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All psychiatry Cases

Molar pregnancy in ultrasound

Young female with vaginal bleeding, beta hCG is elevated. Diagnosis? Any guesses what her beta levels were?

115938

Self inflicted gun shot wound

#Tattooing of gunpowder. This is common at war zones when soldiers use to shot themselves to get a sick-leave.. it ...

143554

Pica

These all were found in a patient's stomach who was diagnosed to have Pica Eating Disorder

2846119

The Pillbox Test and Tinkertoy Test

73 yr old, retired attorney, community residing and independently driving, male, with "memory problems" given the Pillbox Test as a ...

103113148

Polypharmacy in an elderly patient

A 65-year-old woman with hypertension, dyslipidemia, type 2 diabetes, and depression appears at the pharmacy for a pharmaceutical review of ...

353121

Tooth

51YoM pt at an inpatient psych facility approached me after supper and stated "it just fell out" and presented to ...

172399

pruritic pre-tibial lesions and pitting edema on upper limb

pt presented with intensely pruritic pre-tibial lesions and pitting edema. Spread over three days to lesions noted on arms and ...

152242

Pyelonephritis on kidney CT

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

3157520

Transorbital lobotomy

This specimen shows the characteristic marks of transorbital lobotomy, also called, in its time, icepick lobotomy. The small, symmetrical holes ...

192670

Massive subarachnoid hemorrhage due to aneurysm on CT head

53 yo woman with massive subarachnoid hemorrhage. GCS 14. Angiography showed a blister-like aneurysm of the right carotid. Acute treatmen ...

43237

Hand Foot Mouth Disease

difficult case for me, 32 y.o. Make librarian presents with rash for 1 day. No significant past medical history, no ...

191233344

Obturator hernia on CT

90+ year-old woman admitted for vomiting and renal failure. Bowel obstruction suspected. CT shows obturator hernia so emergent surgery is ...

0310

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

Foreign bodies on abdominal xray

54 yo/M history of schizophrenia and multiple admits for swallowing foreign objects, initially unable to retrieve AA batteries x2, was ...

1820404

Hematopoietic stem cell transplantation and death rates

Incidences of suicidal and accidental death are higher among European patients who have received hematopoietic stem cell transplantation (HSCT) than ...

42525

Sinus tachycardia on ECG

22 yo patient hx of seizures Witnessed 2 grand mal, unresponsive. Been in ICU 2x in a month. Was retaining ...

344216

Dialysis and renal damage

case continued (2); IV therapy continues to be unresponsive; GFR 32->21 in 6hrs and continues to fall. Over the evening ...

536214

Pneumomediastinum and retropharyngeal air on x-ray

healthy 16 yo male with acute onset of neck and chest pain yesterday. Came to ED and had crepitus in ...

284742

Neurosyphilis

Syphilis, often known as 'The Great Imitator', is thought of as an issue of the past, now that antibiotics are ...

356110

Chest x-ray of patient with 2 month dry cough

48 yo man who presents with 2 month hx of dry cough. His grandson has been dx with pertussis. He ...

103635

Antipsychotics

Patient diagnosed with moderate to severe mental retardation. Patient is on Lopressor 25mg OD, Synthroid 75mcg OD, Klonopin 1mg OD ...

767124

Bulbar palsy and spastic quadriparesis and trident appearance post-correction hyponatremia on MRI

An alcoholic presented to emergency confused and feeling weak 1 week after discharged. During the last admission, he was successfully ...

83947

Microbiology and infectious disease

Update: Pt was called in this morning to discuss MH options/referrals. Pt is still denying any MH involvement and still ...

1445530

Mental health and anger and depression

30y.o male with morbid obesity (BMI 80), DM II (well controlled), HTN, OSA, asthma and hypogonadism. Labs essentially WNL except ...

1265233

Inhalation of computer duster and loss of consciousness

14 y/o m. Presents via family member after losing consciousness. When pt regained consciousness speech was slurred, gait was unstable ...

597536

Domestic violence and lesions on arm

Today I had 5 cases of domestic violence in ER. It was disturbing to see so many women in 1 ...

130102155

Vomitus and ingestion of foreign body particles

2.5 year old healthy female. Vomiting the items above. Family is unable to identify them, can't think of any possible ...

4711021464

Rabies bite and booster series

Guess who is back? Pt in her late 20's came in today with these marks on her chest. She states ...

1339826

Psychiatric condition and widespread ulcers

The woman (53y) was found living in her bathtub for at least two weeks by a visiting sociopsychiatric service worker. ...

198393858

Depressed skull fracture and repair in OR

Sports & head injury...37yoF hit in head with bowling trophy. CT shows fracture with no intracranial bleed. There's no overlying ...

5784257
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