Browsing All posts tagged under »Radiology«

Answer to Image Challenge | Difficulty Breathing

October 5, 2013

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**If you would like another chance to read the challenge before seeing the answer, click here.  Scroll down for the answer.  ** ———————————————————————————————————————————————————————————–   The correct answer is Aspiration Pneumonitis (D).  Explanations of the choices follow, and management of the patient is discussed at the bottom of the page. Don’t feel bad if you chose Pneumoperitoneum (A) – […]

Image Challenge | Difficulty Breathing

October 3, 2013

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An 80 year old male with multiple medical problems (including CAD, COPD and atrial fibrillation) is undergoing evaluation for progressive early satiety and vomiting after meals for the past year.  A peri-pancreatic mass causing extrinsic compression of the gastric outlet near is discovered on abdominal imaging, and upper endoscopy with endoscopic ultrasound and fine needle […]

A Rare Presentation: Pott’s Disease

August 4, 2013

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I’d like to share with you a very interesting case of spinal tuberculosis, or Pott’s Disease.  It’s a condition we all learn about in medical school, and which many US physicians will never see due to its rarity.  According to the CDC, about 10,500 cases of TB were reported in the US in 2011, and […]

Answer to Medical Challenge | Sudden Pain

March 25, 2013

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**If you would like another chance to read the challenge before seeing the answer, click here.  Scroll down for the answer.  ** ———————————————————————————————————————————————————————— The correct answer is D) Nephrolithiasis. Some of you chose the correct condition, but on the wrong side of the body.  Remember that the patient had pain on the left, and that […]

Medical Challenge | Sudden Pain

March 23, 2013

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Case:  A 43 year old female presents to the emergency department complaining of sudden-onset, sharp, left-sided abdominal pain that radiates to the groin, followed by nausea, vomiting, and diarrhea. Based on the images and history provided above, what is the most likely diagnosis? A) Appendicitis B) Diverticulitis C) Hernia D) Nephrolithiasis (kidney stone) E) Ruptured […]

Answer to Medical Challenge | A Young Man with Bloody Stool

August 21, 2012

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**If you would like another chance to read the challenge before seeing the answer, click here.  Scroll down for the answer.  ** ———————————————————————————————————————————————————————————– Let me begin by saying this was a difficult case (I know a case is tricky when the ratio of views to answers is >400:1), and kudos to those who tried – […]

Medical Challenge | A Young Man with Bloody Stool

August 19, 2012

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You are the GI fellow consulted to see a 17 year old white male with a chief complaint of diarrhea & bright red blood per rectum (BRBPR). The patient was in his usual state of health until he experienced sudden-onset diffuse, crampy abdominal pain and diarrhea roughly 36 hours ago.  He experienced 3-5 episodes of […]