A 40+ man presents with history of cranial surgery a few years ago for meningioma. Below are 2 slices of the CT brain.
Questions:
1. What abnormality can be seen in the films?
2. What is the thing indicated by the red arrow (and why do you say so)?
Mon, 120710 @ 0700
It’s been a while since the last clinical scenario was released here. I am pleased to announce that this is the 100th article of ‘patient of the week’. (Now I can write a book!).
A young woman presents with 5 days history of fever with myalgia. By the time of admission, she has developed a mildly itchy rash and her fever has subsided. Her CBC showed leucopenia and thrombocytopenia.
Here is a picture of the rash:
Questions:
1. What is the rash classically known as?
2. What is the most likely diagnosis?
3. What are the 6 warning signs of this disease as listed in the WHO Guidelines for this disease (2009 Edition)?
Tues, 060710 @ 0700
This 32-year-old man was recently diagnosed with Diabetes mellitus.
Here is his AXR:
Questions:
1. Identify the abnormality.
2. Name 3 causes for this abnormality.
Wed, 280410 @ 1630
This 57-year-old woman presented with a right breast lump.
Below are her mammograms:
Question:
1. Based on the mammograms, which part of the right breast is involved?
2. Describe the findings.
3. What is the final diagnosis?
Mon, 290310 @ 0700
This 46-year-old woman has diabetes mellitus. Below is a picture of her hands.
Questions:
1. Describe the abnormality.
2. What is this condition called?
3. What other associated conditions would you look for in this patient?
PS: This patient appeared in the last exam. 
Mon, 150310 @ 0700
This man who is in his mid-twenties got into a fight with his spouse earlier in the day and was admitted via the ED for alleged ingestion of a liquid suspected to a herbicide.
Here is a photo of his arm.
Questions:
1. Describe the photo.
2. What are these marks known as and what do they suggests?
3. Assuming the patient survived, what is the follow up plan?
Mon, 010310 @ 0700
This young man was involved in an accident. Here are the Xrays of his hand.
Questions:
1. Describe the injuries sustained in the first Xray.
2. What procedure was done on him, in the 2nd Xray?
Mon, 180110 @ 0700
This 24 year old woman felt an uneasy discomfort on the left side of her chest from morning which worsened progressively. By noon, she decided to go to the hospital. When she presented to the hospital, she was in distress, having suddenly developed acute breathlessness. She collapsed and was resuscitated requiring mechanical ventilation.
This Xray was taken a short while before she collapsed.
Click to enlarge.
Question:
1. What is the most likely diagnosis?
Mon, 301109 @ 0700
This is the chest radiograph of a young man with HIV. He complains of progressively worsening shortness of breath of 3 weeks duration with occasional low grade fever. On examination, he is tachypnoeic, afebrile, and auscultation of the lungs reveals occasional scattered crepitations. His oxygen saturation on room air is 72%.
Questions:
1. Describe the abnormality in the film.
2. What is the most likely diagnosis?
Mon, 091109 @ 0700
This patient walked like a duck! Below is the patient’s pelvic Xray.
Questions:
1. Describe the abnormalities seen.
2. Give TWO (2) causes of the abnormality.
Tues, 131009 @ 0700
