A trauma case
History: A 45-year-old male is brought to the Emergency Department after a high-speed road traffic accident. He was the unrestrained driver, found unconscious at the scene. Prehospital: EMS reports shallow…
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Dichlorvos Ingestion – An OP poisoning case
Dichlorvos Ingestion – An OP poisoning case
History: A 27 yr old female brought to ED with A/H/O ingestion of 50ml of Dichlorvos solution at her home 35 minutes ago. On arrival primary survey was A -…
Raccoon eyes case
Raccoon eyes case
History: A 60 yr female with history of fall from 5 stairs at her residence. No history of LOC/ ENT bleed/ seizure/ vomiting/ FND. On examination B/L periorbital discoloration can…
A Hydrofluoric acid burn case
A Hydrofluoric acid burn case
History: A 35 yr old male working with germicides accidentally came in contact with hydrofluoric acid presented to ED with blue-gray appearance with surrounding erythema of skin with extreme pain.…
Posterior wall myocardial Infarction case
Posterior wall myocardial Infarction case
History: A 55 yr old male presented to ED with severe left-sided chest pain from 20 minutes radiating to the left arm associated with SOB and diaphoresis. Bp - 140/82mmhg,…
Atrial fibrillation in CKD patient case
Atrial fibrillation in CKD patient case
History: A 67-year-old male k/c/o CKD-5 on MHD thrice weekly with Type2DM & HTN presented to ED with SOB, anasarca and AMS. P - 164 bpm irregular, SP02- 80 %…
Intracranial hemorrhage in CKD patient case
Intracranial hemorrhage in CKD patient case
History: A 47-year-old male was brought to ED in an unresponsive state with h/o 1 episode of seizure at home. He is k/c/o CKD5 on MHD twice weekly. BP -…
Port wine stain case
Port wine stain case
History: A 8-month girl was brought to Dermatology OPD by her mother with a diffuse reddish macular lesion on the right side of her face present since birth. Lesion was…
Foreign body Ingestion case
Foreign body Ingestion case
History: A 8 yr old boy came to the ED with accidental ingestion of an Endodontic file while having a dental procedure. Pt. was asymptomatic at the time of presentation…
Sine wave appearance in Hyperkalaemia
Sine wave appearance in Hyperkalaemia
History: A 56 yr old k/c/o CKD-5 on MHD thrice weekly with HTN presented to ED with SOB, drowsy, anasarca. He has missed his hemodialysis this week. BP-170/102 mmhg, P-84…
Rice grain calcification in cysticercosis
Rice grain calcification in cysticercosis
History: A 56 year old female presented to ED with 1 episode of GTC seizure. Neurological examination was normal except for postictal confusion. NCCT brain showed multiple calcified granuloma, some…
Duchenne muscular dystrophy case
Duchenne muscular dystrophy case
History: A 14 year-old boy presented with progressive proximal weakness of the lower limbs starting at 4 years of age followed by involvement of the upper limbs. He is the product…
Cannonball metastasis case
Cannonball metastasis case
History: A 24-year-old male presented to the hospital with a cough productive of reddish sputum and shortness of breath of 6 days duration. The exam showed a left testicular mass.…
Cholesterol embolization syndrome case
Cholesterol embolization syndrome case
History: A 60 yr old male had developed livedo reticularis on the left side of his face after he underwent stenting and balloon dilation of the left common carotid artery.…
Auriculotemporal syndrome case
Auriculotemporal syndrome case
History: A healthy 1-year-old boy with the unremarkable medical history presented to a private clinic for a routine examination. Flushing & gustatory sweating was noted on the child's left cheek.…
Quinsy case
Quinsy case
History: A 12-year-old boy presents with a sore throat, difficulty swallowing, inability to fully open his mouth, trismus, drooling, and a "hot-potato" voice. What is the diagnosis? Answer: Peritonsillar abscess,…
Acute chest syndrome case
Acute chest syndrome case
History: A 16-year-old male patient who is known to have HBSS disease, presented with a history of chest and back pain for a few days prior to admission. He also…
Aortic regurgitation case
Aortic regurgitation case
History: A 65 year old male with HTN presented to the ED with a 1-week history of progressive SOB. On physical examination, BP 140/62 mm Hg, HR 120 bpm, RR…
Alport syndrome case
Alport syndrome case
History: A 33-year-old man presented to the ED with low-grade fever for 3 weeks, vomiting for 1 week and anuria for 3 days. He also reported dysuria and breathlessness for 1 week. There was…
Tetralogy of Fallot case
Tetralogy of Fallot case
History: An infant presented in ER with respiratory distress & cyanosis. Examination shows clubbing, single S2, and ejection systolic murmur best heard in the pulmonary area. What is the most…
