44 results
Pulsatile AAA on Abdominal Exam

A 66-year-old man presented with a 2-month history of abdominal bloating and
abdominal mass, which CT ... a large aortic aneurysm ... #PhysicalExam #Aneurysm ... Clinical #Video #NJEM
Janeway Lesion: Flat, painless, erythematous lesions seen on the palm of this patient's hand. While
frequently associated
endocarditis, in this case ... radial artery aneurysm ... Photo credit, Josh ... Images #Clinical #Photo
Fournier’s Gangrene - Physical examination was notable for necrotic-appearing tissue in the scrotum and perineum, with
perineum, with areas ... Clinical #Surgery #CT ... #Subcutaneous #NEJM
Giant Thrombosed Intracranial Aneurysm - Computed tomography (CT) performed without the administration of contrast material revealed
Thrombosed Intracranial Aneurysm ... Computed tomography (CT ... frontotemporal mass with areas ... CT angiography and ... #NEJM
Salmonella Aspiration on Microscopy

66 y/o male with history of coronary artery disease presents with abdominal pain.
CT abd/pelvis shows ... abdominal aortic aneurysm ... A classic case! ... Is a major cause
Decompression Sickness - The physical examination revealed diffuse violaceous skin mottling over his trunk and arms
extent of the nausea ... #Pneumatosis #CT ... #NEJM
Cushing's Syndrome - Hypercortisolism - Diagnosis and Clinical Features
1) Skin
 • Thin, easily bruisable skin with
especially in areas ... sun (e.g., palm creases ... , oral cavity) Caused ... polyuria in the case ... hypertension (90% of cases
Back Pain - Differential Diagnosis
Primary Back Pathology:
 • Musculoligamentous injury (a.k.a. lumbosacral strain)
 • Spondylosis (i.e.
common: lung, breast ... common: lung, breast ... Aorta: Dissection, Aneurysm ... Differential #Diagnosis #causes
Primary Bone Tumors - Differential Diagnosis Algorithm 

Metastatic - Most common tumour in adults
 - Breast
in adults - Breast ... Enchondroma • Aneurysmal ... #Orthopedics #Causes
Intermittent Bilateral Exophthalmos (Alternating Exophthalmos and Enophthalmos) on Physical Exam

Observing this patient in silence for a
CT head showed engorgement ... ophthalmic veins CT ... The cause of this ... arteriovenous aneurysms ... lymphangiomas are the cause