This Week’s Case Of The Week From 6/28/20:
History: Status post-trauma one week ago. Headaches
What is the most likely cause of the patient’s symptoms/differential diagnosis? Acute infarct with subarachnoid hemorrhage
What should be done next? Call the Emergency Room for neuro workup. CTA of the head to look for aneurysm or a vascular anomaly.
This Week’s Case Of The Week From 6/21/20:
History: Abdominal pain.
What is the most likely cause for the patient’s symptoms? Spigelian type hernia with bowel dilation and inflammatory change/fluid. Consider entrapment/early bowel obstruction related to the hernia.
What should be done next? Call surgery.
This Week’s Case Of The Week From 6/14/20:
History: Anemia. Getting transfusion. Blood in colostomy.
What kind of study is this? GI bleeding study.
What is the most likely diagnosis? Poor tagging of the Tc99m-RBCs (Tc99m- pertechnatate) with uptake in the stomach, likely related to poor tagging of transfused blood products. No findings to suggest GI Bleeding.
This Week’s Case Of The Week From 6/7/20:
History: Lower back pain.
What is the diagnosis? Grade 1 spondylolysthesis
Is is most likely causing symptoms and why? Probably not because there is no edema in the pedicles on T2 weighted/STIR imaging to suggest acuity.
What else could you do to check if this is the source of the patient’s pain? Bone scan would be helpful to confirm if acute.
