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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 ...

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Medication management in pediatric palliative care

A Day in the life of a Pediatric Palliative Care kid...tons of medications for several overlapping issues..Seizures, pain, respiratory compromise..It ...

143824

Congenital upper eyelid coloboma

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

75958

Hyperhidrosis

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

195119

Anencephaly

A 35yrs old G5P4, hysterotomy done at 22wks. What do you see?

62209306

Choosing Wisely Canada

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

61416

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!

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Achondroplasia on x-ray

Lateral view of the spine in the same patient shows thoracolumbar junction kyphosis, lumbosacral junction lordosis, short pedicles, & "beaked"/"bullet" ...

33341

Icthyosis vulgaris chronic management

Male of 24 years old, know in the dermatology service since 10 years ago for presenting Ichthyosis. The patient starts ...

113832

angiogram of hepatocellular carcinoma in background of cirrhosis and tyrosinemia

The imaging showed findings consistent with arterial phase enhancement with subsequent washout. Given the patient’s underlying liver disease, the tumor ...

22011

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

Flaccid triphalangeal thumb in Holt Oram syndrome

7 week old with typical signs and symptoms of which syndrome?

3045143

Small bowel in an omphalocele in a newborn

newborn male infant found on exam to have small #Omphalocele. This was not noted at delivery. Infant was fed (breastmilk) ...

2596151

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

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

Osteopetroses on x-ray

a few months old female with fetal alcohol syndrome and something else. Ideas?

216645

acute on chronic subdural hematoma on CT brain

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

153631

cutaneous manifestations of hypoalbuminemia

59 y/o, male; states it's been 2 years since the lymphedema started. Other conditions that the patient has: cirrhosis, esophageal ...

203833

lymphoepithelioma like thymic carcinoma in histopathology

this is are H&E slides of a cell block from the pleural fluid of a 61/F presenting with masses in ...

1712

Niemann Pick disease with massive hepatospleenomegaly

14 mo. old female baby with mentally retardation, massive hepatosplenomegaly, wasted limps and hypotonia. There is positive family history of ...

2710995

Osteopetroses on x-ray

Follow up skeletal survey images of female with #Osteopetroses

192631

ST313 Salmonella typhimurium

Scientists from the State University of São Paulo (Unesp), PASIQUIBAC Laboratory at the Faculty of Pharmaceutical Sciences of Araraquara, with ...

31514

Meningioma on MRI T1

38 yo m presents to ER for complaints of headaches for multiple months, worse in the morning. Examination reveals multiple ...

135034

Bronchiectasis on chest CT

There is extensive varicoid bronchiectasis throughout the lungs. Cystic fibrosis is the most common lethal inherited disease in Caucasians. Most ...

31026

Ectrodactyly

30 year old female with incidental hand and feet deformity seen at a medical mission clinic

1062153

Heparin-induced thrombocytopenia

Female 71 years old with mediastinal neoplasm infiltrating the superior vena cava and right atrium (histology: thymoma type A). Clinical ...

67202197

pruritic pre-tibial lesions and pitting edema on upper limb

pt presented with intensely pruritic pre-tibial lesions and pitting edema. Spread over three days to lesions noted on arms and ...

152343

Macrophage consuming red blood cells

This toddler presented with familial #Hemophagocytic-lymphohistiocytosis and underwent a matched allogeneic #Bone-marrow-transplant from her father. Image 1 shows a macrophage ...

3725

Iris in albinism on slit lamp examination

Here's a slitlamp photo of the #Iris of a patient with #Albinism. In this retroillumination technique, light is directed through ...

91490

Turner's Syndrome on fetal ultrasound

patient came for an 11-13 week NT scan. Incidental findings on cystic #Hygroma measuring 6.8mm. Patient then went for genetic ...

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