29 results
Nystagmus from Wernicke’s Encephalopathy - Magnetic resonance imaging of the brain showed T2 hyperintensities involving the
matter (Panel A, arrow ... thalami (Panel B, arrows ... Neuro #Wernicke #MRI ... #Thalamus #NEJM
Creutzfeldt-Jakob Disease - Magnetic resonance imaging (MRI) revealed hyperintensity of the cortical gyri of the frontal
resonance imaging (MRI ... ribboning (Panel A, arrow ... sides (Panel B, arrows ... Neuro #Radiology #MRI ... CreutzfeldJakob #NEJM
Management Algorithm for Confusion
- Substrate verification, glucose, oxygen checks
- Toxidrome present
- Focal findings on neurologic examination
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electrolytes, CXR ... cranial CT, ABG, CSF ... , thyroid, MRI,
Trypanosoma cruzi Reactivation in the Brain- ...Magnetic resonance images of the brain showed a mass measuring
mitochondrial DNA) (arrow ... #clinical #NEJM ... reactivation #brain #MRI
Central Pontine Myelinolysis - Magnetic resonance imaging of the brain revealed a central area of high
high T2 (Panel A, arrows ... low T1 (Panel B, arrow ... diffusion (Panel C, arrows ... Radiology #Neuro #MRI ... Syndrome #ODS #NEJM
Pleural effusion is not always visible as a meniscus in the costophrenic angle. 
A subpulmonic effusion
with signs of CHF ... on both sides (arrow ... Clinical #Radiology #CXR ... #CHF #Pleural #
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
during a period of CHF ... vascular pedicle (red arrows ... Clinical #Radiology #CXR ... #CHF #Cephalization
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
mottled extremities, narrow ... 81% for acute HF ... 5 pts w/ acute HF ... → no signs of CXR ... #pharmacology #sCHF
Coccidiomycosis - Diagnosis
Diagnosis:
 • Mildly elevated peripheral WBC, Eosinophilia (25%), Elevated ESR, Procalcitonin normal (95%)
 •
normal (95%) • CXR ... pericardium, bone marrow ... Urine & Blood & CSF ... Glucan in blood/CSF
Multiple Myeloma and Monoclonal Gammopathies
C - HyperCalcemia- calcium > 11 mg/dL / >1 mg/dL the ULN
R
Renal disease - Cr ... • Clonal bone marrow ... focal lesions on MRI