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All palliative-medicine Cases

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!


cold autoimmune hemolytic anemia

how can you explain the Hb HCT results ?


Synovial Hemangioma of the Knee

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


Chest x-ray of breast cancer patient with bilateral mastectomies

history: later 40s year old female with bilateral mastectomies in the past few years for stage three breast cancer. See ...


Multiple myeloma

60 yo male with arm pain. No trauma. That's all the history I want to give. What questions would you ...


vertebral metastasis on x-ray

[SUPER EASY] what condition is causing the spine to look like this?


CT of acute on chronic subdural hematoma

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


ulcer on dorsal area of the left foot in diabetic

Female, 80 years old. She has diabetes and high blood pressure. She developed a ulcer on dorsal area of the ...


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 ...


Herpetic Whitlow

opd patient, with history of fingertip infection/ blister since 6 months. I could make out the destruction of nails and ...


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 ...

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