MediSpot

Boy with pain in the left hip and limping

noreply@blogger.com (XYDAU) — Fri, 23 Dec 2011 11:40:00 +0000

6 years old boy presented with pain in the left hip and limping. Plain radiographs of the pelvis, AP and frog lateral views, were performed. Follow-up films were performed after 3 months. Follow-up films showed good healing of the left femoral epiphysis with a mild coxa magna deformity of the femoral neck. Pelvic X-ray - frog lateral view follow up Pelvic Xray AP view What is the most...

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Female with diffuse pustulous skin lesions and polyarthralgias

noreply@blogger.com (XYDAU) — Sun, 25 Sep 2011 00:39:00 +0000

A 41-year-old Caucasian female patient presented with diffuse pustulous skin lesions and polyarthralgias. The patient had no other relevant past medical history. The histological study of the skin lesions revealed a polymorphonuclear infiltrate in the dermis. Other laboratory tests were unremarkable. CT AXIAL PELVIS CT AXIAL CLAVICLE CT CORONAL LOWER LUMBAR Tc-99m methylene...

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Boy with acute paraplegia and local tenderness in the back

noreply@blogger.com (XYDAU) — Tue, 20 Sep 2011 00:42:00 +0000

An 11-year-old boy was referred with acute paraplegia and local tenderness over the left costovertebral angle. He had also history of left side insidious back pain, low grade fever and malaise. Chest X-ray also showed a calcified focus probably a calcified lymph node at the left hilar region however no evidence of parenchymal infiltration was found.Helical abdominal CT was performed after taking...

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Woman with Acute abdomen

noreply@blogger.com (XYDAU) — Sun, 11 Sep 2011 05:19:00 +0000

A 22-year old woman was admitted for acute pain in the right lower abdominal quadrant. Laboratory analysis showed mild leukocytosis and slight elevation of C-reactive protein. Transvaginal sonography revealed a complex right adnexal mass and a moderate amount of fluid in the Douglas pouch. A pelvic MR study was indicated. T2-weighted MR Images are shown here.What is the most likely...

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Female with Hypostenia and hypoestesia localized at lower limbs

noreply@blogger.com (XYDAU) — Sun, 28 Aug 2011 00:59:00 +0000

28 year old femal patient. Hypostenia and hypoestesia localized at lower limbs and loss of sphincterial control. Sagittal T2, PD and T1 weighted images pre- and post- paramagnetic contrast medium i.v. administration, and axial T1 and T2 weighted images in the area of the suspected lesion were performed.These Images are given below. axial T1-weighted post-Gadolinium image sagittal image...

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Man with severe dysphagia, halitosis, paroxysms of coughing and regurgitation

noreply@blogger.com (XYDAU) — Wed, 17 Aug 2011 12:51:00 +0000

A 50-year-old man, who was previously healthy, presented with symptoms that included progressive intermittent but severe dysphagia, halitosis, paroxysms of coughing and regurgitation of food and liquids. He also had an unintentional weight loss of 20 kg. These symptoms developed during a 15-month period. He had no history of tobacco or alcohol use. Results of the physical examination done were...

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Boy with fever, vomiting and pain in the right hip

noreply@blogger.com (XYDAU) — Mon, 08 Aug 2011 10:35:00 +0000

An 11-year-old boy who lived on a farm presented with a 2-week history of fever, vomiting and pain in the right hip that extended into the right buttock. The patient was non-weight bearing on the right leg, with restricted movement of the right hip. CRP was elevated. The pelvic radiograph at presentation was normal. Clinical examination had revealed tenderness on deep palpation of the right...

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Old man with sudden severe thoracic pain, tachycardia and hypotension

noreply@blogger.com (XYDAU) — Wed, 03 Aug 2011 15:28:00 +0000

A 76-year-old man, with a long story of hypertension, arrived at the emergency room with sudden severe tearing thoracic pain, tachycardia and progressive hypotension. Few minutes after his arrival he lost consciousness. CT images taken. What is the diagnosis? ANSWERAcute aortic dissectionCT imaging reveals a dissection involving the ascending aorta. Acute aortic dissection is the most...

