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A 60 year Old Man Presenting With Vague Chest Pain On Exertion..
A 60-year-old man was seen as an out-patient, complaining of rather vague central chest pain on exertion. He had never had pain at rest.ECG was done and is shown in picture below:What does this ECG...
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Discoid lupus erythematosus - A Brief Discussion
Discoid lupus erythematosus is a benign disorder generally seen in younger females. It very rarely progresses to systemic lupus erythematosus (in less than 5% of cases).Discoid lupus erythematosus is...
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Understanding Cardiac Axis In ECG
Cardiac Axis Definition: It is the sum of all the depolarization waves as they spread through the ventricles as seen from the front.Axis Determination• Axis can be derived most easily from the...
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Primary Spontaneous Pneumothorax - Chest X ray
This X ray is of a 25 year old male patient who presented with sudden onset of left sided chest pain.X ray Description: The CXR shows the visceral pleura separated from the parietal pleura by air which...
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Traumatic Iridodialysis.
Traumatic iridodialysis is the result of an injury, typically blunt trauma that pulls the iris away from the ciliary body.The resulting deformity appears as a lens-shaped defect at the outer margin of...
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A 2 year old child with Bronchopneumonia
A 2 years old child was brought to radiology department for X-ray chest with cough and high fever over last 3 days. His X ray is shown below:X-ray chest shows soft small ill-defined opacities scattered...
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Left Bundle Branch Block - ECG
ECG Findings• Wide QRS complex, at least 120 ms (three small blocks).• T wave appears on the opposite side of the baseline from the QRS complex.• The QRS precordial axis is normal or deviated to the...
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A sexually active 24-year-old woman presents to your office complaining of...
A sexually active 24-year-old woman presents to your office complaining of vaginal discharge. Findings from a wet prep are pictured here.The most likely diagnosis isA) Yeast vaginitisB) Gardnerella...
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Case Study - Complete 3rd Degree Heart Block
An 80-year-old woman, who had previously had a few attacks of dizziness, fell and broke her hip. She is found to have a slow pulse, and her ECG is shown below. The surgeons want to operate as soon as...
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Drug Induced Lupus Erythematosus
Drug-induced lupus erythematosus is a disorder that is brought on by a reaction to a medicine. In drug induced lupus not all the typical features of systemic lupus erythematosus are seen, with renal...
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Left Ventricular Hypertrophy (LVH) - ECG Study
ECG criteria of LVH (voltage criteria):• S wave in V1 + R wave in V6 or V5 is > 35 mm (S V1 + R V6 > 35 mm).(This criteria is applicable only above 25 years of age).Other criteria of LVH:• R in...
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Ruptured Liver Abscess.
A 50-year-old male presented to the Emergency Room with shock and a four-day history of a febrile illness. He required intubation and was started on inotropes.His Chest X ray is shown below:Case...
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Neonatal Dermatoses - Different Types Explained with Pictures For Better...
Skin disorders are one of the most common problems in pediatrics. Never underestimate parental concerns about their child’s skin. Unlike many disease processes, the skin is visible and noticeable to...
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Lens Dislocation
IntroductionLens dislocation may result from blunt trauma to the globe. As the anterior surface of the eye is struck, there is compression in the anteroposterior dimension with resultant stretching of...
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A 60 year old man presents with cough not responding to antibiotics...
The x ray shown in the picture above is of a 60 year old man who presented with a history of cough that was not responding to antibiotics and cough syrups.X Ray Description: X-ray chest shows a mass...
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Left Anterior Fascicular Block - ECG
Left anterior fascicular block (LAFB), also known as left anterior hemiblock is an abnormal condition of the left ventricle of the heart, related to, but distinguished from, left bundle branch block...
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Tinea versicolor - Clinical Presentation And Treatment
Tinea versicolor is a common skin infection caused by the organism Pityrosporum orbiculare (also known as Malassezia furfur, Pityrosporum ovale, or Malassezia ovalis). The condition usually affects...
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A 50-year-old man is seen in the Emergency department with severe central...
A 50-year-old man is seen in the Emergency department with severe central chest pain which he says is present for about 18 hours.His ECG is shown below:Question:What does this ECG show and how would...
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Erythema ab igne
Erythema ab igne (EAI, also known toasted skin syndrome) is a skin condition caused by over exposure to infrared radiations. Initially, the skin in erythema ab igne patients is often mildly...
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Right Ventricular Hypertrophy with Strain - ECG
ECG CriteriaTall R wave in V1 > 7 mm (also deep S in V5 or V6).Other Criteria• R/S ratio in V1 > 1 (R is > S in V1).• R in V1 + S in V5 or V6 is equal to or > 10.5 mm.• R in aVR > 5 mm.•...
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