Clinical Medical

Image LibraryISSN: 2474-3682

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 Open Access DOI:10.23937/2474-3682/1510160

Isolated Macrodactyly

Arsia Hanif and Sana Shahid

Article Type: Image Article | First Published: November 14, 2020

A 5-year-old boy was brought to the outpatient department by his parents with complaints of the enlarged index finger of the left hand since birth. According to the mother, at birth, the index finger of the left hand was larger and longer than the other fingers of the same hand. The index finger grew out of proportion since then. The parents gave no history of congenital anomalies, limb defects, overgrowth syndromes, or similar complaints in any of their family members. On general physical exami...

 Open Access DOI:10.23937/2474-3682/1510159

A Neglected Case of Popliteal Pterygium Syndrome Presenting in Adulthood

Shilpi Karmakar, M.Ch and Brijesh Mishra, M.Ch

Article Type: Image Article | First Published: October 26, 2020

Popliteal Pterygium Syndrome (PPS) is autosomal dominant syndrome with incomplete penetrance and variable expressivity. We report a case of 18-year-old female, who had repair of cleft of lip and palate in childhood, and now presented with paramedian bilateral lower lip pits. Examination revealed her to be a case of sporadic PPS. A comprehensive plan of management was formed, but the patient was lost to follow-up. We report the case for the purpose of educating the clinicians of this rare syndrom...

 Open Access DOI:10.23937/2474-3682/1510158

Large Left Atrium Myxoma Protruding into Left Ventricle

Sudeb Mukherjee, MBBS, MD, DM and Suhana Datta, MBBS, MS

Article Type: Image Article | First Published: October 21, 2020

44-year-old male presented with shortness of breath for last 8 months. He had history suggestive of paroxysmal nocturnal dyspnoea. He had no history of rheumatic fever and had no complains of chest pain, palpitation or syncope. His ECG revealed no significant abnormalities, Auscultation revealed mid diastolic rumbling murmur best heard in the apical region. This murmur was changing in intensity and duration along with positional changes from standing to supine. Tumour plop was audible distinctly...

 Open Access DOI:10.23937/2474-3682/1510157

Clinical Image: Porcelain Gallbladder

Nada Mustafa, MD and Shinil K Shah, DO

Article Type: Image Article | First Published: October 10, 2020

A 68-year-old man with a known history of cholelithiasis presented with worsening epigastric and right upper quadrant discomfort. He was afebrile, with mild leukocytosis (13.3 K/CMM) and normal liver function tests. Ultrasound and CT (abdomen/pelvis) showed cholelithiasis with gallbladder wall calcifications, arrow indicates calcifications) and an incidental 7 cm right renal mass. Patient underwent laparoscopic cholecystectomy in conjunction with laparoscopic radical nephrectomy. Intraoperative ...

 Open Access DOI:10.23937/2474-3682/1510156

Clinical Image: Gallstone Ileus

Nada Mustafa, MD and Shinil K Shah, DO

Article Type: Image Article | First Published: October 10, 2020

A 90-year-old lady with dementia, coronary artery disease, and hypertension and no prior abdominal surgeries presented with three days of nausea/vomiting. She had normal vitals and generalized abdominal tenA 90-year-old lady with dementia, coronary artery disease, and hypertension and no prior abdominal surgeries presented with three days of nausea/vomiting. She had normal vitals and generalized abdominal tenA 90-year-old lady with dementia, coronary artery disease, and hypertension and no prior...

 Open Access DOI:10.23937/2474-3682/1510155

Complications of Infective Endocarditis: Septic Emboli Induced Cavitary Lung Disease

Nathaniel Rosal, DO, Shafaq Tariq, MD and John C Madara, MD

Article Type: Image Article | First Published: October 09, 2020

A 29-year-old female with an extensive history of polysubstance abuse presented to an outside hospital for symptoms of myalgias, malaise, and a dry cough for one week in duration. Additional imaging was obtained, most notable for multiple cavitary lung lesions, a possible bronchopleural fistula, and tricuspid valve vegetation. The patient was transferred to our institution for consideration for cardiothoracic surgical intervention. Upon arrival, the patient was found to be hypoxic with an oxygen...

Volume 6
Issue 4