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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 ...


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 ...


Acute on chronic subdural hematoma on CT

88 year old female with history of hypertension and NPH status post VP shunt presents to the ED unresponsive with ...


Neuromyelitis optica



Treating hyperthermic patients

Someone recently shared a post asking about how to treat hyperthermic patients. In a military training setting, as well as ...


Magnetic gait

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


Hemangioblastoma on MRI

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



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


L4-L5 disc herniation on MRI

Pt presents with pain. Difficulty to walk. Left leg feels numb up to patella, pt states dead weight. Pt states ...


Choosing Wisely Canada

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


Breast cancer with mets

50yo F Dx with Breast Ca per needle bx. PETCT to complete staging. Patient opt'ed for lumpectomy only. No Chemo/hormone/ ...


Vintage specimen jars

A collection of vintage specimen jars from #behindthescenes at the museum. We take great care to preserve our collections as ...


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!


Intracerebral hemorrhage on CT

Although rarely heart-shaped, an intracerebral hemorrhage (ICH) can occur from a variety of causes including having a history of high ...


Cannabis treatment in Lennox-Gastaut syndrome

According to a large-scale clinical study to be presented at the 69th annual meeting at the American Academy of Neurology, ...


Frontal parietal tumor on MRI

4 y/o F to undergo #craniotomy for #tumor resection. MRI shows frontal parietal tumor along lateral margins of cyst. Pt ...


MRI of olfactory groove meningioma

Pt is 39 y/o Caucasian female, hx of seizures, headaches, with olfactory and visual disturbances. What's your DX?


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 ...


Cortical laminar necrosis on head CT

2 year old girl with sickle cell anaemia. She had 3 week history of fever with several episodes of convulsions. ...


Bilateral swelling of the jaw in cherubism

14 year old male.Condition started since he was a toddler and progressively increasing. Differentials ? Students give it a try


Lower lid ectropion with cataract and conjunctivitis

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


Subdural haemorrhage with midline shift on CT

84 year old female complaining of shoulder pain after her dog pulled the leash. Patient fell backwards, (24 hs prior ...


Synovial Hemangioma of the Knee

44 y/o F with intermittent knee pain and swelling for several years. What is your diagnosis?


Bilateral globus pallidus lesions secondary to carbon monoxide poisoning

Bilateral Globus Pallidus Lesions secondary to CO Poisoning. 33 YOM presented to the ED with mental status changes. Standard of ...


Degenerative disease with cord compression

adult. Male. patient reports intense pain in the cervical region and numbness in right arm. Reports feeling shock in the ...


Basilar artery stent occlusion

60 something female will a #Basilar-artery stent which appears to have occluded.


acute on chronic subdural hematoma on CT brain

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


various neurocognitive deficits indicated by clock drawings

I had a chance to assess permanent residents in a care facility today. How would you explain these clock drawings ...


Root canal treatment

root canal treatment lower second molar .. protaper next . NaOCl irrigation . ADSEL sealer .


Neurofibromatosis Type 1

Neurofibromatosis type 1

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