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Male Patient with Acute Abdomen

noreply@blogger.com (XYDAU) — Fri, 29 Jul 2011 11:29:00 +0000

A 60-year-old male who was being treated for acute-on-chronic pancreatitis with a large pancreatic-pseudocyst presented with acute abdomen to the emergency department. On presentation he was hypotensive. Laboratory parameters confirmed low haemoglobin (8.6 gm/dl) and mildly elevated serum amylase levels (180IU). Serum electrolytes revealed a low sodium and pottasium.Contrast CT abdomen was...

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Man with Leg weakness and lower back pain

noreply@blogger.com (XYDAU) — Fri, 22 Jul 2011 00:44:00 +0000

T1 MRI T2 MRI A 21-year-old man was admitted with bilateral lower extremity weakness and low-back pain.Plain radiograph was performed prior to MRI.Sagittal T1-weighted and T2- weighted Magnetic resonance imaging (MRI) study was performed after taking plain radiograph. What are the abnormalities in these images and what...

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Female with Cryptogenic cirrhosis, Ischaemic heart disease and Diabetes mellitus

noreply@blogger.com (XYDAU) — Tue, 12 Jul 2011 11:32:00 +0000

80 year old female, with history of cryptogenic cirrhosis, ischaemic heart disease and diabetes mellitus admitted with abdominal pain and bleeding through the colostomy of a Hartmann's procedure for a rectal carcinoma.This patient presented with a short history of abdominal pain and bleeding from her colostomy. Relevant past medical history includes a palliative Hartmann's procedure for a rectal...

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Girl with Hemi hypertrophy,venous varicosities and pinkish discoloration

noreply@blogger.com (XYDAU) — Sun, 10 Jul 2011 04:23:00 +0000

A 9-month-old girl was brought by her parents because of swelling of the right leg since birth. On examination there was hemi-hypertrophy, venous varicosities and pinkish discoloration. Plain radiographs showed marked soft tissue enlargement and mild bone enlargement. Colour Doppler showed absent deep venous system and few varicose venous channels....

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Male Patient with Upper Abdominal pain,Weight loss and Odynophagia

noreply@blogger.com (XYDAU) — Thu, 07 Jul 2011 14:32:00 +0000

63 year old male patient who underwent a laparoscopic cholecystectomy just one month before this admission. Since then, he experienced pain in the upper abdomen, weight loss of approximately 10 kg, odynophagia and progressive dysphagia which advanced to grade 3. Two barium swallow images and contrast enhanced CT image are shown here.Comment on the Images. Contract All | Expand...

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Patient with Wegener’s granulomatosis with worsening stridor

noreply@blogger.com (XYDAU) — Tue, 28 Jun 2011 11:00:00 +0000

A 70-year-old female patient with known Wegener’s granulomatosis presented with worsening stridor and exertional dyspnoea of 3 months duration; high-dose corticosteroid therapy did not relieve her symptoms.A Computed Tomography (CT) of the neck with IV-contrast medium was performed.Prior to the CT scan,plain chest radiograph was done.What are the abnormalities you see in the Plain Xray and the CT...

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Woman with pain in the epigastric region

noreply@blogger.com (XYDAU) — Sat, 25 Jun 2011 00:55:00 +0000

A 36-year-old woman presented with pain in the epigastric region and right upper abdominal quadrant that lasted for two weeks. The pain did not remit after taking analgesics. She vomited once 7 days before. Clinical examination revealed abdominal pain on palpation. She was cardio-respiratory stable, in good general health condition without loosing weight. Contrast-enhanced CT performed after...

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Patient with Right upper abdominal pain, Nausea and Low-grade fever

noreply@blogger.com (XYDAU) — Sat, 30 Apr 2011 00:52:00 +0000

Right upper abdominal pain, nausea and low-grade fever in a 79-year-old man with history of coronary heart disease and lung emphysema. Positive Murphy’s sign and mild jaundice at physical examination. Slightly raised laboratory inflammation markers, leukocyte count and serum bilirubin. Urgent abdominal MRI with MR cholangiopancreatography (MRCP), requested to investigate clinical suspicion of...

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Neck pain and dizziness after a swimming accident

noreply@blogger.com (XYDAU) — Thu, 28 Apr 2011 00:52:00 +0000

A 25-year-old healthy young woman twisted her neck while being turned over by a big wave on a summer holiday in Spain. Returning home, she went to see a doctor for diffuse right-sided neck pain and dizziness, that had started with the accident. She was referred for an MRI of the cervical spine. Routine sagittal and transverse, T1-weighted MRI were done.Contrast-enhanced MR-angiography of the...

