Spire

Challenge: What does this child have?

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Happy Thanksgiving!

I am thankful for you, reading this blog. I know there's a whole lot of other things out there to read and enjoy, and I really appreciate your time and attention. I'm going to take this week off for the holidays. I'll be back with new cases soon. Just a heads up - I have been pondering for a while how much longer to keep this blog going, and I think I might start wrapping it up within the next six months. It has been a real pleasure, lots of fun and lots of learning, but it may be time for me to move onto other projects. I wish you a lovely Thanksgiving.

Craig

Castaway

Challenge: What's the diagnosis?

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Broken

This frontal cervical radiograph is from a patient presenting with headache. She has a history of obesity, pre-diabetes, normal pressure hydrocephalus, and asthma. She's had several surgeries in the past.

Challenge: Look closely at the radiograph; what do you see here?

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Marathon

A 35 year old marathon runner comes to you because of foot pain. The pain is mostly in the medial arch of her foot. There is point tenderness over a bony prominence inferior and anterior to the medial malleolus. Imaging is shown above.

Challenge: What's your diagnosis?

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Post-Op Complications

A 72 year old man with obesity and COPD use on chronic steroids undergoes an open laparotomy, colon resection, and end-ileostomy for colon cancer. A year later, he develops a mild abdominal discomfort. CT is shown above.

Challenge: What do you see above?

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Drum

Challenge: What do you think?

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Scary

Too bad I missed Halloween. But here's a related case.

A preschool-aged child is brought in by his parents who worry about behaviors in his sleep. During the early part of the night, he often awakes abruptly with a loud scream. He is agitated, flushed, sweating, and tachycardic. Once, he even jumped out of bed. When his parents try to calm him, he apparently is unaware. He doesn't remember these episodes afterwards. His past medical history includes a work-up for obstructive sleep apnea; he is being evaluated by an otolaryngologist for potential tonsillectomy.

Challenge: What is going on here?

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