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All psychiatry Cases

Bezoar of hair from the stomach in trichophagia

Bezoar removed from 14yr old patients stomach. She had been eating her hair for quite some time


Tinea corporis on chest

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


CT of acute on chronic subdural hematoma

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


attention neglect and dementia as evidenced by clock drawings

I had a chance to assess permanent residents in a care facility today. How would you explain these clock drawings ...


films to end mental health stigma

Heads Together, the royal family’s campaign to end the stigma surrounding mental health, released a series of films to encourage ...


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 ...


lacerated wrist sutures

pt stated that a cars hood fell on wrist that caused the lacerations. A case from a few months ago ...


Abdominal wall hematoma on CT abdomen without any cause except coughing and senility

70 YO female patient. She has abdominal pain which started while she was coughing. She has HT, Diabetes. She doesn't ...


Molar pregnancy in ultrasound

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


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 ...



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


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 ...


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 ...



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


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 ...


Pyelonephritis on kidney CT

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


Transorbital lobotomy

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


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 ...


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 ...


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 ...


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 ...


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 ...


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 ...


Sinus tachycardia on ECG

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


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 ...


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 ...



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


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 ...



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


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 ...

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