Rheumatology: Images in Clinical Medicine
Editor: V. Dimov, M.D., Assistant Professor at University of ChicagoEndocardial Calcification in Beh çet ' s Disease. NEJM, 11/2013.A tiger man - sarcoidosis with muscle involvement. Lancet, 12/2012.Raynaud ' s syndrome may lead to acro-osteolysis. Lancet, 06/2012.Vertebra Plana due to Langerhans ' -cell histiocytosis, with Spontaneous Healing. NEJM, 05/2012.Digital Mucous Cyst. NEJM, 04/2012.Post-Traumatic Herniated Cervical Disk. NEJM, 02/2012.Tophaceous Gout. NEJM, 01/2012.Pulmonary Cement Embolism after Vertebroplasty. NEJM, 01/2012.Metastasis of Renal-Cell Carcinoma. NEJM, 10/2011.Gout Nodulosis. NEJM, 09/2...
Source: Clinical Cases and Images - August 22, 2009 Category: General Medicine Tags: Images Rheumatology Source Type: news
Hematology and Oncology: Images in Clinical Medicine
Editor: V. Dimov, M.D., Assistant Professor at University of ChicagoDisseminated Cryptococcosis in a CLL patient. NEJM, 05/2014.Leukemia cutis. Lancet, 10/2012.Biliary ileus. Lancet, 07/2012.Corneal snowflakes due to IgG-kappa multiple myeloma. Lancet, 08/2012.Splenic Spirals due to hepatoblastoma. NEJM, 06/2012.Hypertrophic Pulmonary Osteoarthropathy and Tripe Palms due to lung cancer. NEJM, 01/2012.Metastasis of Renal-Cell Carcinoma. NEJM, 10/2011.Amelanotic choroidal melanoma. Lancet, 03/2011.Retroperitoneal liposarcoma with lamellar bone inside.A painful cranial bulge. Lancet, 05/2011.Splenic Calcification in sick...
Source: Clinical Cases and Images - August 22, 2009 Category: General Medicine Tags: Hematology Images Oncology Source Type: news
Endocrinology: Images in Clinical Medicine
Editor: V. Dimov, M.D., Assistant Professor at University of ChicagoA painful swollen thigh in a diabetic patient: diabetic myonecrosis. The Lancet, 05/2014.Subperiosteal Bone Resorption due to primary hyperparathyroidism caused by parathyroid adenoma. NEJM, 05/2014.Eschar Formation from Testosterone Patch.Homozygous familial hypercholesterolaemia. Lancet, 04/2012.Insulin-Induced Lipohypertrophy. NEJM, 02/2012.Ectopic Cushing ' s Syndrome. NEJM, 12/2011.Porphyria Cutanea Tarda. NEJM, 09/2011.Auricular Cartilage Calcification and Adrenal Insufficiency. NEJM, 01/2011.Hemichorea –Hemiballism after Diabetic Ketoaci...
Source: Clinical Cases and Images - August 22, 2009 Category: General Medicine Tags: Endocrinology Images Source Type: news
Nephrology: Images in Clinical Medicine
Editor: V. Dimov, M.D., Assistant Professor at University of ChicagoCalciphylaxis is a syndrome of systemic medial calcification of arteries leading to tissue necrosis. Lancet, 3/3014.Bladder Stone. NEJM, 06/2012.Fordyce ' s Angiokeratomas. NEJM, 03/2012.Patent Urachus. NEJM, 10/2011.Renal Tuberculosis. NEJM, 09/2011.Agitation Associated with Acute Bladder Obstruction. NEJM, 10/2010.Bladder Diverticula. NEJM, 08/2010.Abdominal “Knocking” Due to Calcifications in a Continent Urinary Diversion. NEJM, 04/2010.Renal Failure from Vitamin C after Transplantation. NEJM, 01/2008.Green Urine. NEJM, 03/2008.Crystalluria from Acy...
