Jillian Smith MD

What's the Diagnosis? By Dr. Katherine Billings

A 51 yo M presents to the ED with 2 self inflicted stab wounds to the neck 3 days ago. On exam, you notice two wounds to his anterior neck located near the laryngeal prominence.  He is in no distress, however his voice is high pitched and he has extensive subcutaneous crepitus on examination of his face, chest and back.  A CT neck and chest is obtained and shown below. What's the diagnosis?   (scroll down for answer)

 

 

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What's the Diagnosis? By Dr. Roger Rothenberg

A 49 yo M presents to the ED c/o L knee pain after a slip and fall in the bathroom. He heard a "pop" and since has had progressive knee swelling. He cannot bear weight. On exam, you note L knee swelling and he is unable to extend the L knee. XR is obtained and shown below. What's the diagnosis? (scroll down for answer.

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What's the Diagnosis? By Dr. Abby Renko

A 47 yo M presents to the ED after being struck by a vehicle while crossing the street. He fell and hit his head, but reports no LOC. He is complaining of diffuse abdominal pain and back pain. On exam, VS are normal and GCS is 15.  CT scans are obtained given his mechanism and CT A/P is shown below. What's the Diagnosis? (scroll down for answer)

 

 

 

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What's the Diagnosis? By Dr. Eric Chavis

72 yo M w/ PMHx of HTN, HLD, CKD (not on dialysis), DM and CAD presents to the ED with scrotal pain x 1 week. He is concerned that he has an "abcess" and wanted to be checked. A CT is done and shown below. What's the diagnosis? (scroll down for answer)

 

 

 

 

 

 

Answer: Fournier's Gangrene

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What's the Diagnosis? By Dr. Abby Renko

A 50 yo M w/ hx of HIV and IVDU presents to the ED w/ progressively worsening L UE pain and swelling x 2 weeks. He is febrile w/ a temp of 101.1, HR 110 and BP 96/62. On exam, his L upper arm is diffusely swollen, erythematous, tender and warm to to touch.  A CT of his L UE was obtained and shown below.  What's the diagnosis?  (scroll down for answer)

 

 

 

Answer:  L deltoid muscle abscess

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