UMEM Educational Pearls - Visual Diagnosis

Title: What's the Diagnosis?

Category: Visual Diagnosis

Posted: 10/25/2016 by Tu Carol Nguyen, DO (Updated: 10/26/2016)
Click here to contact Tu Carol Nguyen, DO

Question

20 year-old female presents with sore throat, right throat fullness, difficulty speaking for 2-3 days. A bedside ultrasound and subsequent CT was obtained as seen below. What's the diagnosis?

 

 

 

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Question

57 year-old female with history of bilateral lung transplants presents with fever, and 2 days of a painful, red, bumpy rash over the left labia and left buttock, but also notes a small tender area on the plantar surface of the left foot.

Below is a figure depicting the location of the rash, as well as a photo of her foot.

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Question

A 41 year old female presenting with intermittent RUQ abdominal pain for 1 week. An ultrasound of the right upper quadrant was performed. What is the diagnosis ?

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Question

22-year-old male with history of autism, mental retardation who is non-verbal presents with abdominal pain and vomiting for one day. Patient was found clutching his abdomen and moaning. What's the diagnosis?

 

 

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Question

A 67 year old female with history of CVA, presented from a nursing home with RUQ abdominal pain and inablitiy to tolerate PO for 3 days. A CT scan of her abdomen was obtained. What is the diagnosis ?

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Question

 

A 25-year-old male was brought in by EMS with a stab wound to the chest. What's the diagnosis?

 

 

 

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Question

19 year-old male complaining of left arm pain one week after injecting anabolic steroids into his shoulder. What's the diagnosis?

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Question

23 year-old female presents complaining of progressive right lower quadrant pain after doing "vigorous" exercise. CT abdomen/pelvis below. What’s the diagnosis? (Hint: it’s not appendicitis)

 

 

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Question

What’s the name of this CT finding and name two potential causes?

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Question

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

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Question

A patient arrives in acute respiratory distress with left sided chest pain. Ultrasound of the left anterior chest is shown; what's the diagnosis and name one false positive?

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Question

A patient presents with the sudden of onset chest and abdominal pain which woke her up at 2am. She has abdominal tenderness and rebound on exam, what's the diagnosis?

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Question

27 year-old presents after being punched in the face. Decreased vision in left eye, what's the diagnosis?

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Question

Patient presents with right elbow pain after a fall. What's the diagnosis and what other injury should you look for?

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Question

An elderly patient presents with a history of weight loss and chronic constipation. The abdominal Xray is shown below. What's the diagnosis?

This one is tricky so here's a hint: why is the right kidney and psoas muscle so well defined?

 

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Question

Patient complains of facial and neck swelling, what's the diagnosis?

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Question

8 year-old female presents with nausea, vomiting, double-vision and inability to move her left eye upwards after being kicked in the face at school. What's the diagnosis?

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Question

5 year-old boy who presents with sudden onset hoarse voice, and drooling without a fever. 

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Question

Patient presents after being started on an antibiotic for cellutlitis of lower extremity. What's the diagnosis and what are some other etiologic agents (name 3)

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Question

26 year-old male presents with a swollen 4th digit and pain during extension, what’s the diagnosis?

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