hint: ...look beyond the obvious)

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Title: The Vascular Probe Protector

Category: Visual Diagnosis

Posted: 11/19/2012 by Haney Mallemat, MD

Do you like placing ultrasound-guided IV catheters? Check out this trick for covering the probe during the procedure.

http://ultrarounds.com/Ultrarounds/The_Vascular_Probe_Protector.html

or

https://www.youtube.com/watch?v=ZuOq6Ea_FbA&feature=plcp

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Question

33 year-old male found unconscious by EMS and complains of right shoulder pain upon waking up in the ED. Diagnosis? 

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Question

11 year-old male is tackled and falls on his outstretched hand while playing football. X-rays are shown below. What's the diagnosis?

 

 

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Title: What's the Diagnosis?

Category: Visual Diagnosis

Posted: 10/29/2012 by Haney Mallemat, MD

Question

33 year-old male in respiratory distress. What's the diagnosis?

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Question

Trauma patient (...yes, that's the only history you're given). Diagnosis?

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Title: What's the Diagnosis?

Category: Visual Diagnosis

Posted: 10/15/2012 by Haney Mallemat, MD

Question

35 year-old male unrestrained driver following motor vehicle crash presents with blunt chest injury. There are multiple injuries on CXR (can you find them all?), but what's up with his right lung?

 

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Title: What's the Diagnosis? Image by Dr. Jason Adler

Category: Visual Diagnosis

Posted: 10/8/2012 by Haney Mallemat, MD (Updated: 10/8/2012)

Question

26 year-old male from Indonesia presents with severe abdominal pain and weight loss for the past two months. He also states he found this "worm" in the toilet (see below) after a bowel movement. What is the medical treatment for this condition? 

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Title: A Safer Way to Suture?

Category: Visual Diagnosis

Posted: 10/2/2012 by Haney Mallemat, MD (Updated: 10/2/2012)

Do you place central-lines?

Do you suture your central-lines into place?

Do you ever get worried that you are going to stick yourself with that needle?

If you answered yes to any of these questions, then maybe this pearl is for you; click here

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Guide-wires can be challenging to dispose of after central-line insertion because they are difficult to keep on the field, hard to place in the sharps box, and can splash nearby observers.

Click here for this little guide-wire disposal trick.

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Question

27 year-old woman with AIDS presents complaining of a painful, puritic, and papular rash. What's the diagnosis?

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Question

40 year-old male with severe uncontrolled hypertension presents with altered mental status. Head CT is shown here. Name three common anatomic locations generally seen for non-traumatic intracerebral hemorrhage. 

 

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Question

32 year-old female presents with 5 days of fever, chills, and flank pain. She is hypotensive on presentation and urinalysis shows pyuria. Click here for the non-contrast CT scan. What's the diagnosis and what type of antibiotics should be started empirically?

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Title: What's the diagnosis?

Category: Visual Diagnosis

Posted: 8/27/2012 by Haney Mallemat, MD

Question

56 year-old male presents with chest pain. You perform an ultrasound of the heart and see the clip below. What's the diagnosis? Thanks to Dr. Ken Butler for the case.

 

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Question

36 year-old female presents with left knee-pain following a motor vehicle crash (XRs are shown). What's the diagnosis AND what is the first test that should be performed to assess for vascular injury?

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Placement of central-lines through the subclavian (SC) route has several advantages over other sites of venous cannulation:

•    Lower rates of infection

•    Lower rates of deep vein thrombosis

Placing a central-line through the "blind" SC approach increases the risk of non-compressible vessel injury and pneumothorax as compared to other approaches (e.g. internal jugular).

Ultrasound can help place central-lines in the SC vein while reducing the risk of complications; this video demonstrates the technique: http://ultrarounds.com/Ultrarounds/Subclavian_Ultrasound.html

 

 

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Title: What's the diagnosis? Image submitted by George Kochman

Category: Visual Diagnosis

Posted: 8/6/2012 by Haney Mallemat, MD (Updated: 8/6/2012)

Question

Patient presents with an inability to close his mouth after yawning. The physician attempts the Gromis method for the problem (Xray below)? What's the diagnosis and what's the Gromis method?
 

 

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Question

25 year-old male was struck by a car while crossing the street. Chest X-ray and CT Chest with 3D reconstruction are shown below. What's the diagnosis? 

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Question

Find four abnormalities in the chest Xray below.

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