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All physical-medicine-and-rehabilitation Cases

Choosing Wisely Canada

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


Avascular necrosis on knee MRI

Male patient 32 years old professional cyclist presents pain and limitation in the right wrist after falling followed by right ...


Sacral fracture on x-ray

adult pt, slipped on ice and fell on his/her bottom. Pain when sitting up from lying position. Diagnosis? Treatment?


Urticaria Multiforme

18yo male with 4 episodes of sudden onset pruritus & rash starting on scalp. Resolved within a day (fam dr ...


Synovial Hemangioma of the Knee

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


inflammation of left elbow following traumatic incident

Male 59 years old with the treatment of levofloxacin 750mg VO c / 24Hrs, Meloxicam 15mg VO c / 24Hrs ...


Synovial chondromatosis of the hip joint

Synovial chondromatosis in a 18 years old female


Tinea corporis on chest

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


Chronic left ankle pain on x-ray

ironically this was his chief complaint was left ankle pain for many years. "I sprained my ankle badly in a ...


Genu Varum of the knee

Genu Varum (bow-leggedness) is common in toddlers like this 14mo girl. It usually improves spontaneously with age.


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 ...


CT of acute on chronic subdural hematoma

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


gangrenous feet

65y /M known c/o DM, HTN, Smoker had endovascular intervention ?stenting a yr back but gangrene is progressing. what will ...


Frcatured femur on xray

8yo male bicycle accident trying to "drift like the professionals"


toe-to-thumb transfer outcome

Young male patient who lost his thumb due to trauma. We performed a toe-to-thumb transfer that took approximately 10 hours. ...


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 ...


dupuytrens contracture of the left hand causing 5th digit deformity

A 70yo presented with the above, no known cause, started at the lt hand and the onset is gradual with ...


Immobilization syndrome

34yom with #Immobilization syndrome (paraplegic due to car accident 15 years ago) came to the ER with urinary #Sepsis, which ...


Winging Scapula

26 yo male, #wingingscapula #swayback #scapulothoracic #diskinesia #serratusanterior #scapula. No pain in lower back, only in shoulder region, most probably ...


Pemphigus vulgaris

started patient on doxycycline, oral steroids, NSAIDs and pain killers. he is improving. less blisters. what do you think is ...


Diaphragmatic hernia on chest x-ray

70YOF presented with vague complaints of intractable pains, weakness, fatigue. Has had numerous surgical procedures on joints, including shoulder replacement ...


Leukemia-associated marrow abnormalities in the femur on MRI

Cor fat-sat post-Gad T1 MRI in the same patient, recently diagnosed with leukemia, which caused the diffuse marrow abnormalities (with ...


Bucket handle tear of the medial meniscus of the knee in CT

Young athlete with chronic knee pain. Diagnosis?


Tracheal resection due to HPV exposure and subsequent cancer

Tracheal resection due to HPV exposure and subsequent Cancer. Sterile #Airway-(artificial) created to allow for direct insertion distal of margin ...


T12 burst with paraplegia

Chronic pain pt involved in moderate speed MVC. Restrained driver. C/o inability to feel legs or move them. T12 burst ...


Bongo Hospital operating theatre

It was shoddy electrical wiring that caused Bongo Hospital’s operating theatre to be destroyed by fire in 2013. Despite the ...


Severe scoliosis on chest xray

Severe #Scoliosis secondary to traumatic injury in a 60 year old man


Rachitic rosary of rickets on chest x-ray

There is a bulbous appearance of the anterior ribs near the costochondral junction. This is most pronounced on the right. ...


Talus fracture on x-ray

#talus #Fracture in 38 y/o male from fall. One of the dangers of this type of fracture due to the ...


Abdominal phrenic dyssynergia

28 y/o female patient c/o severe abdominal distention for 5 years, exacerbated by swallowing anything. Diagnosed with Abdominal Phrenic Dyssynergia. ...

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