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All emergency-medicine Cases

Actinic keratosis

The patient has actinic keratosis. He is treated with photodynamic therapy, the lesions on the arm have now become inflamed. ...

83011

Cyanokit

50-something M patient to ED with ROSC after arrest secondary to house fire. Cyanokit is given to bind cyanide produced ...

103146275

Prone position

Behind the drapes...how patients are positioned - prone used for spinal and posterior fossa surgery. Lateral for various intracranial lesions. ...

694877

Hematemesis

66 YOF with a 6 week history of abdo pain and significant weight loss. One episode of #Hematemesis previously- admitted ...

156554

Titanium helical fasteners on x-ray

Can anyone kindly identify the small metal coils seen in this 87 year old gentlemans abdomen. He is delirious so ...

86205136

Atrial flutter in ECG

A patient admitted for pleural effusion. Noted frequent intermittent self-aborted #Tachyarrhythmias . It's looks like running of #Supraventricular-tachycardia from the ...

71716

Tracheo-innominate fistula

#Tracheo-innominate-fistula, a rare and often deadly complication of #Tracheostomy! Yellow arrow points to the tracheostomy stoma, black arrow points to ...

2865115

Shock cheat sheet

Since my last post was well received, I guess I'll do one more. #CheatSheet This one is a bread and ...

1553132

Wandering spleen on CT

14 yo Patient presents with abdominal pain, Abdominal US reveals a pelvic spleen. On CT you can see the spleen ...

61828

Doctors Without Borders in Iraq

As the fighting intensifies in and around Mosul, the humanitarian crisis in Iraq continues to worsen. In response to increasing ...

83451

Foreign body in esophagus

esophageal foreign body, child presents with significant drooling but no respiratory distress.

314531

Arrow in hand

I shot an arrow I know not where......This 10 year old boy shot an arrow that broke. Initially it seemed ...

126974

Furuncle caused by Staphylococcus aureus

The #Furuncle is caused by Staphylococcus aureus. It is transmitted by contact with asymptomatic carriers, people with purulent lesion or ...

224024

X-ray of right fibular fracture

18 yo M s/p GSW to the bilateral lower extremities. Findings on the right leg. ABI above one bilaterally, strong ...

11149

Displaced clavicle fracture

27yo male had a bike accident and landed on his shoulder. 1st xray were taken at the ER the day ...

384428

Right-sided neck mass of Hodgkins Lymphoma

Patient is 4 yo M immigrant from Malaysia (5 months ago) presents with right sided neck mass that has been ...

7013653

Abdominal x-ray of ingested metallic foreign body

Abdominal x-ray shows an ingested metallic foreign body. Most ingested foreign objects will pass through the gastrointestinal system without complication. ...

82529

tibial dislocation of left leg

24yo male, playing a local game of Australian football, team mate landed on L) lower leg during play > dislocation ...

183862

Brain CT scan of hypertensive bleed associated with sympathamomimetic use

This is a 24-year-old male with past medical history of heroin addiction, who presents to an emergency department of a ...

186437

High lateral STEMI on ECG

known IHD, 89 , a few days of chest pain, presents with LVF, BP 150/87

16185

Hypopyon

great #Hypopyon ---pus in the anterior chamber. Blurry vision, could only see silhouette. Seen the ER

72917

Distal radius fracture on x-ray

11 year old boy fell from the monkey bar after playing a baseball game. Severe pain of the forearm. Normal ...

73015

Pulmonary embolism on ECG

F pt 89+, late stage Alzheimer, no ability to communicate, incl expressing pain. Wheelchair bound, DNR. Sudden onset of clear ...

132318

Acute pericarditis on ECG

22yo male with "crushing" central chest pain for 12hrs and sob on brief exertion. Recently put on clarithromycin for sinusitis ...

162116

Left transverse venous sinus thrombosis

IMAGE FOR RADIOLOGICAL INTERPRETATION. 30-year-old female patient makes continuous use of contraceptive presented sudden headache without improvements with drug treatment ...

73723

Psoriasis and pruritic rash

56 yo female with a history of well controlled #Psoriasis only confined to the left ankle presents with a 4 ...

72328

Facial swelling

two days of progressive facial swelling, raised inflammatory markers, no significant past medical history, what would you do with this ...

586321

Epiglottitis and thump sign on head x-ray

2yr AAF with c/f allergic reaction. Triage to fast track (low acuity). No relevant PMH or family hx. NKDA. UTD ...

134218

Acne vulgaris on forehead

10 y/o female, non-pruritic papular lesions for a year, responding to benzyl peroxide applied for 3 weeks, what were they ...

295330

Acanthosis nigricans

Middle-aged female with intensely pruritic rash to neck, axillary (intertrigo?), abdomen, groin and upper extremities for 4 weeks. No response ...

204619
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