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All rectum-and-anus Cases

Foreign Object in Rectum XRay

57yr old man presented to ED with constipation and anal leakage and bleeding. Xrays shows foreign object. Pt then admits ...

40104282

Sleeve gastrectomy

#sleevegastrectomy item CO2 test for stapling lines leaks. No leakage. 400 cc insuflation. Perfect lineal stapling.

204262

Polyps in the cecum on colonoscopy

#Colon #Polyp(s) (LST-G) 3x2 cm in the #Cecum. Endoscopic mucosal resection was performed with argon plasma coagulation of the edges ...

41110

Ascariasis

#Ascariasis

477

Mild inverse psoriasis

20 yo female pt presents with reddening along the Intergluteal cleft. There appear to be red lessons indicated by the ...

324168

Fluconazole

Fluconazole is an Azole antifungal drug, which decreases ergosterol synthesis & interferes w/ fungal cell membrane formation. Beware QTc prolongation, ...

8549

Pyelonephritis on kidney CT

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

3157520

Clot removed from the left M1 segment of the Middle cerebral artery

80yo F presents to the ED aphasic and right sided paralysis. CT confirms left M1 clot. Pt sent to Cath ...

5345738

Hirschsprung Megacolon X Ray

2 yo came in with abdominal distension. Xray showed...

2212999

Squamous cell carcinoma on histology

#Squamous-cell-carcinoma #Folliculitis #Sebaceous-glands there's a lot going on here. I'm thinking Scc more opinions please thanks.

122617

EpiPen price increase

On Sept. 21, Mylan CEO Heather Bresch will appear at a U.S. congressional hearing over price increases for the EpiPen ...

744309253

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

Gross prostate gland specimen with tumor

Section of prostate gland from radical #Prostatectomy. Top arrow shows gross evidence of tumor (tan-yellow) which is sometimes difficult to ...

0014

IV metronidazole and usage information

#Metronidazole has a range of uses including for Protozoa and anaerobic bacteria. It works against Gram negative anaerobe Bacteroides fragilis. ...

3417194

Progression of healing stoma

Last update to case: ostomy mostly healed although significantly smaller and will end up flat or inverted. Necrotic tissue is ...

92018

Internal haemorrhoids on colonscopy

36 yof with the hx of ulcerative colitis came in with few weeks hx of abdominal cramps, bloating and bleeding ...

51711

Radical perineal prostatectomy

Radical perineal prostatectomy, in which the prostate is removed via an incision made between the anus and scrotum, is used ...

2265115

Complicated haemorrhoids on CT

This is a very unusual case. This 52 y/o employed male gives a history of slowing growing "hemorrhoids" over the ...

332961

STEMI

60ish year Old male patient history of in stage renal disease hypertension diabetes called by facility for a STEMI. The ...

9814

Itching and discomfort in rectal area

Clinic patient complains of 6 mo hx of itching and discomfort in rectal area. Has tried OTC hemorrhoid treatment without ...

877125

Rectal perforation due to high pressure water enema

water skiing accident. Presented with rapidly distending abdomen. AB series was nil acute. Entire small bowel and most of the ...

233028

Reccurent ileostomy peristomal breakdown and treatment

Patient with dementia and recurrent ileostomy peristomal breakdown in home-care setting, referred due to ALF staff being unable to maintain ...

92626

Neuroanatomy specimen

#netter #neuroanatomy #Spain #hospital #medicine #pathology #anatomy #aqueduct #cord #culmen #central #choroid #cerebellum #colliculus #declive #fetus #folium #lobule #lingula #medullary ...

014393

Ileocecal Crohn's disease with cancer

Severe structuring ileocecal Crohn's disease with cancer at the valve on previous colonoscopy + biopsy. Picture one points to the ...

4866

Cystocele and rectocele on MRI proctogram

I posted an MRI proctogram a while back - this still sagittal image shows the main pathology and is also ...

1419

Parasite visible under skin on the leg

27 y/o female with no recent travel outside of the US since 2005. c/o seeing parasites in stool, also some ...

219655

Foreign body in the intestine on X-ray

A 30 sth year old male came in to the ER with a hard palpable object on the left upper ...

123126335

Tapeworm egg on microscopy from stool sample

Diphyllobothrium latum egg in wet prep of stool. D. latum is the fish tapeworm. Note the operculum on the left ...

1139

DDX of Palpable Abdominal Mass in Pediatric patient

An #ultrasound is obtained in the workup of a palpable abdominal mass in a toddler. What finding is demonstrated by ...

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