35 year-old male presents after a motor vehicle crash. No blood seen at the meatus of the penis and a Foley catheter is placed (see photo below). What's the next diagnostic step?
A 56-year-old woman with a history of psoriasis presents with fever, nausea, and painful pin-point pustules on an erythematous base. Her dermatologist recently reduced her prednisone dose. What's the diagnosis?
40 year-old female requiring intubation for altered mental status. CXR is below with something under the left diaphragm. What’s the diagnosis?
65 year-old male with acute pulmonary edema. Ultrasound at the bedside shows this. What's the diagnosis?
68 year-old female presents with stridor and palpable goiter. Here's a clip from CT of the chest. What's the diagnosis?
A 25 year-old female presents complaining of a "net-like" rash bilaterally on her medial thighs. She denies any pain but states that the rash looks “pretty scary” What's the diagnosis?
40 year-old male presents with fever, chills, & cough. What’s the diagnosis and the MOST likely cause?
40 year-old female drove into a ditch. Right sided chest pain and stable vitals. Here's the CT but what do you think the initial CXR showed (Hint: it's a trick)?
45 year-old male complains of chest pain and cough. He also tells you, "...oh, and by the way doc, I just smoked something." What's the diagnosis?
These two Ethiopian boys present with “back problems”. What are the diagnoses and what do you need to worry about with each of them?
1301090035_IMG_2102.JPG (2,130 Kb)
4 year-old female with the post-procedural CXR shown below. What's the diagnosis? (Hint: use the zoom...this one is tricky)
31 year-old male with recently diagnosed hypertension presents with rapid lip swelling. He started taking an unknown medication for his hypertension last week. Further history reveals that he has had prior, although milder, episodes previously. Name two medications that may help treat him.
52 year-old male with diabetes complains of severe left foot pain for one month and now inability to ambulate. Vital signs are normal and X-rays are shown below. What's the diagnosis and why should you get a biopsy early?
50 year-old man with presents with acute-onset sharp left-sided chest pain and dyspnea. What's the diagnosis and the name of the abnormality on chest x-ray?
64 year-old male with no past medical history presents complaining of chronic weight-loss and diffuse chest pain; CXR is shown below. What's the diagnosis, and what other disease(s) may present this way?
An 86 year-old nursing home resident presents to the ED with a urinary tract infection, four days after discharge from the inpatient service for the same diagnosis. She was discharged from the inpatient service with a prescription for ciprofloxacin to be given through her gastric feeding tube (she does not take anything orally). Could her tube feeds be playing a role in the relapse of her urinary tract infection?
11 year-old boy presents with right knee pain and swelling after falling off of his bicycle. What's the diagnosis?
2 year-old male with past medical history of asthma presents with fever and respiratory distress. CXR is shown below. What’s the diagnosis? (Hint: ...look beyond the obvious)
Do you like placing ultrasound-guided IV catheters? Check out this trick for covering the probe during the procedure.
http://ultrarounds.com/Ultrarounds/The_Vascular_Probe_Protector.html
or
https://www.youtube.com/watch?v=ZuOq6Ea_FbA&feature=plcp
33 year-old male found unconscious by EMS and complains of right shoulder pain upon waking up in the ED. Diagnosis?
