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All internal-medicine Cases

SAM Splint

This SAM Splint can save a life. As seen here on Dr. Winegarner, though it looks like just a piece ...

474950

Heroin overdose

Heightened awareness of prescription opioid addiction has led some of those addicted to turn to heroin. Increasingly, emergency departments (EDs) ...

23610446

Tick bite

over 50 yo male with tic bite, works outside, didn't want to start doxy , started amox instead x 21 ...

183418

Recurrent strep throat

Recurrent strep X6 in 6 months. No known exposures. What is the cause and the long term cure?

69297

Pulmonary Tuberculosis

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

32341

Shiitake dermatitis

50 yoM presents w/ mildly pruritic rash. No environmental changes. Was at an Asian food festival a few days ago. ...

204345512

Bronchiectasis on CT

Chest: Bronchiectasis on CT Findings: There are dilated, non-tapering bronchi. Discussion: Bronchiectasis is defined as irreversible dilatation of bronchi.

6913

Secondary Syphilitic Lesions

A 50y/o male was presented with known h/o Diabetes Mellitus (DM) and Hypertension (HTN). The skin condition as shown in ...

113612

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!

17523591

Female physicians

Previous studies have found that female physicians are more likely to adhere to clinical guidelines and evidence-based practice than their ...

1207087

Retroperitoneal fibrosis on CT

57years old male with #Anuria . What is your diagnosis?

205020

Seborrheic keratosis

Pt submitted photos - Pt in her early 30's reports a mole located on her left breast present since puberty. ...

155713

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 ...

71817

Bladder stone

Continent reservoir ileocystoplasty for treatment of bladder extrophy. At 16 years old, lost medical insurance. At 19 y, returned with ...

125080

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 ...

2866115

Intramuscular hematoma

huge intramuscular hematoma from im injection. a patient on warfarin for chronic af

162736

Necrotic toe

I see a lot of non-compliant diabetics with wounds, mainly on their feet. This woman ended up with a necrotic ...

81630

Burnt toast campaign

The Food Standards Agency (FSA) just launched a campaign warning people about consuming burnt toast and crispy roast potatoes. The ...

21212

Green urine

Male patient 43 years old . Green urine probably due to Pseudomonas Aeruginosae infection. The patient reports the assumption of ...

31826

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

Pterygium of right eye

Female, 45 years old. She sought medical help for another reason, but I noticed the presence of fibrous tissue in ...

405228

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 ...

6913653

ECG of atrioventricular nodal reentrant tachycardia

39 y/o, female, known case of SVT came to ED due to palpitations. She reported missing her dose of Propranolol. ...

82633

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

Pulmonary embolism on ECG

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

132317

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 ...

73824

Psoriasis and pruritic rash

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

72329

Urticaria Multiforme

18yo male with 4 episodes of sudden onset pruritus & rash starting on scalp. Resolved within a day (fam dr ...

96213151

painful erythema over the neck and face

53 years old male presents with this no painful erythema well-spread over his neck and face.continuous presenting symptoms from about ...

26396

Tinea capitis

7 yo male with history of intermittently pruritic, flaky rash that started 2 months ago was treated (and failed) with ...

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