AMCQ pictures review part I

Rodius/version2012/v1-draft

Pneunothorax
(a very visual example)

Right middle lobe pneumonia

Abdominal aortic aneurysm

Pneumatocele
(Pathognomonic for S.aureus infection / child)

Pneumoperitoneum
The patient was found to have pneumoperitoneum (probably secondary to steroid use), with gas extending from the infradiaphragmatic region to the inferior margin of the liver, outlining the gallbladder. The findings are highly suggestive of bowel perforation; dexamethasone increases the risk for this complication.

Torsades de Pointes

Target lesions of Erythema multiforme

Pneumatocele

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 woman presented 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 bed white)

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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 is a 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 of laryngotracheobronchitis, 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 patient s condition stabilized after the administration of calcium chloride, bicarbonate, glucose, and insulin therapy, which was followed by hemodialysis.
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