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medicine is a-changing! I enjoy on line learning, having info at my fingertips and interacting with colleagues of every age ...

282210

Shingles

59 year old female, complaints of itching. Presented after flue vaccination, non febrile, non tender, spread laterally under breast and ...

553824

Significant thrombocytopenia on pediatric patient

male 3 years old. Any ideas? #hematology #bloodcount

35257

Choosing Wisely Canada

Resident Doctors of Canada (RDoC) has joined Choosing Wisely Canada, a national clinician led campaign to reduce unnecessary care. The ...

61416

Folliculitis

28yo F with multiple sores on scalp. Originally thought to be severe dandruff. Exacerbated by wet hair worn tight against ...

205825

Pulmonary Tuberculosis

Pulmonary #Tuberculosis with multiple cavities in a parient with HIV-AIDS

32342

Tru-D

Tru-D: A method of cleaning rooms between patients to disinfect and decrease the number of hospital acquired infections. Pretty cool ...

294346

Pulsed dye laser

Lasers aren’t just for cosmetic procedures. Case in point: This laser isn’t for hair removal – it’s a pulsed dye ...

022

Rifampin causing orange urine

Want to guess this Patients rare diagnosis and the cause for this orange urine? I'll share the answer this evening!

17523792

Hodgkins Lymphoma of the right neck

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

7013753

MRI of paraspinal mass mostly Extramedullary hematopoiesis

T1-W MRI in the same patient shows a mostly low signal intensity paraspinal mass typical of extramedullary hematopoiesis. Extramedullary hematopoiesis ...

42338

Psoriasis

50M came in with what appeared to be times corporis, mildly itchy, non-painful, tried ketoconazole cream, 2 weeks later returned ...

163111

Human papilloma virus warts on the knee

13 yo female with skin lesions for a year, initially treated with 3 sessions of cryotherapy and then a unknown ...

487819

decreased sensation and coloration of left middle digit

38 year old female. Started noticing her left middle digit would turn white and numb X 1 month intermittently. Color ...

3912760

cold autoimmune hemolytic anemia

how can you explain the Hb HCT results ?

35389

Systemic Lupus Erythematosis

Clinical Challenge: Female, 31 years old. Two years ago she noticed the appearance of bullous lesions in the anterior region ...

52110

Tinea corporis on chest

11 year old boy whose cat ate a mouse 4 days ago, the cat died the same day, and the ...

215427317

Erythematous lesion in peri-oral area

Female, 51 years old. Erythematous lesion in peri-oral area with one day of evolution. She reports that in the beginning ...

142415

Occlusive thrombosis of the left brachiocephalic vein

A 9 year-old male patient with history of end-stage renal disease secondary to posterior urethral valves received dialysis though a ...

4128

vertebral metastasis on x-ray

[SUPER EASY] what condition is causing the spine to look like this?

306028

Digital clubbing

Female, 56 years old.She smoked during 45 years. She smokes 20 cigarettes / day. What change is possible to identify ...

295032

acute on chronic subdural hematoma on CT brain

Vomiting,coma. Anticoagulation with Warfarin. INR 4,0

153631

Polycystic Ovary disease

Female, 30 years old. She has continuous pain in the left iliac fossa there are 30 days. She noticed increased ...

114325

artificial blood production - the first immortalized human adult erythroid line

Until now, research into artificial blood manufacturing has been focusing on the cultivation of donor stem cells for the direct ...

144371

superficial thrombophlebitis post IV placement into left cephalic vein

IV placement into L cephalic vein of 76F 4 days ago. Increased swelling/pain and reduced range of movement. Incidental finding ...

12138

Anopheles albimanus larvae - cause of Malaria

Anopheles albimanus larvae, objective 4x #Malaria #Parasite-infections

31440

post-mastectomy lymphedema

Female, 60 years old. Ten years ago she underwent a mastectomy to treat breast cancer. Two weeks after surgery she ...

517454

Blood smear demonstrating Plasmodium falciparum

Thick blood smear for Plasmodium falciparum, objective 100x #Malaria #Parasite-infections

41739

ulcer on dorsal area of the left foot in diabetic

Female, 80 years old. She has diabetes and high blood pressure. She developed a ulcer on dorsal area of the ...

115234

Autoeczematization due to Cutaneous Larva Migrans on foot

it strikes again! For anyone: have you ever seen an Id reaction from CLM? This patient actually presented initially with ...

94639
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