AMCQ Pictures Review PART II

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

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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).

Documents

AMCQ Pictures Review PART II