Archive | Imaging RSS feed for this section

Tele-Ultrasound to Guide Management of a Patient with Circulatory Shock

A 65-year-old man with a medical history of chronic obstructive pulmonary disease and ethanol abuse presented to the emergency department with tachypnea, tachycardia, and an altered mental status. He was hypotensive at 90/60 mm Hg. Examination of the patient showed confusion and decreased left-sided breath sounds. The serum laboratory values were significant for a urea […]

Read more

Cerebral Fat Embolism in Hemoglobin SC Disease

A 63-year-old Caribbean man was admitted to the hospital for low back and pelvic pain. His medical history included sickle cell hemoglobin (Hb) C disease with no vaso-occlusive crisis within the last 20 years, and chronic obstructive pulmonary disease treated with inhaled corticosteroids for the last 4 years. A few hours after admission, respiratory distress […]

Read more

Benign but Not Harmless: Solitary Fibrous Tumor

For one unfortunate patient, benign histopathology did not lead to a good outcome. A 74-year-old woman presented with dyspnea on exertion and altered mental status. She had no history of lung disease and denied other cardiopulmonary, abdominal, or constitutional symptoms. Her past medical history, besides many years of tobacco abuse, was unremarkable Assessment While the […]

Read more

Blood in Urine: A Hard Nut to Crack

A 34-year-old woman presented with a 2-week history of intermittent painless macroscopic hematuria. She had a similar episode of macroscopic hematuria 5 years ago during her last pregnancy, which resolved spontaneously. Apart from this, she had no significant medical history. She was not taking any regular medications or supplements. On examination, she appeared well. She […]

Read more

Deadly Diarrhea: The Clever Disguise of Aortic Dissection

  Aortic dissection is one of the great imitators that can present in many ways clinically, depending on the portion of the aorta undergoing dissection.1 Therefore, it is of utmost importance to discuss the variety of presentations, including those that are rare, so as not to miss this potentially fatal diagnosis. Our case is important because […]

Read more
UA-42320404-1