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7/28/2019 AMCQ Pictures Review PART II
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AMCQ pictures review
Part II
Rodius/version2012/v1-draft
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Normal CT of brain
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Cholelithiasis
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Left hypoglossal nerve palsy
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Pneumothorax
The presence of a deep,
lucent, right costophrenic
angle on supine chest
radiography is an indirect
sign of a pneumothorax. In
addition, a pneumothoraxwith associated rib
fractures and subcutaneous
emphysema is evident in
the right chest.
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Ruptured AAA
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Acute Subdural Haematoma
Demonstrating Midline Shift
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Epiglottitis, 'thumb sign'
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Seborrheic dermatitis
Relapsing inflammatory skin condition that is characterized byscaling and poorly defined erythematous patches. The scalp isalmost invariably affected; other common sites are the face,chest, and intertriginous areas
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Small bowel obstruction
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Melanoma
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Gout
The swelling over the right first distal interphalangeal joint with associated
subepidermal, yellow-white material is most consistent with gout. Light
microscopy of the expressed substance demonstrated negatively birefringent
urate crystals, confirming the diagnosis.
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Acute subdural haematoma
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Secondary syphilis(nonpruritic, well-circumscribed, scale-covered, erythematous plaques )
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Junctional Tachychardia
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Steeple Sign of Croup
A 1-year-old boy
presented with a
3-day history ofintermittent fever,
barking cough,
and hoarseness
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Aortic dissection
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Ectopic thyroid
Patient presents
with neck mass and
hypothyroidism
The supra- and infrahyoid
nodules are most consistent
with ectopic thyroid tissue.
There was no normal thyroid
gland in the usual position.
Thyroglossal cysts occur inthe midline but are only
infrequently associated with
hypothyroidism
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Right sixth cranial nerve palsy
This patient was trying to
look to the right when
the pic was taken
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Thoracic aortic aneurysm
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Hand, foot, and mouth disease
This 4-year-old boy
presented with a 5-day
history of mild fever and
malaise and a 3-day history
of rash. What is the
diagnosis?
Caused by coxsackievirus
A16 or enterovirus 71.
Typical skin lesions areelliptical vesicles
surrounded by an
erythematous halo
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Keratoacanthoma with typical volcano
appearance
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Torsades de Pointes
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Varicella (Chickenpox)
Polymorphic rash with
vesicles, pustules, and
crusty lesions is mostconsistent with
varicella infection.
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Long QT Syndrome
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Herpes zoster
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Ulcerating squamous cell carcinoma of
the lip
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Mobitz 1
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Pericardial effusion
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Secondary syphilis
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Corneal dendrites of HSV
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Aortic aneurysm
CTA shows mild enhancement of the thrombus in the aneurysm, so-called "dense rim sign" which is
frequently seen in case of a pending rupture
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Bladder stone
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Meconium-like Ileus in Cystic Fibrosis
A 15-year-old woman
with cystic fibrosis
presented with a 1
day history of acute
abdominal pain.
Diagnosis?
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Basal cell carcinoma (BCC)
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Caecal volvulus
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H k l i
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Hyperkalaemia
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Substernal goitre
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Acute Extradural Haematoma
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Herpes zoster
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HYALINE MEMBRANE DISEASE
Premature newborn with respiratory distress
Differential diagnosis for this film could be:
- Meconium aspiration syndrome (newborn would have to be post-term)
- Congenital heart disease
- Sepsis
- Group B Streptococcus pneumonia
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Left testicular torsion
This 6-week old
presented with
scrotal pain. What
is the diagnosis?
Bilateral hydroceles are present, and the left scrotum is red and swollen. The
flashlight test reveals transillumination of a right-sided hydrocele and opacity
of the left scrotum. The most likely diagnosis of testicular torsion was
confirmed with Doppler ultrasonography. 42
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Diaphragm
This patient presented
following a high-speed
motor vehicle crash.
Which structure hasbeen disrupted?
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Epidural hematome (lens-shaped)
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Herpes simplex virus infection
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Hypopyon(pus in the anterior chamber)
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Hypopyon(a bit more subtle but you cant miss it and this one might make you think so many other things if
you dont stop and look at the anterior chamber)
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Mobitz IIa
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First degree AV Block
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Meconium aspiration
This again, could be either Hyaline Membrane Disease or Meconium Aspiration, so just look at
the preterm/post-term condition of the newborn50
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Keratoacanthoma (can be pre-SCC!)
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Pneumopericardium
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Ankylosing spondylitis
The radiograph shows
extensive calcification of the
intervertebral ligaments,
bilateral ossification of the
outer layer of the annulus
fibrosis (forming bony
bridges called marginal
syndesmophytes), and
apophyseal joint ankyloses
all gave the appearance of a
bamboo spine.
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Tension pneumothorax
Signs of tensionThe left lung is completely
compressed (arrowheads).
The trachea is pushed to
the right (arrow)
The heart is shifted to the
contralateral side - note
right heart border is
pushed to the right (red
line)
The left hemidiaphragm is
depressed (yellow line)
Remember
If you diagnose a tension
pneumothorax clinically -
do not request an X-ray -
TREAT THE PATIENT!
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Pneumothorax
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Pneumothorax
Both inspiration and expiration CXR shown. Very cool to see how obvious the
pneumothorax is on the expiration one.
19 year old male with upper chest pain with inspiration for one hour
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Multiple Myelomatypical multiple small punched out lesions of multiple myeloma
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Bronchogenic carcinoma
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Small bowel obstruction
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S
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Multiple loops of distended small bowel with air in the biliary tree (arrow).
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