Patient question | Figure 1

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Physician Assistant | Family Medicine

Posted Anonymously

I have a patient in her early 30s that I see in an unrelated specialty. She wanted to know if her MRI images show anything wrong with her gallbladder. It looks like some stones to me. She doesn’t want to make an appointment and pay for GI/general surgery visit if it looks normal. She does have right upper quadrant pain after meals.

Just trying to advise my patient and learn something new for the future!

What do yall think?

Similar cases

This is a case from the beginning of the SarsCoV2 pandemic, now more than three months ago where I live. Unfortunately I have to say that I don’t have precise follow up (such as labs) as I wasn’t able to follow the patient directly. That was woman in her 70s, admitted for a wrist fracture that went through uncomplicated orthopaedic surgery. Before the surgery she appeared clinically well, no fever, no SOB, she denied cough and other constitutional symptoms. From 24 to 48 hours after surgery she went in full respiratory distress with a SatO2 as low as 65%. I just wanted to remember how this patients can deteriorate very rapidly.

Patient wanted to extract mandibular first molar. She was a female and had severe periradicular infection (I forgot to take a picture of its x-ray). She got anaesthetised after 3 cartridges, but her extraction was very easy. She was reluctant for local anesthesia; I had a very hard time giving her the local anesthesia.

19 YO F patient presented asking for bandaids for a blister when my unit was stationed on standby at an event. Showed me this on the bottom of her foot/L big toe. She states it's been going on for "a while" and thought it was callouses. Says flap/peeling have happened before but aren't constant. Seems unconcerned as it mostly doesn't hurt but wanted to cover it up as she'd be walking a lot. Had no other complaints, individual otherwise healthy except for what she states are anxiety related episodes of vomiting. Meds include Lexapro. NKDA. We have to ask all of this to fill out an RMA form, otherwise I wouldn't have bothered, but she got in the truck and protocol is protocol. Does this look like anything interesting to anyone? I've never seen calluses that look like that before.

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?