UMEM Educational Pearls - Visual Diagnosis

Question

79 year old male with headaches, ataxia, falls, and difficulty urinating. What's the diagnosis?

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Question

19 year-old male presents with L ankle pain and obvious deformity after jumping out of a window and landing on his inverted foot. What's the diagnosis?

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Ultrasound is useful during intubation; here is a video explaining how: http://ultrarounds.com/ultrarounds.com/Visual_Pearl_May_28,_2012.html

 

Today's Bonus Pearl:

EMRA has developed a great antibiotic guide for the iphone (http://itunes.apple.com/us/app/2011-emra-antibiotic-guide/id393020737?mt=8) or android (https://play.google.com/store/apps/developer?id=Emergency+Medicine+Residents'+Association). This app is a bit pricey ($15.99), but is easy to use and well organized. Enjoy!  

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This week's visual pearl is an interesting ultrasound of a psoas abscess submitted by Dr. Sa'ad Lahri. He is an Attending physician in the Emergency Department of the Khayelitsha Hospital in Cape Town, South Africa. The video quality is grainy, but it automatically replays so you can watch it a few times.

http://ultrarounds.com/ultrarounds.com/Visual_Pearl_May_14,_2012.html

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Title: What's the Diagnosis?

Category: Visual Diagnosis

Posted: 4/29/2012 by Haney Mallemat, MD (Updated: 4/30/2012)
Click here to contact Haney Mallemat, MD

Question

68 yo man presents with new-onset seizures; his CT is shown below. What is your differential diagnosis?

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Question

67 yo male presents with burning substernal chest pain; worse with meals and when supine. What's the diagnosis?


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Question

26 year old male with pain when he extends his 4th finger as well as swelling of that digit. Diagnosis?

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Question

14 year-old male presents with right-sided testicular pain. What's the diagnosis?

 

 

 

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Question

24 year-old male presents following fall from a scaffolding and complains of wrist pain. Diagnosis?

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Question

35 year old male with sudden onset of abdominal pain. Diagnosis?

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Question

28 y.o. male felt his left knee "pop" after landing from a jump while playing basketball. Knee exam revealed limited knee extension. X-ray is shown. Diagnosis?

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Question

20 year old female complains of “itchy” rash to her foot x 1 week and recently the rash has spread to her other other foot and both hands (shown below). No past medical history, no fever or chills, no mucus membranes involvement, no new medications, no tick bites, no travel. She is also 16 weeks pregnant. What’s the diagnosis?

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Question

23 year-old male fell off porch while intoxicated. The head CT is shown below. Diagnosis?

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Question

64 year old male with emphysema and stage 4 lung cancer presents in respiratory distress. What's the diagnosis?

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Title: What's the Diagnosis?

Category: Visual Diagnosis

Posted: 12/11/2011 by Haney Mallemat, MD (Updated: 8/28/2014)
Click here to contact Haney Mallemat, MD

Question

60 year old male with 6 months of weight loss and recent epistaxis. Diagnosis?

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Question

9 year-old boy with sudden onset of unilateral facial swelling. What’s the diagnosis?

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Question

72 year-old man, one-week post right fem-pop bypass presents with painful blue and black toe. Diagnosis?


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Question

5 year-old male with developmental delay presents with intractable non-bloody and non-bilious vomiting over 10 days; bowel movements are normal. Four weeks ago he was placed in a hip-spica cast following a motor vehicle crash. Abdominal x-ray is below. Diagnosis?

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Question

Question: 50-year-old diabetic female s/p foot burn several weeks ago, now presenting with pain and discharge from a poorly healing wound. Diagnosis?

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Question

19 year-old male s/p high-speed MVC with hypotension and diminished breath sounds on left. Diagnosis?

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