Pt with LLQ pain. | Figure 1

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9 year old female came into ER with RLQ pain, vomiting, fever since prior night. Patient had rebound tenderness and an elevated WBC. Ultrasound ordered and look what filled my screen! Classic target sign and area did not compress. (+) #appendicitis patient transferred to children's hospital for surgery.



Not the best measurement but minimally dilated with RLQ pain.



A 3 year old boy came with stomach ache for 3 days, there was no vomiting nor dyspnea. His weight only 10 kg, scaphoid chest, diminished left lung sound. Received treatment for lung TB 10 month before admission. What is your diagnosis?



I performed a screening colonoscopy on a 65-year-old man who had multiple diverticula in his colon. During the procedure, I noticed a polypoid lesion that showed NICE 1 in narrow band imaging (NBI), which is a feature of non-neoplastic lesions. I suspected that it was an inverted diverticulum, which is a rare condition where a diverticulum turns inside out and protrudes into the lumen of the colon. To confirm my diagnosis, I used a water jet to reverse the inversion and reveal the opening of the diverticulum, which appeared as a fissure-like defect. This case illustrates the importance of using different techniques to differentiate between polyps and inverted diverticula, as they can have similar appearances on colonoscopy.

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A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis. He had a history of hypertension, long-term smoking, and a sedentary lifestyle. On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.



A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets. Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.



A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.



Patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?