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All endocrinology Cases

Sleeve gastrectomy

#sleevegastrectomy item CO2 test for stapling lines leaks. No leakage. 400 cc insuflation. Perfect lineal stapling.


Sibutramine drug information

#Sibutramine is an #inhibitor of the reuptake of #serotonin and #noradrenaline, leading to a decrease in appetite and, therefore, helps ...


Polypharmacy in an elderly patient

A 65-year-old woman with hypertension, dyslipidemia, type 2 diabetes, and depression appears at the pharmacy for a pharmaceutical review of ...


Diabetic ketoacidosis lab values

Female in her 40s w/ poorly controlled diabetes mellitus. Non compliant. Weakness x 1 week w/ nausea and vomiting. Serum ...


Calcinosis cutis on left hand

#Dermatologic-disorders 50 year old man, employed, persistent lesions for many years, no itching, no pain. What's it?


Mass on echo of posterior mitral valve leaflet

Posterior leaflet of #Mitral-valve with unusual mass. Undiagnosed presently. + severe MR. Pt is 1 day post-partum, prev healthy, normal ...


Rachitic rosary of rickets on chest x-ray

There is a bulbous appearance of the anterior ribs near the costochondral junction. This is most pronounced on the right. ...


Diabetic foot

Diabetic foot at a very advanced stage. The only solution was amputation.


Cushing's syndrome

34 year old presenting with compression fractures in her lumbar spine. Diagnosis?


pruritic pre-tibial lesions and pitting edema on upper limb

pt presented with intensely pruritic pre-tibial lesions and pitting edema. Spread over three days to lesions noted on arms and ...


Globet cells histology

first pictures is #smallintestine, you can notice #globetcells stained with #PAS. Second picture is #largeintestine, globet cells are white as ...


Ectopic thyroid mass on neck CT

Axial non-contrast neck CT in a 5-year old demonstrates a hyperattenuating neck mass (arrow) due to iodine content in an ...


hallux abductovalgus with bunion and hammertoe

59 year old female with pain in the forefoot ongoing for several years, difficulty with shoe gear. ASA 2 T2DM ...


Thymic hyperplasia on chest xray

Frontal chest radiograph in an infant shows a prominent cardiomediastinal silhouette (blue arrows). There is mild lobulation of the lateral ...


Dysplastic Sublexed Patellae

Knee xrays show small, dysplastic subluxed patellae. Developmental patellar subluxation can be seen in a variety of syndromes. Pelvic CT ...


Hand Foot Mouth Disease

difficult case for me, 32 y.o. Make librarian presents with rash for 1 day. No significant past medical history, no ...


Tigecycline general use information

Tygacil (#tigecycline) only comes IV... Adjust for hepatic dysfunction, no adjustment for renal dysfunction... Typical dose is 100mg load, then ...


Obturator hernia on CT

90+ year-old woman admitted for vomiting and renal failure. Bowel obstruction suspected. CT shows obturator hernia so emergent surgery is ...


Hyperpigmentation on right hand

26 year old female, suffering from unspecified hormonal imbalance (a.o. oligomenorrhea) for 1.5 yrs. Developed one line of hyperpigmentation on ...


Premature atrial ectopic beats on ECG

49 yo patient. Normally fit and well. Presented with premature atrial ectopic and palpitations, up to 20 a minute. After ...


Spinal abscess on sagittal spinal MRI

73yoM on dialysis complaining of difficulty walking, fever and elevated white count. Exam reveals distal motor strength of 2/5 bilaterally ...


Fetal anteterior neck mass on MRI

Sagittal SSFP MR image of a 3rd trimester fetus shows a neck mass (blue arrow) anterior to a narrowed trachea ...


Recurrent left foot cellulitis

60 y/o male presents to our walk in clinic for recurrent left foot cellulitis. He was treated about a month ...


Panhypopituitarism and macroprolactinoma removal

21 yo Chinese male patient with substantial penumoencephalus and intraventricular hemorrhage following the surgical removal of a gross macroprolactinoma. The ...


Primary hyperparathyroidism and adenoma on CT

Three types of imaging used in preop localization of primary hyperparathyroidism (PHPT). 1) Adenoma in 4D computed tomography. 2) Ultrasound; ...


Rash in patient with chronic idopathic urticaria

44yr old Patient presents with severe itching, burning, and tingling throughout entire body. History of chronic idiopathic #Urticaria. Images shown ...


Herpetic lesion on arm

76 year old, without significant background, no hypertension, no diabetes, began 6 months ago with herpetic lesion in rigth arm ...


Diabetic foot ulcer

Four weeks in to diabetic ulcer (previous photos have been uploaded). Pt woke up this morning with foul smell and ...


Hormone flush

58 y/o F PMH #Hashimoto's-thyroiditis, #Menopause. no HRT d/t immediate family hx of breast ca. Was on synthroid 25+ yrs, ...


Dermatologic spots on legs, arms, upper thigh area

19 y/o M presents w/ these spots on legs, arms and upper thigh area. Pt has had these spots 4-5 ...

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