Updated images to previous case. | Figure 1

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Updated Images to Previous Case

Similar Cases

Case 1

AP radiograph of the lower extremities (image 1), femurs, (image 2), and tibia/fibula (image 3) in an adolescent with osteogenesis imperfecta show bowing, multiple growth recovery lines, and fracture (arrow) affecting the long bones. Osteogenesis imperfecta occurs as a result of a defect in collagen type I production. Patients with osteogenesis imperfecta have brittle bones. Other signs can include blue sclera, dental abnormalities, and hearing loss. There are different types based on the severity and mode of inheritance.

Case 2

16 Year old female with 6/12 of pain proximal/mid right femur. Pain increases with physical activity, with associated radiculopathy to the lower extremity. No trauma or congenital dislocations in the past to attribute to the insidious pain onset. The Pt was being woken up at night due to the pain, which took her to her General Practitioner for further investigation.

Image 1. Nuclear medicine Bone Scan
Image 2. SPECT/CT fusion Right Femur
Image 3. X-ray Right Femur
Image 4. MRI Right Femur
Image 5. X-ray post internal fixation
The images show cortical erosion with mature periosteal reaction above and below the lytic expansile lesion (48mm in diameter longitudinally). At the time the most likely differentials included eosinophilic granuloma with pathological fracture or aneurysmal bone cyst (ABC) with the later most likely of the two. Through a biopsy performed during internal fixation surgery, the diagnosis of an ABC right mid femur was confirmed. The pt has no long term/ongoing restrictions or issues. Progress imaging in the future will be completed only as required.

Case 3

Update of case: radiographs show deformities of the joints of the fingers and wrist.

Case 4

x ray

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Case 5

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.

Case 6

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.

Case 7

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.

Case 8

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?