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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, ...


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 ...


Lung adenocarcinoma with metastases on chest CT

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


Medication-related osteonecrosis of jaw on x-ray

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


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 ...


Pyelonephritis on kidney CT

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


Noncommunicating hydrocephalus

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


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, ...


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 ...


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 ...


Grade 4 pressure ulcer

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



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


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 ...


Ventricular fibrillation on ECG

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


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 ...


Gangrene foot and ethics

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


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 ...


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 ...


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 ...


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 ...


Phototoxic dermatitis

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


Superficial vein thrombosis

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


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 ...


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 ...



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


Millipede burn

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


Varicose vein

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


Histology of granulocytic sarcoma

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



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


Cutaneous metastases

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

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