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All internal-medicine Cases

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 ...

364725

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 ...

7013652

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 ...

132319

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 ...

73219

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

Urticaria Multiforme

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

93208146

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 ...

152916

Alopecia areata

Patient 3. Male, 17 years old. There are 15 days notice of flaws in his hair. Considering the picture above ...

223211

Pyogenic granuloma

75y female with 1.5cm diameter lesion on chest. very tender. pedunculated. quite vascular when I inserted lignocaine she bled quite ...

43426

Cuteaneous horn of the eye

Male, 73 years old. What is the name of the injury shown? What can this lesion hide?

125143

Acanthosis nigricans

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

194619

MRI of cutaneous infantile hemangiomas in the liver

Axial FS T2-weighted MR image through the abdomen of this patient shows innumerable round small to moderate sized hepatic lesions ...

52741

Acute non pruritic scalp lesion as a keratoacanthoma

56yo Asian male with non tender, non pruritic lesion on scalp x3-4wks. Bleeding when scratched, otherwise no drainage. What could ...

72013

Pilar cyst on the scalp

This patient came in with this big mess on there scalp. An excision was done on it. What do you ...

195824

Lower lid ectropion with cataract and conjunctivitis

Clinical Eye: what important ocular pathologies can you see in the images?

153329

Rectal polyp on colonoscopy for rectosigmoidectomy

Middle-aged man with vague right upper quadrant abdominal pain, found to have a 4cm polyploid rectal mass on colonoscopy. Biopsy ...

62536

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 ...

427518

Hyperinflated lungs in emphysema on x-ray

58F. SOB. Textbook example of what condition?

354436

Periungal fibromas in tuberous sclerosis

So, I am in my rural social service right now here in Colombia. In a visit to a really far ...

124929

Lateral canthus basocellular carcinoma of the eye

Lateral canthus basocellular carcinoma.

8209

Chronic pruritic rash in psoriasis

Chronic pruritic rash in middle-aged female. Recent allergy testing revealed multiple food and environmental allergies. She has modified her diet ...

61611

Renal stones

Extracted these stones from the L kidney of a female patient. Can you guess what was her Dx and the ...

164344

Unwarmed EDTA sample

how can you explain the Hb HCT results ?

35389

Systemic Lupus Erythematosis

35 year old woman. 3 months of fotosensitivity skin lesions. Also refers arthralgia, raynaud phenomenon and recurrent oral ulcers.

114115

Systemic Lupus Erythematosis

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

52110
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