AMCQ Pictures Review PART I

7/28/2019 AMCQ Pictures Review PART I

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AMCQ pictures review

part I

Rodius/version2012/v1-draft


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Pneunothorax(a very visual example)

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Right middle lobe pneumonia

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Abdominal aortic aneurysm

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Pneumatocele(Pathognomonic for S.aureus infection / child)

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Pneumoperitoneum

The patient was found to

have pneumoperitoneum

(probably secondary to

steroid use), with gasextending from the

infradiaphragmatic region to

the inferior margin of the

liver, outlining the

gallbladder. The findings are

highly suggestive of bowelperforation; dexamethasone

increases the risk for this

complication.

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Torsades de Pointes

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Target lesions of Erythema multiforme

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Pneumatocele

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Small bowel obstruction

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Caecal Volvulus

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Epidural haematoma

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Pulmonary embolism

A 47 year old womanpresented to the emergency

department with acute

shortness of breath and

hypoxemia.

The chest radiograph

demonstrates a Westermark

sign with a focal area of

oligemia in the right middle

zone and cutoff of the

pulmonary artery in the

upper lobe of the right lung.

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Abdominal aortic aneurysm

Calcification of wall of the aortic aneurysm

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CN VI (abducens) palsy (left side) +

Hypoglosal palsy (left)

Tongue deviates to the side of the lesion

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Pericarditis

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Erythema Multiforme (target lesions)

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Secondary Syphilis

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Osteoarthritis

Examination of this

patient's right hand

reveals typical changes

of osteoarthritis, with

both Heberden's and

Bouchard's nodes in

association with

irregular deformities

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Pneumonia(right middle lobe infiltrate)

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Pneumatocele

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Cholesterol embolism(note the with nonperfusion of the tissue bedwhite)

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3rd degree AV Block

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Free intraperitoneal gas

The X-RAY of the abdomen shows

several signs of free intraperitoneal

gas. These include:

- air accumulation in the right upper

quadrant

- the falciform-ligament sign, visible

as a longitudinal linear density on

the ventral surface of the liver

- the ligamentum teres sign, visible

as a linear density running along the

inferior edge of the falciform

ligament; and

- the visualization of air on both

sides of the bowel wall.

The patient had a perforated cecum.

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Bells palsy (CN VII)

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Croup

This 1-year-old patient presented with

barking cough and hoarseness. Physical

examination revealed neck

lymphadenopathy and audible stridor,

but the patient was not in respiratory

distress and was not drooling (which isa sign of impending airway collapse).

Chest radiography showed a so-called

steeple sign, which results from

subglottic narrowing of the trachea

and is suggestive of the diagnosis oflaryngotracheobronchitis, or croup.

The patient recovered following

treatment nebulized epinephrine + O2

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Left bundle branch block

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Basal cell carcinoma with the

characteristic shiny appearance

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Ulcerating basal cell carcinoma

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Hyperkalaemia

The electrocardiogram shows a

regular rhythm, with a widened QRS

complex in a sine-wave

configuration, and there no

discernible P waves.

The T waves were fused with the

widened QRS complexes to form the

sine-wave pattern (sinoventricular

rhythm).

The patients condition stabilizedafter the administration of calcium

chloride, bicarbonate, glucose, and

insulin therapy, which was followed

by hemodialysis.

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AMCQ Pictures Review PART I