Imaging Case: 15 Year Old Girl with Right Wrist Pain
Case: A 15 year old girl flipped while snowboarding and landed on her right arm. She complains of severe right wrist pain. A plain film of the wrist is obtained:
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Radiology
Imaging Case: 24 Year Old Male with Left Knee Pain
Case: 24 year old male with no significant past medical history presents to local urgent care with chief complaint of left knee pain. Patient reports playing basketball just prior to arrival and reports landing on left knee and "jamming it."
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What is the Diagnosis?
Visual diagnosis from EMDaily!
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Imaging Case: 33 Year Old Male with Neck Swelling
Imaging Case: Answer
Answer: False. Infants present with non-bilious vomiting
Diagnosis: Pyloric Stenosis
Pathology: Pyloric stenosis is hypertrophy and hyperplasia of the pylorus with a multifactorial inheritance in families. The incidence is 5/1000 births in males and 2/1000 births in females. It is therefore more common in males; it is also more common in first-born infants, and in Caucasian infants.
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Imaging Case: Six Week-Old Infant with Projectile Vomiting
Case: A six week-old previously healthy, term infant via vaginal birth is brought to pediatric ED for repeated episodes of vomiting over a one week period. Vomiting occurs 20-30 min following every episode of feeding and is described as projectile. Parents note decreased urine output over the past two days. Patient is noted to be hungry following vomiting episodes
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Imaging Case: 2 Year Old Male With Abdominal Pain
Case: A 2 year-old male with no significant PMH is brought to the Emergency Department by his mother for intermittent abdominal pain for the past two days. Mom notes that the child will crouch down into a ball when he has pain, which lasts only a few minutes at a time. He has decreased solid food intake but no vomiting or diarrhea and is otherwise well.
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Imaging Case: 74 Year Old Male with Rectal Pain and Fatigue
Case: A 74 yo male patient with a PMH significant for rectal carcincoma (s/p chemotherapy and radiation; refused surgery) arrives with chief complaint of rectal pain and general malaise for two week duration. He notes urinary and fecal incontinence over this same time period. He also notes intermittent fevers.
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Imaging Case: 8 Year Old Girl with Shortness of Breath
Case: An 8 year old girl presents to the Emergency Department with the feeling of shortness of breath. Onset was soon after a meal and her parents state that she may have choked on something.
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Imaging Case: Woman with Abdominal Pain
Case: A 42 year old female patient with a past medical history significant for diabetes, obesity and hypertension presents to the ED with chief complaint of 4 days of abdominal pain.
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