UMEM Educational Pearls - Visual Diagnosis

Question

37 year-old male presents after sustaining a burn from a pot of boiling water. He states that his skin started to blister a few hours after and it’s quite painful. What type of burn does he likely have? 

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Question

68 year-old male presents with weakness after surgical repair of his abdominal aorta. What’s the diagnosis and name at least one eponym for the signs displayed (there are five total)?

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Question

Patient with a history of osteogenesis imperfecta presents with right lateral chest pain following a sneeze. The ultrasound of his chest is shown (hint: arrow points to a rib). What's the diagnosis? 

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Question

46 year-old female found unresponsive at a party. EMS transports the patient in cardiac arrest. A parasternal-long axis view of the heart is obtained during the pulse check. What's the diagnosis?

 

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Question

37 year-old male presents with cough and a fever. What's the diagnosis and name three risk factors assiciated with disease?

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Question

Which view of the heart is this and can you name the structures from A-G?

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Question

What view of the heart is this and can you name everything from A-G?

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Question

48 year-old presents after falling 15 feet following a “misunderstanding” with police. What's the diagnosis? ...and for a bonus question, why is this called a “Lover’s Fracture”? 

 

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Question

28 year-old cachectic female presents in respiratory distress and is immediately intubated on arrival to Emergency Department. What's the diagnosis and what are some potential etiologies?

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Question

This week's visual pearl reviews the structures of the heart when being viewed in a parasternal long-axis view. What do the labels correspond to in the clip below (note: "E" and "F" are valves) and do you see any obvious abnormalities?  

 

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Category: Visual Diagnosis

Title: What's the Diagnosis? Images by UMEM alumni Dr. Joy Kay

Posted: 10/27/2013 by Haney Mallemat, MD (Emailed: 10/28/2013) (Updated: 10/28/2013)
Click here to contact Haney Mallemat, MD

Question

15 year-old right-hand dominant male received a direct blow to the right arm with a hockey stick. What’s the diagnosis?

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Category: Visual Diagnosis

Title: What's the Diagnosis?

Posted: 10/20/2013 by Haney Mallemat, MD (Emailed: 10/21/2013) (Updated: 10/21/2013)
Click here to contact Haney Mallemat, MD

Question

55 year-old male presents with chest pain. You take a look at his cardiac function with ultrasound and here's the patient's apical four-chamber view. What's in his right ventricle and why would it be there?

 

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Question

A 23 year-old male presents with the rash below. He originally presented to his primary care doctor for a sore throat and was given a prescription for a medication; this rash subsequently broke out. What's the diagnosis and which medication did he receive?

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Question

25 year-old female struck in the left hand by a football. Presents with pain, visible deformity, and the Xray below. What are the next step(s) in management?

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Category: Visual Diagnosis

Title: What's the Diagnosis? Case by Dr. Ryan Spangler

Posted: 9/29/2013 by Haney Mallemat, MD (Emailed: 9/30/2013) (Updated: 9/30/2013)
Click here to contact Haney Mallemat, MD

Question

65 year-old diabetic patient presents with abdominal pain. What's the abnormality on Xray?

 

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Question

27 year-old female with no past medical history presents with sudden onset of left lower quadrant pain. What's the diagnosis?

 

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Question

8 year-old girl presents with dysphagia and drooling, Xray is shown. What’s the diagnosis (and where is it located)?

 

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Question

This week's case is challenging, but very interesting...

An elderly patient presents with a history of significant weight loss and chronic constipation; abdominal Xray is below. What's the diagnosis? (Hint: why is the right kidney and psoas muscle so well defined?)

 

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Question

Elderly male presents with headache, confusion, and trouble with gait. What's in your differential diagnosis?

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Category: Visual Diagnosis

Title: What's the Diagnosis? Case by Dr. Yemi Adebayo

Posted: 8/25/2013 by Haney Mallemat, MD (Emailed: 8/26/2013) (Updated: 8/26/2013)
Click here to contact Haney Mallemat, MD

Question

23 year-old patient presents with a rash on his palms and soles. He also states that he had a something strange on his genitals several weeks before. What's the diagnosis and what’s the treatment (including dosing) for this disease?

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