Source: Clinical Cases and Images - August 22, 2009 Category: General Medicine Tags: Images Nephrology Source Type: news
Pulmonary and Critical Care Medicine: Images in Clinical Medicine
Editor: V. Dimov, M.D., Assistant Professor at University of ChicagoTraumatic Tension Pneumothorax Causing Heart Rotation. NEJM, 05/2014.Pulmonary Emboli Caused by Mercury.NEJM, 11/2013.Aquagenic Wrinkling (keratoderma) of Palms in Cystic Fibrosis. NEJM, 05/2012.Meconium-like Ileus in Cystic Fibrosis. NEJM, 05/2012.Barium Aspiration. NEJM, 03/2012.Westermark Sign in Pulmonary Embolism. NEJM, 03/2012.Hypertrophic Pulmonary Osteoarthropathy and Tripe Palms due to lung cancer. NEJM, 01/2012.Lung Herniation after Cough-Induced Rupture of Intercostal Muscle. NEJM, 01/2012.Paragonimiasis. NEJM, 01/2012.A Tension Bulla Mimicking ...
Source: Clinical Cases and Images - August 22, 2009 Category: General Medicine Tags: Images Pulmonology Source Type: news
Cardiology: Images in Clinical Medicine
Editor: V. Dimov, M.D., Cleveland ClinicMobile Large Left Atrial Thrombus.NEJM, 12/2014Wellens ' syndrome, associated with severe stenosis of the left anterior descending artery.NEJM, 12/2014Endocardial Calcification in Beh çet ' s Disease.NEJM, 11/2013.An Electrocardiographic Sine Wave in Hyperkalemia. NEJM, 05/2012.Left Main Coronary Artery Thrombosis. NEJM, 04/2012.Homozygous familial hypercholesterolaemia. Lancet, 04/2012.Endocardial fibroelastosis of the heart. Lancet, 02/2012.Internal-Carotid-Artery Dissection and Cranial-Nerve Palsies. NEJM, 12/2011.Thrombosis of a Mechanical Mitral Valve. NEJM, 12/2011.Pneumoperic...
Source: Clinical Cases and Images - August 22, 2009 Category: General Medicine Tags: Cardiology Images Source Type: news
Gastroenterology: Images in Clinical Medicine
Editor: V. Dimov, M.D., Assistant Professor at University of ChicagoGrey Turner ' s sign suggesting retroperitoneal haemorrhage. Lancet, 05/2014.Abdominal-Wall Varices in the Budd –Chiari Syndrome. NEJM, 05/2014.Biliary ileus. Lancet, 07/2012.Meconium-like Ileus in Cystic Fibrosis. NEJM, 05/2012.Achalasia. NEJM, 04/2012.Intestinal Infestation with Ancylostoma ceylanicum. NEJM, 03/2012.Kayser-Fleischer Rings in Wilson ' s Disease. NEJM, 03/2012.Barium Aspiration. NEJM, 03/2012.Pneumopericardium Associated with a Peptic Ulcer. NEJM, 12/2011.Abdominal calcifications secondary to cysticercosis. Lancet, 12/2011.Retinopat...
Source: Clinical Cases and Images - August 22, 2009 Category: General Medicine Tags: Gastroenterology Images Source Type: news
Elderly female with CHF complains of abdominal pain, nausea and vomiting, dizziness, and confusion for 5 days due to digoxin toxicity
Author: V. Dimov, M.D.Reviewer: S. Randhawa, M.D.Click here for thecase description and questions.What is the most likely diagnosis?Digoxin toxicity.Laboratory resultsFigure 1. Digoxin toxicity. Treatment with digoxin was started in the hospital and the patient was discharged to SNF, she was re-admitted 4 days later with digoxin toxicity.What would you do?Stop digoxin.Monitor digoxin levels.Control symptoms.Sitter in the room.What happened?The initial digoxin level was elevated at nearly twice the upper therapeutic level. All symptoms resolved as digoxin level decreased to therapeutic range. Heart rate was controlled by in...
Source: Clinical Cases and Images - August 2, 2009 Category: General Medicine Tags: Cardiology Intensive Care Toxicology Source Type: news
