UMEM Educational Pearls - Visual Diagnosis

Question

35 year-old female presents to the Emergency Room with cough and chest tightness. She was discharged from the hospital yesterday for an asthma exacerbation that was secondary to pneumonia. What's the diagnosis?

 

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Category: Visual Diagnosis

Title: What's the Diagnosis?

Posted: 9/6/2015 by Haney Mallemat, MD (Emailed: 9/7/2015) (Updated: 9/7/2015)
Click here to contact Haney Mallemat, MD

Question

68 year-old man presents with a new-onset seizure. What's the diagnosis and what's in your differential diagnosis?

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Question

Person presents following a fall on an outstretched hand and there is snuffbox tenderness. What's the diagnosis?

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Question

You find this interesting view while scanning a patient. Which view is this and why should you care about it? 

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Question

55 year-old male presents with chest pain. Echo is shown below (parasternal long-axis on the left and aortic root / ascending aorta on the right), what's the diagnosis?

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Question

64 year-old male with no past medical history presents complaining of chronic weight-loss and diffuse chest pain; CXR is shown. What's the diagnosis and what other disease(s) may present similarly?

 

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Question

81 year-old man was mowing the lawn and then felt a sudden pop, then pain in his left arm. What's the diagnosis and what's this sign called?

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Question

7 year-old male "jammed" 5th finger while playing basketball with pain and swelling over finger. What's the diagnosis?

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Question

15 year-old female field hockey player presents with left shoulder pain. Besides fatigue over several weeks, she has no past medical history and there is nothing remarkable on physical exam. What's the diagnosis? 

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Category: Visual Diagnosis

Title: What's the Diagnosis? Case by Dr. George Kochman

Posted: 6/29/2015 by Haney Mallemat, MD (Emailed: 6/30/2015) (Updated: 6/30/2015)
Click here to contact Haney Mallemat, MD

Question

25 year-old male falls from 10 feet and lands on his right shoulder, what's the diagnosis?

 

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Question

30 year-old patient presents with palpitations. A parasternal long-axis clip is shown below along with the rhythm strip. What's the diagnosis and what drug was given during this clip? 

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Question

Patient presents with headache and papilledema. What's the diagnosis?

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Question

The following clip is one of three findings found in Beck’s triad. Name all three findings and how often are all 3 signs present for patients with pericardial tamponade?

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Do you need to get stuff out of the thorax (like fluid or air) and don't want to place a HUGE chest tube? Consider a pigtail catheter; don't know how to place one? Well check out this video and learn how.

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Category: Visual Diagnosis

Title: What's the Diagnosis? Case by Dr. Ibrahim H. Abuduruk

Posted: 5/17/2015 by Haney Mallemat, MD (Emailed: 5/19/2015) (Updated: 5/19/2015)
Click here to contact Haney Mallemat, MD

Question

5 year-old with no past medical history, complains of a limp and mild left knee pain. No history of trauma. Physical exam is significant for a low-grade fever and is otherwise normal. What’s the diagnosis?

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Question

40 year-old male sustains a blunt force injury the left side of his lead. What's the diagnosis and what structure was injured?

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Question

3 month-old male presents with severe respiratory distress; oxygen saturation is 81% (on room air), he is grunting, and there are no breath sounds on the left. What's the diagnosis?

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Question

70 year-old female presents from a nursing home with fever and abdominal pain. A right upper quadrant ultrasound is shown, what's the diagnosis?

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Question

You see the following on a parasternal long-axis view; what's the diagnosis and what coronary distribution is involved?

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Question

Patient presents with leg and ankle pain after a fall 3 weeks earlier. Initial ankle Xrays were negative. Patient presents today with persistent leg and ankle pain. What's the diagnosis and what other imaging would you perform and why?

 

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