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All internal-medicine Cases

Atrial bigeminy on ECG

Describe the rythm and explain yourself.

14288

Congenital upper eyelid coloboma

Congenital coloboma of upper eyelid! 7 yo pt. Surgery will be soon!

75756

Thrombotic microangiopathy

What is the diagnosis? Follow us and come back next week for the answer! | Presented by Reiri Sono MD, ...

61810

Tinea versicolor

24 yo male presents this palpable eruption on back and on lateral thorax (just under the armpits bilaterally). no itchy, ...

3125

MRSA on wrist

#Whatisit? This 38 year old man presents to the ER with a one day onset of erythema to the thenar ...

345918

Right sided tension pneumothorax on x-ray

A 28yrs old male presented with severe difficulty in breathing,Intermittent fever for one weeks.N/h/o any other medical illness or any ...

465237

Magnetic gait

82 F presents with dementia, and a “funny walk”. Pt is noted to be incontinent. NAME THAT GAIT!

233221

Hyperhidrosis

Very rare case, a 13 years old refugee female presented with life long history(the mother said ´´I felt the condition ...

195018

Gout

68 yo M with history of recurrent gout in ankles presents to urgent care with 2 days of abrupt-onset left ...

314414

Wound on foot

Left dorsal foot wound. Started as small non raised red areas and petechia. Progressed to bruised area minus open area ...

133023

Bibasilar pneumonia with effusion and COPD on chest x-ray

53 yo Caucasian smoker 0.5 ppd for 40 years presents with wheezing cough and SOB for 1 week does not ...

62410

Pseudohypoparathyroidism

This 9-year-old girl has a missing 4th knuckle on her right hand. Mum has just noticed it recently. No preceding ...

415340

Acute appendicitis as demonstrated on tests

A 5 year old boy complained of abdominal distention due to urine retention for 10 hours duration, and abdominal pain ...

11259

Squamous cell carcinoma

65 yo male with (reportedly) 3 months of neck swelling, throat pain and dysphasia. He has lost 35 lbs in ...

7214177

Uticaria

Just a nice case of urticaria. Patient is now taking Zyrtec 10mg qam, 25-50mg Benadryl QHS, and Montelukast 10mg qd.

314532

Krukenberg tumor

Ovarian #Metastasis from #Colon #Cancer. Krukenberg tumor refers to a malignancy in the ovary that metastasized from a primary site, ...

255288

Gout

2-4 weeks of wearing crocks and develops this ulcer. History is a bit inconsistent as patient has mild cognitive imparement. ...

324720

Diabetic wound on foot

diabetic wound. Patient 55 years old diabetic not on regular medicine . Dr advised above ankle amputation but patient refused

183620

Prescription medication

Prescription medications obtained over a 60 day period by a single person from 19 different prescribers. Due to several red ...

594427

Snake bite

This is hand of a victim bitten by a snake. Traditional healer(Ozha-Snake Charmer) incised his hand with blade to remove ...

84039

Rhabdomyosarcoma on MRI of calf

Final update. Please see two previous Text cases to get an idea what's going on here. General surgery did tru-cut ...

31411

Pharyngeal Vesicles

Pharyngialvesicles. Hx : a 25 yo male with sorethorat for 10 days which is not worsened with eating. No hx ...

134010

Choosing Wisely Canada

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

61416

Ethical dilemmas

Everyday while at the workplace we come across ethical dilemmas. This topic came up in one of my nursing classes ...

1689645

Bullous impetigo on leg

17 yo females presents to UC complaining of 6 days of worsening "blisters" located at the left antecubital fossa and ...

102819

TPN contamination in blood vial

Lets play GUESS THAT CONTAMINANT! Both renal panels drawn through a PICC line. Lab called me with a suspected contaminant. ...

264220

SAM Splint

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

485050

Heroin overdose

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

25911249

Tick bite

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

183419

Recurrent strep throat

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

69297
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