tag:blogger.com,1999:blog-4082643038671225434.comments2023-10-07T01:34:01.774-07:00Case of the DayCraighttp://www.blogger.com/profile/17072102331564743101noreply@blogger.comBlogger2482125tag:blogger.com,1999:blog-4082643038671225434.post-18902491237179563542019-09-09T18:04:54.977-07:002019-09-09T18:04:54.977-07:00Great post.Great post.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4082643038671225434.post-4812692295564681362019-09-07T18:27:09.113-07:002019-09-07T18:27:09.113-07:00thank you for all your efforts that you have put
...thank you for all your efforts that you have put <br />in this. Very interesting info.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4082643038671225434.post-8360268080849189852019-09-03T13:19:56.199-07:002019-09-03T13:19:56.199-07:00Great article, just what I needed.Great article, just what I needed.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4082643038671225434.post-66665561930338862332019-02-15T16:15:05.126-08:002019-02-15T16:15:05.126-08:00Keep on working, great job!Keep on working, great job!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4082643038671225434.post-74623066676381117192016-10-23T14:41:42.387-07:002016-10-23T14:41:42.387-07:00Thanks so much for all your work! I am now a third...Thanks so much for all your work! I am now a third year med student but I have been following along for several years, and have certainly learned quite a few good pearls from your blog. Thanks again!Sarahhttps://www.blogger.com/profile/03381032523450172348noreply@blogger.comtag:blogger.com,1999:blog-4082643038671225434.post-71921175236762707912016-10-23T01:29:43.913-07:002016-10-23T01:29:43.913-07:00sad to see this gosad to see this goAlexhttps://www.blogger.com/profile/06972701448751949861noreply@blogger.comtag:blogger.com,1999:blog-4082643038671225434.post-19069299120667715142016-10-17T19:07:09.241-07:002016-10-17T19:07:09.241-07:00hooray!
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1000
This is Kartagener syndrome or pri...hooray!<br />-<br />1000<br /><br />This is Kartagener syndrome or primary ciliary dyskinesia. The CXR shows situs inversus. Primary ciliary dyskinesia, an autosomal recessive condition, leads to his chronic cough, chronic rhinitis, chronic sinusitis, and infertility. The triad of situs inversus, chronic sinusitis, and bronchiectasis represents Kartagener syndrome.<br /><br />Sources: UpToDate; eradiology.bidmc.harvard.edu.Craighttps://www.blogger.com/profile/17072102331564743101noreply@blogger.comtag:blogger.com,1999:blog-4082643038671225434.post-7395719256833910122016-10-17T19:06:37.046-07:002016-10-17T19:06:37.046-07:00Last Few Cases
This is engraftment syndrome; the ...Last Few Cases<br /><br />This is engraftment syndrome; the pulmonary component is called PERDS or peri-engraftment respiratory distress syndrome. PERDS occurs due to increased pulmonary capillary permeability during the neutrophil recovery phase of bone marrow transplant.<br /><br />Source: UpToDate.Craighttps://www.blogger.com/profile/17072102331564743101noreply@blogger.comtag:blogger.com,1999:blog-4082643038671225434.post-27988945792125676242016-10-17T19:06:08.146-07:002016-10-17T19:06:08.146-07:00yes - worrisome T wave findings
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Well?
