UMEM Educational Pearls - Visual Diagnosis

Title: Interesting Case

Category: Visual Diagnosis

Posted: 9/12/2011 by Rob Rogers, MD (Updated: 12/12/2024)
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Question

A 50 year-old patient presents after a self-inflicted eye injury. The patient had taken some type of needle and inserted it into their eye.

What is the diagnosis and what complications might result?

 

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Question

26 year old male presents s/p basketball dunk. Diagnosis?

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Title: What's the Diagnosis?

Category: Visual Diagnosis

Posted: 8/29/2011 by Rob Rogers, MD (Updated: 12/12/2024)
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Question

 

Patient presents with right-sided chest and shoulder pain....

What's the diagnosis?

 

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Question

79 y.o. male lung cancer patient with tachypnea, tachycardia, and normal blood pressure. Click here: http://vimeo.com/27973006

Possible diagnosis?

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Question

13 year-old right-hand dominant male following assault with blunt object. Diagnosis?


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Title: What's the Daignosis?

Category: Visual Diagnosis

Posted: 7/25/2011 by Haney Mallemat, MD (Updated: 8/28/2014)
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Question

34 y.o. male with history of IVDA (intravenous drug abuse) complains of fever, chills and cough. Diagnosis?


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Question

48 year old male following 15 foot fall onto both feet. What is the diagnosis?
…and why is it called the “Lover’s Fracture”?
 

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Question

49 y.o. female on Trimethoprim/sulfamethoxazole presents with rash and oral mucus membrane lesions. Diagnosis?

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Question

13 y.o. with shoulder trauma (during basketball game). Arm held in adduction and exquisite scapular tenderness. Diagnosis?

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Question

A 20 year-old female presents with bilateral neck pain that occurred at rest. No other complaints. See if you can find the subtle clue on the x-ray...

 

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Question

13 y.o. female with ankle pain following fall down escalator. What's the diagnosis? (Hint: Look very closely)

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Question

50 yo female s/p motor vehicle crash. Diagnosis?

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Question

70 yo female from nursing home with fever. RUQ ultrasound is shown below. Diagnosis?

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Title: What's the Diagnosis?

Category: Visual Diagnosis

Posted: 4/25/2011 by Haney Mallemat, MD (Updated: 12/12/2024)
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Question

Patient presents with the following X ray after yawning. Diagnosis?

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Question

60 y/o male transferred from local rehab facility c/o abdominal pain.

 

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Title: What's the diagnosis?

Category: Visual Diagnosis

Posted: 3/27/2011 by Haney Mallemat, MD (Updated: 3/28/2011)
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Question

25 year old male presents after falling from 10 feet and landing on right shoulder. Diagnosis?

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Title: What's the daignosis? Written by Sanober Shaikh, MD

Category: Visual Diagnosis

Keywords: lung, ultrasound, pneumonia, hepatization, sonogram, air bronchograms (PubMed Search)

Posted: 3/13/2011 by Haney Mallemat, MD
Click here to contact Haney Mallemat, MD

Question

 

65 yo female with breast cancer presents with dyspnea and CXR shown below. Diagnosis? Can anything help clarify the diagnosis? 

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Title: What's the daignosis? Written by Adam Brenner, MD

Category: Visual Diagnosis

Keywords: ultrasound, ectopic, free fluid, hypotension, pregnancy (PubMed Search)

Posted: 2/27/2011 by Haney Mallemat, MD (Updated: 8/28/2014)
Click here to contact Haney Mallemat, MD

Question

24 yo woman presents with syncope, abdominal pain, and normal menses 4 days prior. Urine HCG(+) and quantitative beta-HCG is 1300 with the transvaginal ultrasound seen below. Diagnosis?

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Question

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Title: What's wrong with this picture? (Don't scroll too far down)

Category: Visual Diagnosis

Keywords: boxer's, fracture, orthopedics, hand, brawler's, radiology, xray (PubMed Search)

Posted: 1/17/2011 by Haney Mallemat, MD
Click here to contact Haney Mallemat, MD

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Boxer's (or Brawler's) Fracture

  • Fifth metacarpal neck fracture, usually secondary to a direct blow or closed-fist impact.
  • Potentially an unstable fracture and difficult to maintain reduction due to tension from tendons and muscles in the hand.
  • Up to forty degrees of angulation can be tolerated without repair, although there is potential for reduced hand function without repair. Any rotational deformity, however, must be corrected.
  • Non-displaced fractures: RICE therapy, gutter splint, and Ortho follow-up.
  • Displaced, rotated, or angulated fractures (>40 degrees): closed reduction may be attempted but surgical fixation usually required.

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