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Visual Diagnosis # 17

  A 14 yr male presents with pain and swelling to the left eye. Mother states he recently had a mild illness with cough and sinus congestion within the past 2 weeks. Over the past 3-4 days he has developed left eye pain and swelling.  He currently has a fever …

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Visual Diagnosis # 16

  This 48 yr old male presented to the emergency department with severe mid-epigastric pain worsening over the past 3 days. He describes associated nausea and vomiting without diarrhea or fever. No urinary symptoms. He admits to daily tobacco and alcohol use. He denies any recent illnesses or trauma. His …

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Visual Diagnosis # 15

    A 45 yr old male presents with left foot pain. The patient claims he had a mechanical slip and fall down the stairs last night and his body weight fell on his left foot, which was folded beneath him. His left foot is edematous with some mild ecchymosis noted laterally. Patient …

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Visual Diagnosis # 14

  A 44 year-old male is brought in by EMS after an accidental heroin overdose. The patient was found sitting in his car unconcious and apneic with pin-point pupils and drug paraphernalia in the vehicle. The patient was resuscitated with 2 mg of intranasal Narcan (Naloxone) followed by another 2 …

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Visual Diagnosis # 13

  A 45 yr-old male arrives via ambulance in the emergency department found lying on the sidewalk unresponsive but with stable vital signs and no acute signs of trauma. The patient is very well known to EMS and emergency department staff and has a history of chronic alcohol abuse. Upon …

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Visual Diagnosis # 12

  A 39 year-old female presents to the emergency department by ambulance from home with worsening dyspnea and fatigue over the past 3 days. She is 6 days post-partum after an uncomplicated full-term vaginal delivery. This is her first pregnancy, during which she had developed gestational hypertension in the last …

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Visual Diagnosis # 11

  A 26 year-old male with acute alcohol intoxication presents to the emergency department with complaints of substernal chest discomfort which is made worse with deep inspiration. The symptoms began 1 hour ago after three episodes of vomiting. His vital signs and ECG are unremarkable. He has no cardiac risk …

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Visual Diagnosis # 10

      A 72 year male presents to the emergency department with facial and periorbital soft-tissue swelling and associated increased shortness of breath. Family states was just discharged from the hospital yesterday after having a left sided pneumonectomy last week and began having dyspnea and swelling around his face, …

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Visual Diagnosis # 9

  A 54 year-old male presents to the emergency department with symptoms of intermittent palpitations and mild dyspnea over the past few days. He denies chest pain, pressure or tightness. His past medical history is significant for type 2 diabetes which is diet controlled and hypertension which is well-controlled with …

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Visual Diagnosis # 8

    A 24 year-old male presents to the emergency department for evaluation of an eye injury with loss of vision. The patient states he was playing soccer last night when the ball struck him in the face injuring his left eye. There was no loss of consciousness. The patient …

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Visual Diagnosis # 7

  A 42 yr old male presents with complaints of low-grade fevers and general malaise over the past 5 days. He denies headache, cough, vomiting or diarrhea. He has no significant PMHx. No known sick contacts, recent travel or recent illnesses. Today he awoke with a painful lesion on his …

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Visual Diagnosis # 6

    A mother brings her 5 year old son in for evaluation of fever and rash which have persisted over the past 6 days despite acetaminophen and ibuprofen. He has had a mild cough without shortness of breath. He complains only of a sore throat and left ear pain. …

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Visual Diagnosis # 5

                      A 46 year old male presents with complaints of sore throat and difficulty swallowing over the past 5 days. He described subjective fevers over the past 2 days which he related to a recently infected lower molar which has …

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Visual Diagnosis # 4

    A 10-year-old boy presents is brought in with complaints of right eye pain and double vision. The patient claims he ran into a classmate while playing football after school one week ago. He denies any loss of consciousness at the time of the accident. He denies headache, vomiting, …

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Visual Diagnosis # 3

    A 34 year old male presents with general malaise which has been worsening over the past three weeks. He is a painter and admits to working very long days over the past 2 months. He says “my wife thinks I’m just working too much. But I just feel very …

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Visual Diagnosis # 2

  A 62 year old woman present to the emergency department with complaints of excruciating pain and swelling to her left leg over the past few days. She denies any history of trauma. Her PMHx is significant for a newly diagnosed metastatic non-small-cell lung cancer. Symptoms began 4 days ago …

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Figure 1 – Image of the Week # 1

  This photo was taken during a thromboendarterectomy for treatment of chronic thromboembolic pulmonary hypertension (CTEPH). Surgery is the only definitive therapy for this condition, which occurs in a small proportion of acute pulmonary embolism patients.                 Photo credit: Sean Love/Figure 1 Medical …

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Visual Diagnosis #1

A 40-year-old male reported to the emergency department with complaints of pain and swelling under the left eye and an ulcer on the roof of his mouth for the past 2 weeks. Pain was gradual in onset with swelling over the left maxillary sinus now causing nasal obstruction and edema …

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Pediatric Radiology Quiz #1

  A 10 year old female presents to the emergency department with complaints of left-sided hip pain over the past 2 weeks. The pain had been intermittent initially, but has gotten much worse over the past 2 days. Neither the child, nor her parents, can recall any trauma or recent …

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Altered Mental Status

  A 27 year old male is brought to the emergency department by paramedics after a bystander called 911 because he was staggering down the street with slurred incomprehensible speech. Upon arrival in the ED, the patient appears to have an altered mental status. The patient’s pupils (shown) are equal …

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