Category: Visual Diagnosis
Keywords: fever, cough, alcoholic (PubMed Search)
Posted: 5/7/2012 by Rob Rogers, MD
(Emailed: 10/7/2024)
(Updated: 10/7/2024)
Click here to contact Rob Rogers, MD
An alcoholic patient presents with a cough, fever, and very foul smelling breath (worse than usual)
What's the diagnosis? And what are the risk factors?
Lung abcess
Risk factors for a lung abscess include:
case compliments of our very own Zac Dezman
Category: Visual Diagnosis
Posted: 1/14/2013 by Haney Mallemat, MD
(Emailed: 10/7/2024)
Click here to contact Haney Mallemat, MD
50 year-old male with cough and dyspnea. What's the diagnosis?
Here's your answer: http://www.youtube.com/watch?v=Z4yxqRoKX04&feature=youtu.be
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Category: Visual Diagnosis
Posted: 4/7/2014 by Haney Mallemat, MD
(Emailed: 10/7/2024)
(Updated: 10/7/2024)
Click here to contact Haney Mallemat, MD
23 year-old female presents complaining of progressive right lower quadrant pain after doing "vigorous" pushups. CT abdomen/pelvis below. What’s the diagnosis? (Hint: it’s not appendicitis)
Answer: Rectus sheath hematoma
Rectus Sheath Hematoma (RSH)
Rectus muscle tear causing damage to the superior or inferior epigastric arteries with subsequent bleeding into the rectus sheath; uncommon cause of abdominal pain but mimics almost any abdominal condition.
May occur spontaneously, but suspect with the following risk factors:
Typically a self-limiting condition, but hypovolemic shock may result from significant hematoma expansion.
Category: Visual Diagnosis
Posted: 10/5/2018 by Michael Bond, MD
(Emailed: 10/7/2024)
(Updated: 10/7/2024)
Click here to contact Michael Bond, MD
33 y/o M with PMH of ETOH induced pancreatitis presents with epigastic/RUQ pain & N/V after drinking last night, per patient his usual “pancreas pain”. The nurse shows you his blood tubes because they look “milky”. Lipase 1200, Ca 6.8.
What lab test would you add?
Answer: triglyceride level.
This patient has hypertriglyceridemia induced acure pancreatitis. His triglyceride level was 3047 mg/dL (normal value <150), HDL 20 mg/dL (normal value 40-60), total cholesterol 276 mg/dL (normal <200).
Treatment includes starting the patient on insulin drip, as insulin decreases serum triglyceride levels. If the glucose is <200 mg/dL the patient needs to started on dextrose 5% infusion. Apheresis can be considered if the patients triglyceride levels do not come down with insulin infusion (normally down without 3-4 days). Goal is a triglyceride level <500.
Category: Visual Diagnosis
Posted: 5/11/2022 by Michael Bond, MD
(Emailed: 10/7/2024)
(Updated: 10/7/2024)
Click here to contact Michael Bond, MD
Pulmonary Embolism
For more information on how to perform these exams and research data take a look at coreultrasound.com, thepocusatlas.com and ultrasoundgel.org.