Gynecology > Case2
Clinical history: 47 year old woman with menorrhagia. The diagnosis is: Myometrial contractions Adenomyosis Uterine leiomyomas Adenomatoid tumor Endometrial cancer Answer: Adenomyosis Risk factors include (More than one answer may be correct): Multiparity Nulparity Post-menopausal Adenomatoid tumor Prior uterine surgery (C-section/fibroid resection) Answer: Risk factors include multiparity. Treatment options include (More than one answer may […]
Thyroid_Parathyroid > Case1
Clinical history: 46 year old woman with documented primary hyperparathyroidism. She has complaints of joint pain and fatigue. A DEXA scan confirmed advanced osteoporosis. Ultrasound was requested prior to parathyroidectomy. Laboratory:Serum calcium of 10.2 mg/dLPTH of 124 pg/mL Results: These Sonographic and Tc99m Sestamibi images were consistent with findings of a descended superior parathyroid adenoma […]
ObstetricsAndGynecology > Case1
Clinical history: 33 yo F presents to the ED with pelvic pain. Patient is 7 weeks pregnant by history. This image shows an empty endometrial cavity with a fibroid that partially obscures and displaces the endometrial cavity. No intrauterine pregnancy is identified on this image. Question 1: True or False? The absence of an intrauterine […]
Genitourinary > Case5
Clinical history: 19 year old male lacrosse player with scrotal pain and swelling after being hit with a lacrosse ballWhat is the diagnosis? (choose all that apply) Intratesticular hematoma Hematocele Testicular fracture Testicular rupture What are potential complications of this condition? (choose all that apply) Testicular ischemic necrosis Infertility Testicular atrophy Intratesticular pseudoaneurysm What are […]
Gynecology > Case3
Clinical history: 37-year-old female with elevated androgen levels and hirsutism; LMP was thirteen days prior to time of exam. Up to what value is the normal thickness of the endometrial echo complex in premenopausal women? What about postmenopausal women? 5 mm 10 mm 15 mm 20 mm True or False: A diagnosis of endometrial hyperplasia […]
Genitourinary > Case3
Clinical History None Available. Clinical history: None available What is the most likely diagnosis? Acute allergic interstitial nephritis Mesangioproliferative GN associated with HCV Heroin-induced nephropathy HIV associated nephropathy Hemolytic-uremic syndrome What is the most common renal parenchymal disease seen on biopsy for this condition? Focal segmental glomerulosclerosis Acute tubular necrosis Nodular glomerulosclerosis Benign nephrosclerosis Membranous […]
Gynecology > Case1
Clinical history: 23 year old female with lower abdominal pain. Diagnostic considerations include: diverticulitis pelvic inflammatory disease (pyosalpinx) ovarian torsion Crohns disease Treatment for this condition includes: surgical drainage empiric antibiotic therapy ultrasound surveillance TNF inhibitors (Remicade ®) Discussion: Pelvic inflammatory disease (PID) is an infection of the upper female genital tract. It arises from […]
Gynecology > Case4
Clinical history: 25 year old patient with a positive pregnancy test and last menstrual period 8 weeks prior. This sagittal transvaginal ultrasound image shows: An abnormally thickened endometrial stripe A normal intrauterine pregnancy Uterine leiomyomas Absence of a gestational sac What finding in this image is of greatest concern in a patient with the given […]
Vascular – case1
Clinical history: 66 year old female with history of right cerebellar AVM status post angiogram 2 days prior. She has subsequently developed right lower extremity swelling. A lower extremity venous Doppler was negative for DVT; however, the following was seen near the common femoral artery: Differential considerations include (Choose all that apply): Hematoma Pseudoaneurysm Abscess […]
Genitourinary > Case1
Clinical history: 67 year-old male with 12-year history of renal insufficiency, on hemodialysis for the past year. Denies a family history of renal disease. The most likely diagnosis is: Autosomal dominant polycystic kidney disease. Autosomal recessive polycystic kidney disease. Acquired cystic kidney disease. Multilocular cystic nephroma. Nephronophthisis. Risk factors for this condition include (more than […]