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All medical-genetics Cases

Paederus beetle

I am in a medical mission in the DRC(congo). This insect is present in the grasslands and when a person ...


Medical resources

medicine is a-changing! I enjoy on line learning, having info at my fingertips and interacting with colleagues of every age ...


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 ...


Congenital upper eyelid coloboma

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



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



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


Choosing Wisely Canada

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


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!


Achondroplasia on x-ray

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


Icthyosis vulgaris chronic management

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


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 ...


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 ...


Flaccid triphalangeal thumb in Holt Oram syndrome

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


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) ...


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 ...


Tinea corporis on chest

11 year old boy whose cat ate a mouse 4 days ago, the cat died the same day, and the ...


Osteopetroses on x-ray

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


acute on chronic subdural hematoma on CT brain

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


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 ...


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 ...


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 ...


Osteopetroses on x-ray

Follow up skeletal survey images of female with #Osteopetroses


ST313 Salmonella typhimurium

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


Meningioma on MRI T1

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


Bronchiectasis on chest CT

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



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


Heparin-induced thrombocytopenia

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


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 ...


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 ...


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 ...

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