UMEM Educational Pearls - Visual Diagnosis

Question

Patient presents with dyspnea & hypoxemia (pulse oximeter is 80%). The "stat" CXR is delayed, but ultrasound is not. What's the diagnosis and what are some differential diagnoses?

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Category: Visual Diagnosis

Title: What's the Diagnosis?

Posted: 11/10/2014 by Haney Mallemat, MD (Emailed: 11/11/2014)
Click here to contact Haney Mallemat, MD

Question

Parasternal long-axis of two different patients. What is the:

  1. structure labeled “A”
  2. structure labeled “B”
  3. diagnosis on the left?
  4. diagnosis on the right?

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Question

A patient presents post-motor vehicle crash with chest pain and dyspnea. The lung ultrasound is shown below. What's the diagnosis?

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Category: Visual Diagnosis

Title: What's the Diagnosis?

Posted: 10/20/2014 by Haney Mallemat, MD (Updated: 11/4/2014)
Click here to contact Haney Mallemat, MD

Question

13 year-old right-hand dominant following assault with blunt object. What’s the diagnosis?

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Question

A neck ultrasound is performed during endotracheal intubation. What is labeled "A", what is labeled "B" and what's the diagnosis?

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Question

7d old child presents with difficulty feeding,vomiting one time, and now with intermittent apneic episodes. What's the diagnosis? (Careful....this one is tricky!)

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Question

Person presents with painless vision loss after seeing flashes of light. Ultrasound is below. What's the diagnosis?

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Question

Football player complains of sudden foot pain after begin tackled. What’s the diagnosis? 

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Question

CXR shown below, what's the diagnosis? ...and name 3 differential diagnoses.

 

 

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Question

You are scaning the liver with ultrasound and you see this. What's the diagnosis?

 

 

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Question

50 year-old female with diabetes complains of pain and discharge from a poorly healing wound. XRay below. What's the diagnosis?

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Question

A critically-ill patient requires fluid resuscitation. Someone hands you a bag of this. What’s the pH of this fluid? 

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Question

30 year-old female with complains of night sweats and painful lesions on her fingertips. What’s the diagnosis and list some things to have in the differential diagnosis?

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Question

40 year-old female presents with painful lesions and ulcers on lower extremities. She has had this before, but never to this extent. She also has a history of DVT. What’s the diagnosis?

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Category: Visual Diagnosis

Title: What's the Diagnosis? Case by Dr. Swati Singh

Posted: 7/27/2014 by Haney Mallemat, MD (Emailed: 7/28/2014) (Updated: 7/28/2014)
Click here to contact Haney Mallemat, MD

Question

2-day old baby boy presents with forceful vomiting of entire feeds, bloated belly, and has not passed stools since birth. What's the diagnosis?

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Question

45 year-old right-hand dominant patient presents with right hand pain from a prior injury to hand. Patient has also been injecting subcutaneous heroin into hand for relief. What's the diagnosis?

 

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Question

30 year-old presents with cough & fever. CXR shows mild right lower lobe pneumonia. The lung ultrasound of the right lower lobe is shown below. What's the diagnosis? 

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Question

10 year-old male complains of fever and rash (shown below); no other complaints. He went camping 10-days ago. What’s the diagnosis...and what medication(s) should he receive?

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Question

49 year-old female on trimethoprim/sulfamethoxazole presents with a rash & lesions on her oral mucus membranes. What's the diagnosis?

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Category: Visual Diagnosis

Title: What's the Diagnosis?

Posted: 6/22/2014 by Haney Mallemat, MD (Emailed: 6/23/2014) (Updated: 6/23/2014)
Click here to contact Haney Mallemat, MD

Question

35 year-old female presents with nausea and vomiting 1 week post-op for an abdominal surgery. Abdominal ultrasound is below; what's the diagnosis? 

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