Chloera in intestine
These intestinal specimens from a putative 1849 cholera victim were examined by a team of scientists, and are a part of the collections of the Mütter Museum. The original description associated with the
3rd degree heart block on ECG
84 y/o f with no relevant MHx brought in by ambulance after 5th episode of syncope/vertigo in a week's time. She says that she suddenly just couldn't do any physical effort anymore. Vital signs ok; normotensive.
16 yo runner presenting with bilateral leg pain and rash, systemically well, ROS negative, family history of hypothyroidism and DM type 1. On exam, ankles swollen R>L, non blanchable petechiae/purpura,
STEMI on ECG
50yoF had 2/7 of lower sharp back pain at rest which progressively worsened and moved up into R arm despite self medicating. No pmh. Self presented at ED. Pt looked well perfused, not clammy no nausea
Xanthochromia from subarachnoid hemorrhage
59 yow, explosive headache during sex two weeks before. Normal Head CT one week after onset. Presents to ER because of ongoing neck pain. Neuro exam notable for neck stiffness and + Brudzinski's-sign.
EMS called to patient house for "bugs crawling on skin". On arrival of has picked some of these "bugs" off and are shown in the first picture. While on paper the organisms are moving! Other pictures show
Type II sinoatrial block on ECG
(not my case; belongs to @mrrbw who was caring for the pt and I just so happen to look over at the monitors) middle aged woman presenting to ED w/ CP. PMHx: Afib. ØSOB, Øpalp, Ødizziness, vertigo, or syncope.
Multiple fractures on 3D CT of skull
43yo male motorcycle x horse collision. Multiple fractures limbs, thorax and hips. ICU to stabilize and no predictions for the mandible fixation yet since the displacement is minimal. Will update as I
Chronic granulomatous disease smear
A very common disease in my country...fig 1)what organ is this? What's the name of the structure in the circle? Fig 2&3)Can you recognize its parts? Fig4) What's the name of the cell in fig 4? what's the
65 y/o male, DM II, CHF, Afib, on warfarin; morbid obesity s/p gastric sleeve. Rash appeared 2 weeks ago, randomly. Any thoughts?
Duodenal atresia in x-ray
Do you know the name of this disease.? Differencial diagnosis?
Screening MRI of patient with Hepatitis C
52 yo with #Hepatitis-C getting their first screening MRI prior to starting therapy. Coronal T2, axial T2FS, then pre and dynamic post contrast T1
Ventricular Fibrillation in Acute Myocardial Infarction on ECG
74yoM suffering a witnessed out-of-hospital cardiac arrest with immediate bystander CPR. ROSC after 3 shocks. What rhythms do you see? What do you suppose is the cause of the arrest? Update to follow...
Ceramic restorations on teeth
Pt had 6 all ceramic restorations making her confident in her smile
14 year old with 5 day history of rash, does not itch, legs hurt due to some minimal swelling. Just finished Bactrim and Griseofulvin for infected eczema. Rash started on the last day of Bactrim.
Myositis ossificans in x-ray
A case of RTA, discharged with initial conservative management and a vp shunt. Later developed swelling both cubital fossae. X rays confirmed myositis ossificans.