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All palliative-medicine Cases

Wound with hypergranulation

89+ yo female referred to homecare for wound care of BLE "stasis ulcers", which have been slowly worsening for years, ...

12295

Embryonal rhabdomyosarcoma on MRI

4 Y/O Female with hx. of Embryonal Rhabdomyosarcoma. S/P End of Chemo and port removal. Sadly, there has been a ...

194322

Lung adenocarcinoma with metastases on chest CT

CT images of a past case #subcutaneous, #skin #mets of a #lung #adenocarcinoma

2208

Medication-related osteonecrosis of jaw on x-ray

Medication related osteonecrosis of jaw in 66yo Male with metastatic Prostate cancer , on Prolia

63220

Inflammatory Abscess on chest

Inflammatory Abscess in 26 y.o. f. on the chest skin. It started as a simple pimple 25 days before of ...

817680

Pyelonephritis on kidney CT

Oblique coronal contrasted CT image of the kidneys in a teenager with flank pain & fever shows patchy foci of ...

3157520

Noncommunicating hydrocephalus

2 VP shunt cases- 2 different outcomes. 1st case: 45yoM with noncommunicating hydrocephalus s/p post fossa tumor removal with change ...

3420

Oxacillin and cefazolin general information

#Oxacillin and #Cefazolin are two go-to drugs for methicillin-susceptible Staphylococcus aureus (MSSA). Cefazolin has Gram negative coverage (Proteus, E. coli, ...

5365

Acute lymphocytic myocarditis on ECG

34 yo male, asymptomatic #Hyperuricemia, #Allopurinol for two weeks; no other relevant history. Malaise, low grade fever and myalgias during ...

213671

Tuberculosis with acute myelopathy and brain lesions on CT head

59 year old male, presenting with 4 days of bilateral paraplegia with parestesia, hyporreflexia, and hypostesia (D6 dermatome, pain and ...

152223

Grade 4 pressure ulcer

Follow up; grade 4 pressure ulcer. After some weeks of hydrofiber dressings, at the end with silver. Granulation going on ...

1221183

Ringworm

28 year old female with rash for 4 months. Saw PCP, diagnosed with ringworm. Prescribed Ketoconazole with no improvement. Saw ...

274439

Enlarged right supraclavicular lymph node and chest x-ray

OK, this is going to be at least a three-part case; taking it step-wise, just like in real life. 75 ...

1015915

Ventricular fibrillation on ECG

67 yo male post OHCA (out of hospital cardiac arrest). Conservative down time 35 minutes. Previous LVEF 25% 10 years ...

132723

Paracentesis in end stage cirrhosis

53y AAF admitted to ICU for end stage cirrhosis..ascites and SOB..tap attempted in ER but only 25cc drained..took her the ...

345579

Gangrene foot and ethics

85yoM with multiple comorbidities & gangrene foot, due for AKA soon. Pt refuses but POA/legal guardian (appointed by judge) says ...

6777188

Cocaine Use and Stroke Symptoms

Early 40s cocaine dependent female presented with #Headache and while in the ED asked her 84 year old boyfriend to ...

131692

Acinetobacter resistance in blood and sputum culture

Respiratory and blood culture growing Pan-R #Acinetobacter. Colistin, tigecycline and rifampin sensitivities pending. Penicillin allergy (hives). CrCl 30mL/min and on ...

252479

Neuroendocrine tumor with metastases on CT

69 yo male. Vehicule accident after feeling dizzy. Abd. echography showed multiple liver masses. Then a PET Scan that showed ...

51162

Complex regional pain syndrome of the right leg

61 year old male with a history of pain and paresthesia in the right leg following an uncomplicated right total ...

10873223

Phototoxic dermatitis

#Phototoxic-dermatitis from essential oil Bergamot .32 yo Male had Bergamot oil rubbed into abdominal skin ."to open Chakra. Went for ...

224767

Superficial vein thrombosis

15 days of evolution . Metastases have become painful. It appeared a superficial vein thrombosis in the right upper limb ...

83320

Invasive ductal carcinoma on mammogram

A 27-year-old, African American female presented with a right breast mass, palpable for one year. Given the patient’s age, an ...

174823

Chest Xray in patient with esophagic cancer and dyspnea

66 y/o female patient with terminal esophagic cancer in paliative care is brought to the ward for progressive disnea in ...

101014

Micafungin

#Micafungin is an echinocandin antifungal (anidulafungin and caspofungin are the others). It is well tolerated and practically no drug-drug interactions. ...

0358

Millipede burn

9 yo female presented to summer camp health office w. this: strange pattern, brownish black on ball of foot. Denies ...

322409199

Varicose vein

28 yr old male varicose ant. Left Leg since 1 year.other sites normal .right leg normal

161910

Histology of granulocytic sarcoma

This HIV positive 63 year old female patient had an enlarging left anterior chest wall mass which was subsequently biopsied. ...

154524

Ceftazidime

#Ceftazidime (Fortaz, Tazicef) is a 3rd-generation cephalosporin w/ #Pseudomonas aeruginosa activity (an aerobic non-fermenting Gram negative rod). It unfortunately is ...

4368

Cutaneous metastases

Man of 76 years. Smoker. Diagnosis of lung cancer . In 15 days this painful swellings on the skin .

154545
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