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All internal-medicine Cases

Magnetic gait

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

223320

Hyperhidrosis

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

194916

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 ...

415440

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 ...

7214076

Uticaria

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

314632

Krukenberg tumor

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

255082

Gout

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

314620

Diabetic wound on foot

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

183619

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 ...

84139

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 ...

61315

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 ...

474950

Heroin overdose

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

25710947

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

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. ...

223364542

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!

17523792

Female physicians

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

1207086
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