This Week’s Case of the Week From 12/29/19:
History: Anemia.
What is the most likely diagnosis? Active GI Bleed Within The Cecum
What is the best CT protocol to make this diagnosis? With and without intravenous contrast with no oral contrast. Also, we need delayed images.
What’s the next step? Call the ER physician or the gastroenterologist.
This Week’s Case of the Week From 12/22/19:
History: Chest pain.
What is the most likely diagnosis? Possible left-sided tension hydropneumothorax (take a look at the flat meniscal level- a typical finding) Also, see the CT scan in the video below.
What’s the next step? Call the caring physician immediately for possible chest tube placement.
This Week’s Case of the Week From 12/15/19:
History: Chest pain.
What is the most likely diagnosis? Inferior wall reversibility due to increased diaphragmatic motion on stress compared to rest!
Stress on top and rest on the bottom
Stress on top and rest on the bottom for the following videos:
This Week’s Case of the Week from 12/8/19:
History: Headache
What is the most likely diagnosis? Multiple sclerosis (Periventricular and deep white matter disease with periventricular perpendicular dawson’s fingers on sagittal views)
What can you do to confirm the diagnosis? MRI imaging recommended looking for active plaque/disease. Correlate with symptoms.
Case of the week from 12/1/19
History: Right Flank Pain.
What is the most likely relevant diagnosis causing symptoms? Right aortic renal arterial ostial thrombus with acute right renal infarct