This is W...yes - worrisome T wave findings<br />-<br />Well?<br /><br />This is Wellens’ syndrome. The worrisome finding is biphasic ST-T waves in the precordial leads V1-V4. These segments demonstrate elevations that are arched or bowed upward followed by prominent negative T waves. This suggests high grade stenosis of the proximal left anterior descending artery.<br /><br />Source: ECG Wave Maven.Craighttps://www.blogger.com/profile/17072102331564743101noreply@blogger.comtag:blogger.com,1999:blog-4082643038671225434.post-85165071446288024762016-10-17T19:04:59.119-07:002016-10-17T19:04:59.119-07:00nice guess - definitely on the differential, and a...nice guess - definitely on the differential, and also a great disease for case of the day<br />-<br />Exit Here<br /><br />This is a thoracic outlet syndrome, the constellation of signs and symptoms arising from compression of the neurovascular bundle just above the first rib and behind the clavicle. In this case, the subclavian artery is compressed by an oblique band of tissue (arrow). The arrowhead shows post-stenotic diltation of the artery.<br /><br />Source: UpToDate.Craighttps://www.blogger.com/profile/17072102331564743101noreply@blogger.comtag:blogger.com,1999:blog-4082643038671225434.post-39395042632403073302016-10-17T19:02:50.573-07:002016-10-17T19:02:50.573-07:00perfect! one of my favorite reflexes to test
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Fal...perfect! one of my favorite reflexes to test<br />-<br />Fall<br /><br />This is the Moro reflex which disappears by three to six months of age. It is elicited by dropping the infant’s head and results in abduction and extension of the arms and opening of the hands followed by flexion.<br /><br />Source: UpToDate.Craighttps://www.blogger.com/profile/17072102331564743101noreply@blogger.comtag:blogger.com,1999:blog-4082643038671225434.post-81501874142739837442016-10-17T19:02:08.134-07:002016-10-17T19:02:08.134-07:00Delay
This is vasospasm and delayed cerebral isch...Delay<br /><br />This is vasospasm and delayed cerebral ischemia seen 3-21 days after a subarachnoid hemorrhage. Transcranial doppler can be used to identify potential vasospasm.<br /><br />Source: UpToDate; openi.nlm.nih.gov.Craighttps://www.blogger.com/profile/17072102331564743101noreply@blogger.comtag:blogger.com,1999:blog-4082643038671225434.post-39561048236750959602016-10-17T19:01:10.252-07:002016-10-17T19:01:10.252-07:00exactly!
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Postpartum
This is Sheehan syndrome or...exactly!<br />-<br />Postpartum<br /><br />This is Sheehan syndrome or postpartum hypopituitarism.<br /><br />Source: UpToDate.Craighttps://www.blogger.com/profile/17072102331564743101noreply@blogger.comtag:blogger.com,1999:blog-4082643038671225434.post-68578875982715136992016-10-11T06:03:20.749-07:002016-10-11T06:03:20.749-07:00Actually, let me expand on that. Kartagener syndro...Actually, let me expand on that. Kartagener syndrome is likely in this patient who has ciliary dyskinesia, bronchiectasis, and dextrocardia.webhillizzyhttps://www.blogger.com/profile/03640315303695619477noreply@blogger.comtag:blogger.com,1999:blog-4082643038671225434.post-79386766134547573582016-10-11T06:01:25.312-07:002016-10-11T06:01:25.312-07:00Primary ciliary dyskinesia!Primary ciliary dyskinesia!webhillizzyhttps://www.blogger.com/profile/03640315303695619477noreply@blogger.comtag:blogger.com,1999:blog-4082643038671225434.post-32244746151934566082016-10-09T12:14:35.031-07:002016-10-09T12:14:35.031-07:00kartagener's syndromekartagener's syndromeAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-4082643038671225434.post-86256834709145382022016-10-06T12:57:49.562-07:002016-10-06T12:57:49.562-07:00What’d I Miss?
This is a Jefferson (burst) fractu...What’d I Miss?<br /><br />This is a Jefferson (burst) fracture (the title of the case refers to the Hamilton soundtrack song about Thomas Jefferson). This fracture of C1 occurs when a vertical compression force causes fractures of the anterior and posterior arches. The lateral radiograph shows increased predental space between C1 and the odontoid. The open-mouth or odontoid view shows a step-off of the lateral massees which are normally aligned.<br /><br />Source: UpToDate.Craighttps://www.blogger.com/profile/17072102331564743101noreply@blogger.comtag:blogger.com,1999:blog-4082643038671225434.post-90174248541943093882016-10-06T12:56:18.621-07:002016-10-06T12:56:18.621-07:00haha love the #hashtag. nice job!
