History: 2 year old child refusing to bear weight. This is a fracture of the right femoral diaphysis in a two year old patient. These usually heal very well, but it is important to monitor the child for blood loss and compartment syndrome because of the possibility of adjacent vascular injury to the femoral artery.
History: Child with reported swallowed foreign body. This is a case of a swallowed battery, which is an urgent finding that needs to be reported immediately to the referring clinician for endoscopic removal. Read about distinguishing batteries from other similar appearing foreign bodies such as coins here. Below is a penny in the esophagus.
This mnemonic has been used commonly to recall the features of Charcot Joints (sometimes it is referred to as 5 Ds instead of 6 Ds because dislocation and disorganization are combined): 1. Distended 2. Disorganized 3. Dislocated 4. Debris (intraarticular bodies, which can be seen with synovial osteochondramotosis) 5. increased Density (sclerosis) 6. Destruction See … Continue reading
These mnemonics have been commonly used to recall the differences between osteoarthritis and rheumatoid arthritis: For osteoarthritis (also referred to as osteoarthrosis) L – loss of joint space O – osteophytes S – subchondral sclerosis S – subchondral cysts L – loss of joint space E – erosions S – soft tissue swelling S – … Continue reading
History: middle aged man with right upper quadrant pain. This is a case of acute calculous cholecystitis. Cholecystitis can be classified as either acute or chronic, and acute cholecystitis can be either calculous or acalculous. Calculous cholecystitis occurs in 95% of cases of cholecystitis, and acalculous cholecystitis occurs in 5% of cases of cholecystitis. This … Continue reading
History: 65 year old male with jaundice. This is a Klatskin tumor causing bile duct obstruction and biliary dilatation. A Klatskin tumor is a cholangiocarcinoma that arises at near the confluence of the right and left hepatic ducts and causes obstruction of bile duct outflow, leading to biliary dilatation as seen in the second image … Continue reading
History: middle aged male with right upper quadrant pain. What is your diagnosis in this middle aged male with right upper quadrant pain?
History: 65 year old male with jaundice. What is your diagnosis in this 65 year old male with jaundice? Comment and share below!
History: 50 year old female with melanoma. This is a case of metastatic malignant melanoma to the gallbladder. Melanoma is the most common cancer to metastasize to the gallbladder, and it usually occurs in the setting of widespread metastatic disease. Melanoma metastases are usually hyperenhancing. The differential diagnosis in this case would include other causes … Continue reading
History: 50 year old female with history of melanoma. What is your diagnosis in this 50 year old female with a history of melanoma? Comment and share below!