15 results
The arrows point to a subendocardial region with poor contrast enhancement due to ischemia. This is
arrows point to a subendocardial ... This is posterior subendocardial ... #Clinical #EM #IM ... #Cardiology #Radiology ... #CTChest #Subendocardial
The arrows point to the inferior subendocardium.  It is dark because there is low contrast
to the inferior subendocardium ... picture of inferior subendocardial ... #Clinical #EM #IM ... #Cardiology #Radiology ... #CTChest #Subendocardial
Decompression Sickness - The physical examination revealed diffuse violaceous skin mottling over his trunk and arms
#Clinical #Derm ... #EM #Radiology # ... Pneumatosis #CT #NEJM
A 27-year-old man with a 2-year history of recurrent, painful skin lesions. A diagnosis of hidradenitis
#Clinical #Derm ... #IM #Hidradenitis ... HidradenitisSuppurativa #NEJM
Upper endoscopy revealed a pigmented mass in the duodenal bulb (Panel A) and two additional masses
duodenum (Panel B) #Clinical ... #GI #Derm #Honc ... EGD #Metastatic #NEJM
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 • Vit B12 - aka cobalamin. Present in foods derived from animal
intrinsic factor, IF) Clinical ... skin pallor • GI ... symptoms • P/E - GI ... and derm findings ... , can consider IM
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
restored to esophagus Clinical ... melena - Other GI ... most common long term ... Hospital of Baltimore IM
Evolution of Purpura Fulminans - On physical examination, he had small purpura on his legs (Panel
#Clinical #Derm ... #EM #IM #PurpuraFulminans ... Meningococcemia #NEJM
Gastric Gyri - Pediatric Ménétrier’s Disease - Computed tomography with contrast material (Panel A shows the
#Clinical #Peds ... #GI #Radiology # ... RugalHypertrophy #NEJM
Gastric Cancer in Chest Radiograph - A plain radiograph of the chest showed a round, irregular
#Clinical #Radiology ... #GI #Honc #CXR ... GastricCancer #NEJM