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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) – […]
October 3, 2013
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 […]
August 4, 2013
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 […]
March 25, 2013
**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 […]
March 23, 2013
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 […]
August 21, 2012
**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 – […]
August 19, 2012
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 […]
January 11, 2012
**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 B) Stricture. “Common things are common” – the gentleman does not give a history consistent with foreign body ingestion, and the remaining choices, though plausible, are rare. This […]
July 28, 2011
**If you would like another chance to read the challenge before seeing the answer, click here. Scroll down for the answer. ** ———————————————————————————————————————————————————–
July 25, 2011
This time, a more detailed history is provided, and you are the inexperienced medical intern, not the seasoned radiologist. If you missed last week’s challenge, you can still give it a shot. You are asked to examine an 84 year old Hispanic female who was admitted to the hospital with shortness of breath. Her past […]
Abnormal Facies 
October 5, 2013
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