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All vascular Cases

Retroperitoneal mass resection

52 yo Male. 23 kg #Retroperitoneal mass resection. Right #Nephrectomy. No sympthoms. He just complained of abdominal diameter increase. 3 ...


Thoracic outlet syndrome on x-ray

pt transferred to our hospital after being diagnosed with glenoid fossa fx. i don't see it. do you? no other ...


Atrial bigeminy on ECG

Describe the rythm and explain yourself.


Bougie Intubation with the Kiwi Grip

I was taught this while doing an intubation in the shock room. It gives you complete control of the tube ...



59 year old female, complaints of itching. Presented after flue vaccination, non febrile, non tender, spread laterally under breast and ...


Family support

Sometimes those of us in the medical field really need to thank the families for getting involved as we talk ...


Squamous cell carcinoma

65 yo male with (reportedly) 3 months of neck swelling, throat pain and dysphasia. He has lost 35 lbs in ...


Complication of brachiocephalic fistula

Case of a 47 year old female patient, who is a known case of chronic renal disease since 6 yrs.. ...


TPN contamination in blood vial

Lets play GUESS THAT CONTAMINANT! Both renal panels drawn through a PICC line. Lab called me with a suspected contaminant. ...


Leukocytoclastic vasculitis

6 y.o. male, with cerebral palsy but otherwise healthy, presented with intestinal obstruction. Laparotomy was performed and we found intramural ...


Non-alcoholic fatty liver disease

A team of researchers has identified inflammatory cells that play a key role in non-alcoholic fatty liver disease (NAFLD). The ...


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!


Upper arm ultrasound

Scanning a pt's R upper arm with US for PICC consideration and found the largest arm vein I've ever seen. ...


Tracheo-innominate fistula

#Tracheo-innominate-fistula, a rare and often deadly complication of #Tracheostomy! Yellow arrow points to the tracheostomy stoma, black arrow points to ...


Intraventricular haemorrhage on CT head scan

50 y/o female found unresponsive in shower. Hx of cocaine abuse and HTN. Drug screen clean, BP in the 200's.


congenital pulmonary hypoplasia

#Pulmonary-hypoplasia in a 22-week-old infant, delivered via spontaneous vaginal delivery for non-reassuring fetal heart tones, but stillborn on delivery. Note ...


Bilateral globus pallidus lesions secondary to carbon monoxide poisoning

Bilateral Globus Pallidus Lesions secondary to CO Poisoning. 33 YOM presented to the ED with mental status changes. Standard of ...


Occlusive thrombosis of the left brachiocephalic vein

A 9 year-old male patient with history of end-stage renal disease secondary to posterior urethral valves received dialysis though a ...


Erythema nodosum

Spot diagnosis. My first time seeing this in children.


Basilar artery stent occlusion

60 something female will a #Basilar-artery stent which appears to have occluded.


Normal heart and lungs of a newborn

#Heart and #Lungs from a term baby who died shortly after delivery. Autopsy revealed #Necrotizing-enterocolitis to be the cause of ...


left-sided hydronephrosis on USG after left ureteric calculi retrieval

This 42-year-old male presents for follow-up four weeks after ureteroscopy and stone retrieval for a left ureteric calculus and resultant ...


external carotid angiography of left facial artery feeding a hemangioma

a carotid angiography * left side*: -a 33 years old patient presented with severe bleeding from an acquired upper lip ...


hypopharyngeal hematoma causing tracheal obstruction

Hypopharyngeal, floor of the mouth and submandibular hematoma. Fortunately epiglottis and true laryngeal structures were not affected, it was mostly ...


cystic lymph nodes in the left neck in an infant on CT scan

Axial contrast-enhanced CT in an infant shows a conglomeration of partially necrotic inflamed lymph nodes (black) in the left neck ...


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 ...


cavernous hemangiomas in upper chest

A 2 months old baby girl presented 2 weeks ago w/ shortness of breath & hoarseness of voice/stridor. She was ...


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 ...


Subclavian steal syndrome

49 y/o male, c/o sudden numbness in left arm, especially index finger and right scapular pain. Right arm BP:130/80; Left ...



15 year old from sub saharan Africa. Reportedly hardened/ thickened skin present since shortly after birth, worsening over course of ...

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