This Week’s Case of the Week From 5/31/2020
History: Knee pain.
What is the most likely differential diagnosis? Non ossifying fibroma or enchondroma. Most likely a benign lesion.
What would you recommend for management of this patient? In the setting of symptoms, can follow with imaging. If asymptomatic, can call benign.
This Week’s Case of the Week From 5/24/2020
History: Abdominal Distention.
What organ is the mass most likely extending from? Stomach or duodenum
What would be a reasonable differential diagnosis? Appearance of a GIST tumor given large size and possible ulceration with air, primary gastric or duodenal carcinoma, sarcoma.
This Week’s Case of the Week From 5/17/2020
History: Covid Positive. Abdominal Pain.
What are the critical findings? Enlargement and stranding at the main portal vein with extension to the proximal SMV and splenic veins.
What is the diagnosis causing the patient’s symptoms? Portal venous thrombosis with extension to the SMV and proximal splenic vein.
How is it treated? Thrombolysis to prevent portal venous hypertension and sequela.
This Week’s Case of the Week From 5/10/2020
History: Weight gain. Pain.
What is the most likely diagnosis? Slipped capital femoral epiphysis.
What is the treatment for it? Pinning/In situ fixation
This Week’s Case of the Week From 5/3/2020:
History: Alcohol intoxication in ER. Seizures. Altered mental status
What is the most likely diagnosis? Congenital non-fusion of the hyoid bone. (corticated defect without significant adjacent soft tissue swelling)
What should you tell the ER physician? No findings to suggest an acute hyoid injury. Correlate with the site of patient symptoms.
