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AMCQ pictures review
part I
Rodius/version2012/v1-draft
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Pneunothorax(a very visual example)
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Right middle lobe pneumonia
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Abdominal aortic aneurysm
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Pneumatocele(Pathognomonic for S.aureus infection / child)
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Pneumoperitoneum
The patient was found to
have pneumoperitoneum
(probably secondary to
steroid use), with gasextending from the
infradiaphragmatic region to
the inferior margin of the
liver, outlining the
gallbladder. The findings are
highly suggestive of bowelperforation; dexamethasone
increases the risk for this
complication.
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Torsades de Pointes
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Target lesions of Erythema multiforme
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Pneumatocele
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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 womanpresented 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 bedwhite)
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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 isa 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 oflaryngotracheobronchitis, 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 patients condition stabilizedafter the administration of calcium
chloride, bicarbonate, glucose, and
insulin therapy, which was followed
by hemodialysis.
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