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Patient with recurrent febrile episodes

noreply@blogger.com (XYDAU) — Tue, 26 Apr 2011 10:14:00 +0000

60 year old male patient hospitalised due to recurrent febrile episodes each lasting 6-8 days (body temperature up to 39-40°C) during the past three months.His previous medical history recorded acute myocardial infarction 5 years earlier, aorto-coronary bypass plus aortic valve replacement with biological prosthesis two years earlier.At admission, conventional chest radiographs were unremarkable....

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Low back pain in a young athlete

noreply@blogger.com (XYDAU) — Fri, 22 Apr 2011 04:12:00 +0000

An athletic office worker presented with acute onset low back pain after lifting some office furniture. The pain was non-radiating and localised to the lower lumbar spine. Clinical examination was unremarkable. plain radiography taken. The pain improved after a period of immobilisation in a corset. The patient continued his sporting activities. He re-presented 18 months later with...

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Patient with dyspnea,cough and hemorrhagic sputum

noreply@blogger.com (XYDAU) — Sat, 16 Apr 2011 00:54:00 +0000

A 48-year-old male patient with history of long exposure to dusts (especially plaster) and previous pulmonary tuberculosis (TB) presented with dyspnea on exertion, cough and hemorrhagic sputum. Smoking habit was not reported. Physical examination revealed decreased intensity of vesicular breathing in right side and diffuse crackles at pulmonary auscultation. Chest radio-graph and high...

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Man with neck stiffness, headache and fever

noreply@blogger.com (XYDAU) — Mon, 11 Apr 2011 02:02:00 +0000

An 81-year-old man was presenting with mild neck stiffness, headache and fever. Blood tests showed leukocytosis and high C-reactive protein. Low glucose levels and elevated granulocytes and proteins were found in cerebrospinal fluid (CSF). Gram stain and culture of CSF were negative. The patient did not have relevant previous medical history. Serologies for HIV-1 and HIV-2 were...

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Newborn with dysmorphic signs,respiratory distress syndrome, tachypnoea and cyanosis

noreply@blogger.com (XYDAU) — Sat, 27 Nov 2010 13:29:00 +0000

Newborn with dysmorphic signs, small palpebral fissure, abnormal implantation of the thumb of her left hand, respiratory distress syndrome, tachypnoea, and cyanosis. This is the second pregnancy of healthy 27 year old mother. The pregnancy was uneventful until the third trimester, when polyhydramnios and intrauterine growth retardation were detected by antenatal ultrasound. The child was born by...

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Woman with Anti-phospholipid Syndrome

noreply@blogger.com (XYDAU) — Sat, 20 Nov 2010 01:33:00 +0000

A 52 year old woman, affected by the anti-phospholipid syndrome (APS), and subjected to dialysis because of right shrunken kidney and left nephrectomy, came to our attention for complaints of generalized abdominal pain and frequent episodes of diarrhoea. Her medical history included coagulation disorders, thromboembolic events, and positioning of aorto-superior mesenteric, left aorto-renal and...

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Asymptomatic Woman with Radical Nephrectomy

noreply@blogger.com (XYDAU) — Sun, 14 Nov 2010 08:20:00 +0000

A 69-year-old asymptomatic woman with prior nephrectomy came for routine follow-up to a nephrology clinic. The patient had undergone a radical nephrectomy in 1992 for stage I right renal cell carcinoma (RCC). On her examination, she was found to have a small non-tender palpable lump in the epigastric region. Computed Tomography (CT) of the abdomen was performed.What are the abnormalities in this...

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Man with Confusion and Irregular Small Pupils

noreply@blogger.com (XYDAU) — Sat, 13 Nov 2010 11:17:00 +0000

65 years old male presented with confusion and irregular small pupils that react to near objects, but not to light.Further neurological examination revealed ataxic wide-based gait and foot slap, areflexia and loss of position. What is the probable diagnosis? ANSWERTertiary Syphilis,Gumma in Bone and Symptoms suggestive of Argyll-Robertson pupil and Tabes dorsalis, also known as locomotor...

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