Foreign body aspiration case
Foreign body aspiration case
History: A 60 year old woman nursing home patient with Type2DM, HTN, and a prior haemorrhagic stroke presented to ED with progressive dyspnoea, cough with white sputum and low-grade temperature.…
Cardiac tamponade case
Cardiac tamponade case
History: A 40 year old male with c\o fever, cough productive of mucoid sputum without haemoptysis and chest pain for four months. He also reported weight loss for two months…
Acromegaly case
Acromegaly case
History: A 30-year-old man presented with an 11-year history of coarse facial features and progressive enlargement of hands and feet. On physical examination, his height was 1.70 m and his weight…
Atrial fibrillation case
Atrial fibrillation case
History: A 60 yr male k/c/o of HTN, Type2DM, and hyperlipidemia presents to the ER with the first episode of rapid palpitations, sob, and chest discomfort. Physical exam shows an…
Molluscum contagiosum case
Molluscum contagiosum case
Question: Which of the following tests can be used to make the definitive diagnosis of this disease? Biopsy showing Donovan bodies Giemsa stain showing intracytoplasmic inclusion bodies Potassium hydroxide preparation…
Pneumothorax case
Pneumothorax case
History: A 19-year-old male presents with a rapid onset of shortness of breath. There is no history of trauma or chronic medical disease. The patient has no risk factors for…
Ludwig angina case
Ludwig angina case
History: A 65 yr old diabetic woman complains of 1 week of lower anterior molar pain and now with 24 hours of sore throat, difficulty swallowing, and sweats. On physical…
Carotid artery dissection case
Carotid artery dissection case
History: A 40 year-old man presents with right neck pain that started while he was wrestling with his friend 2 days ago. Today he also has a right-sided frontotemporal headache and…
Intussusception case
Intussusception case
History: A crying child came with his parents to ED with c/o vomiting (nonbilious, nonprojectile), abdominal pain, he was pulling his legs to the chest, and passage of blood per…
Henoch Schonlein purpura case
Henoch Schonlein purpura case
History: A 9 yr child with pruritic and painful rashes on the lower extremities and hands. Arthritis and abdominal pain were also noted. What's the diagnosis? 1. IgA Vasculitis 2.…
Kaposi sarcoma case
Kaposi sarcoma case
History: A 33 yr female presented with fatigue & flat painless purple lesions on the nose. She had a history of HIV infection and a low CD4 cell count. What's…
Conjunctival papilloma case
Conjunctival papilloma case
History: A healthy 10-year-old boy had a 12 months history of an itchy right eye with frequent tearing. Small masses that gradually developed in the right caruncula lacrimal area and…
Blue Fugates case
Blue Fugates case
The Fugates, a family who lived in the hills of Kentucky, commonly known as the "Blue Fugates" or the "Blue People of Kentucky", are notable for having been carriers of…
Leukemia cutis case
Leukemia cutis case
History: A 50-year-old woman presented with asymptomatic multiple cutaneous nodules all over the body of 4 months duration. Cutaneous examination showed multiple hyperpigmented nodules and plaques involving face, trunk, and…
Eruptive xanthomas case
Eruptive xanthomas case
History: A 30 yr old obese man presents with an asymptomatic rash on his back, arms, and hands that had developed 2 week earlier. On physical examination, scattered pink-yellow papules…
Madura foot case
Madura foot case
History: A 50-year-old woman with painless swelling in her left foot. The swelling started after a banal penetrating injury on the sole of her left foot 23 years ago. X-rays…
Langerhans-cell histiocytosis case
Langerhans-cell histiocytosis case
History: A female infant delivered at term had a “blueberry muffin” rash at birth. Laboratory tests and imaging studies were normal. Skin biopsy showed a dense infiltrate of cells with…
Ehlers Danlos Syndrome case
Ehlers Danlos Syndrome case
A 20-year-old male presented to an outpatient headache clinic with a 10-year history of headache, which had become daily over the past 3 months and awakened her in the middle…
Pellagra case
Pellagra case
History: A 14 yr female presented to ED with 6 weeks h/o well-defined darkening and thickening of the hands, feet, ankles, neck, and the upper trunk region including upper chest…
Putty kidney case
Putty kidney case
History: A 46-year-old woman presented with symptoms of urgency, frequency and urge-incontinence for 2 years with h/o of fever. Her urine was acidic with few pus cells, but sterile on culture.…
Tinea Barbae case
Tinea Barbae case
History: A 45-year-old farmer came to dermatology OPD with C/O nonitchy red lumpy areas, pustules, and crusting around the hairs that can be pulled out easily. What's the diagnosis? Tinea…