Category: Visual Diagnosis
Posted: 9/21/2015 by Haney Mallemat, MD
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30 year-old male with abdominal pain and diffuse tenderness on exam. Ultrasound is shown, what's the diagnosis?
Free intra-abdominal fluid.
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Category: Visual Diagnosis
Posted: 9/14/2015 by Haney Mallemat, MD
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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?
Diaphragmatic hernia
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Category: Visual Diagnosis
Posted: 9/6/2015 by Haney Mallemat, MD
(Emailed: 9/7/2015)
(Updated: 9/7/2015)
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68 year-old man presents with a new-onset seizure. What's the diagnosis and what's in your differential diagnosis?
Ring-enhancing lesion
Differential diagnosis of a ring-enhancing lesion
Neoplasm | Infectious | Neurologic |
Primary brain tumor | Pyogenic Abscess | Multiple Sclerosis |
Primary CNS lymphoma | Tuberculoma | Sarcoidosis |
Metastatic disease | Syphilis | Vasculitis |
Neurocysticercosis | Aneurysm | |
Toxoplasmosis | Resolving hematoma | |
Nocardiosis | Cerebral infarct | |
Cyptococcocus | Post-op changes | |
Aspergillosis |
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Category: Visual Diagnosis
Posted: 8/31/2015 by Haney Mallemat, MD
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Person presents following a fall on an outstretched hand and there is snuffbox tenderness. What's the diagnosis?
Scaphoid fracture
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Category: Visual Diagnosis
Posted: 8/24/2015 by Haney Mallemat, MD
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You find this interesting view while scanning a patient. Which view is this and why should you care about it?
This is the right ventricular inflow view
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Category: Visual Diagnosis
Posted: 8/17/2015 by Haney Mallemat, MD
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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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Category: Visual Diagnosis
Posted: 8/10/2015 by Haney Mallemat, MD
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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?
Sclerotic bone (osteoblastic) metastasis secondary to prostate cancer. The patient's CXR from 2 years prior is shown below for comparison.
Other malignancies associated with osteoblastic metastasis:
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Category: Visual Diagnosis
Posted: 7/19/2015 by Haney Mallemat, MD
(Emailed: 7/20/2015)
(Updated: 7/20/2015)
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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?
Biceps tendon rupture (BTR) aka Popeye's Sign
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Category: Visual Diagnosis
Posted: 7/13/2015 by Haney Mallemat, MD
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7 year-old male "jammed" 5th finger while playing basketball with pain and swelling over finger. What's the diagnosis?
Salter-Harris fracture (type II):
Salter-Harris Fracture (remember mnemonic SALTR)
For more on Salter-Harris fractures, check out this and that
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Category: Visual Diagnosis
Posted: 7/6/2015 by Haney Mallemat, MD
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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?
Mediastinal mass (lymphoma confirmed on biopsy)
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Category: Visual Diagnosis
Posted: 6/29/2015 by Haney Mallemat, MD
(Emailed: 6/30/2015)
(Updated: 6/30/2015)
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25 year-old male falls from 10 feet and lands on his right shoulder, what's the diagnosis?
Yes, the shoulder is dislocated...but did you notice anything else (see below)?
Bankart lesion (a.k.a. fracture of the glenoid fossa)
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Category: Visual Diagnosis
Posted: 6/22/2015 by Haney Mallemat, MD
(Emailed: 6/23/2015)
(Updated: 6/23/2015)
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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?
This was SVT and adenosine was given; notice how the heart pauses in the echo and in the rhythm strip.
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Category: Visual Diagnosis
Posted: 6/15/2015 by Haney Mallemat, MD
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Patient presents with headache and papilledema. What's the diagnosis?
Hydrocephalus secondary to malfunctioning VP shunt.
The patient went to the operating room for a shunt repair and the CT after the repair is shown; although not dramatically different it does show an improvement of the hydrocephalus.
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Category: Visual Diagnosis
Posted: 6/8/2015 by Haney Mallemat, MD
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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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Category: Visual Diagnosis
Posted: 5/25/2015 by Haney Mallemat, MD
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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
Posted: 5/17/2015 by Haney Mallemat, MD
(Emailed: 5/19/2015)
(Updated: 5/19/2015)
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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?
Brodie's abscess a.k.a subacute osteomyelitis
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Category: Visual Diagnosis
Posted: 5/11/2015 by Haney Mallemat, MD
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40 year-old male sustains a blunt force injury the left side of his lead. What's the diagnosis and what structure was injured?
Epidural Hematoma with mid-line shift from middle meningeal artery injury; see image below for comparison of subdural and epidural
Epidural hematoma
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Category: Visual Diagnosis
Posted: 5/4/2015 by Haney Mallemat, MD
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Category: Visual Diagnosis
Posted: 4/27/2015 by Haney Mallemat, MD
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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?
Acalculous cholecystitis
Acalculous Cholecystitis
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Category: Visual Diagnosis
Posted: 4/20/2015 by Haney Mallemat, MD
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You see the following on a parasternal long-axis view; what's the diagnosis and what coronary distribution is involved?
Severe hypokinesis with anterioseptal wall motion abnormality.
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