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Sphygmomanomet...haha love the #hashtag. nice job!<br />-<br />Sphygmomanometer<br /><br />The first sign is Trousseau’s sign (carpopedal spasm), and the second sign is Chvostek’s sign. Both are seen with hypocalcemia causing neuromuscular irritability due to latent tetany.<br /><br />Sources: UpToDate; Wikipedia.Craighttps://www.blogger.com/profile/17072102331564743101noreply@blogger.comtag:blogger.com,1999:blog-4082643038671225434.post-21221432554857385862016-10-06T12:55:37.098-07:002016-10-06T12:55:37.098-07:00Sign Here
This noncontrast axial CT shows a hyper...Sign Here<br /><br />This noncontrast axial CT shows a hyperdense MCA sign. The hyperattenuation of the left middle cerebral artery is suggestive of thrombus in the arterial lumen and acute stroke.<br /><br />Sources: UpToDate; sprout038.sprout.yale.edu.Craighttps://www.blogger.com/profile/17072102331564743101noreply@blogger.comtag:blogger.com,1999:blog-4082643038671225434.post-3981512833254877202016-10-06T12:53:19.869-07:002016-10-06T12:53:19.869-07:00My Fair Lady
This is Lady Windermere’s syndrome, ...My Fair Lady<br /><br />This is Lady Windermere’s syndrome, characterized by focal bronchiectasis in both the right middle lobe and lingula. This occurs as the patient tries to suppress a chronic cough which leads to inability to clear secretions. As a result, the patient develops a nontuberculous mycobacterial infection like MAC. The name of the syndrome comes from an Oscar Wilde play “Lady Windermere’s Fan”<br /><br />Sources: openi.nlm.nih.gov; cid.oxfordjournals.org.Craighttps://www.blogger.com/profile/17072102331564743101noreply@blogger.comtag:blogger.com,1999:blog-4082643038671225434.post-88731328634439997722016-10-02T16:39:41.534-07:002016-10-02T16:39:41.534-07:00NSR with single (unifocal) PVC. ??Some nonspecific...NSR with single (unifocal) PVC. ??Some nonspecific ST segment changes (T wave inversion in the precordial leads)Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4082643038671225434.post-55457858717682525082016-10-02T10:25:58.824-07:002016-10-02T10:25:58.824-07:00This is Moros reflex. It goes away at around 4 mon...This is Moros reflex. It goes away at around 4 months like most infantile reflexes Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4082643038671225434.post-91018425770323112912016-10-02T10:23:21.645-07:002016-10-02T10:23:21.645-07:00Takayasu arteritis causing an aneurysm resulting i...Takayasu arteritis causing an aneurysm resulting in a palpable neck mass and signs of arterial occlusion with the decrease pulses, and claudication?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4082643038671225434.post-48289823020640722092016-10-02T10:08:25.637-07:002016-10-02T10:08:25.637-07:00Wellens syndrome
Biphasic T waves in v2-3
Thought ...Wellens syndrome<br />Biphasic T waves in v2-3<br />Thought to be due to reperfusion of a previously clotted LADAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-4082643038671225434.post-59627491502291877122016-09-27T21:56:03.125-07:002016-09-27T21:56:03.125-07:00oh good one! i think you could be right and my cas...oh good one! i think you could be right and my case wasn't specific enough. I was going for a Rickettsial disease but Scrub typhus caused by Orientia tsutsugamushi could give similar symptoms<br />-<br />Africa<br /><br />This is African tick-bite fever, a Rickettsial disease caused by R. africae.<br /><br />Source: UpToDate.<br />Craighttps://www.blogger.com/profile/17072102331564743101noreply@blogger.com