Clinical Medical

Image LibraryISSN: 2474-3682


 Open Access DOI:10.23937/2474-3682/1510223

Transient Ipsilateral Horner's Syndrome after Ultrasound Guided Interscalene Brachial Plexus Nerve Block

Monica Yadav, MD, Yudhyavir Singh, MD and Abhishek Singh, MD

Article Type: Clinical Image | First Published: 2023/08/31

The brachial plexus which innervates the upper limb has afferent from the cervical and thoracic part of the spinal cord. Due to its proximity to the other important vascular and nervous structures, which is mainly responsible for the post block complications like temporary paralysis of the phrenic, recurrent laryngeal nerves or Horner's syndrome....

 Open Access DOI:10.23937/2474-3682/1510222

Progression and Resolution of a Post-Traumatic Pleurocutaneous Fistula

Benjamin O'Brien, BS, Aidan Farrell, BS and Pranav N Shah, MD

Article Type: ESSENTIAL IMAGES | First Published: 2023/08/02

A 45-year-old female with no known past medical history presented to the trauma unit as an unrestrained passenger in a motor vehicle accident. On arrival, her GCS was 8 and she was intubated. Focused Assessment with Sonography for Trauma (FAST) exam was negative, but initial chest imaging (Figure 1A and Figure 1B) revealed right-sided fractures of the first through seventh ribs, a fracture of the left first rib with bilateral consolidations, and a small right-sided hemopneumothorax. ...

 Open Access DOI:10.23937/2474-3682/1510221

Primary Aortoesophageal Fistula: A Rare Cause of Upper Gastrointestinal Bleeding

Ahmet Bozer, MD

Article Type: Clinical Image | First Published: 2023/07/31

Aortoesophageal fistula (AEF) is a rare but life-threatening condition characterized by a communication between the aorta and the esophagus. It is often associated with aortic aneurysm rupture and can present with gastrointestinal bleeding. Rapid diagnosis and treatment are crucial for optimal patient outcomes. Here, we present a case of AEF in a 73-year-old female patient who presented with bloody vomiting....

 Open Access DOI:10.23937/2474-3682/1510220

Purple Urine Bag Syndrome (PUBS): A Rare Disease

Addepalli Naga Sowmya and M Nagarjuna

Article Type: Clinical Image | First Published: 2023/07/21

A 68-year-old female with a known hypertensive, diabetic, and neurogenic bladder was brought to the hospital with complaints of fever and constipation. The urine bag and urine colour were found to be purple (Figure 1). The urinalysis showed alkaline urine, and the urinary sediment contained 15-20 white blood cells per high-power field. She was admitted under the impression that she had a Urinary Tract Infection (UTI) and constipation....

 Open Access DOI:10.23937/2474-3682/1510219

Fibrolamellar Hepatocellular Carcinoma

Scott Mu, MD, MHS, William Spataro, MD and Ravi Chokshi, MD, MPH

Article Type: Clinical Image | First Published: 2023/06/18

He denied previous alcohol or tobacco use, and his serum alpha fetoprotein level was normal at 3.8 ng/mL. Computed tomography (CT) imaging of his abdomen and pelvis demonstrated a 10.4 cm mass in the right liver with heterogeneous areas of mixed high and low attenuation (Figure 1A)....

 Open Access DOI:10.23937/2474-3682/1510218

Large Thoracoabdominal Pancreatic Pseudocyst in a COVID-19 Patient

Bhargav Kansara, BS and Harshna V Vadvala, MD

Article Type: Essential Images | First Published: 2023/06/16

A 38-year-old female with a history of pancreatitis presented with breathing difficulties and tested positive for COVID-19. A CT of her chest, abdomen and pelvis with contrast showed a 8.5 × 13.1 × 25.4 cm (AP × ML × CC) multilobulated abdominal cyst extending into the posterior mediastinum with bilateral pleural effusion (Figure 1A). CT scan MipPR reconstruction showed the relation of the pseudocyst with abdominal and thoracic vessels (Figure 1B). ...

 Open Access DOI:10.23937/2474-3682/1510217

Epidermodysplasia Verruciformis: A Late Presentation

Hasna Kerrouch, Youssef Zemmez, Rachid Frikh and Naoufal Hjira

Article Type: Clinical Image | First Published: April 03, 2023

A 35-years-old female patient presented with multiple asymptomatic raised lesions of 4 years duration on the legs. Examination revealed multiple verrucous plaques over the two legs, size ranged from 0.5-1 cm, round to oval, with normal surrounding areas (Figure 1). Systemic examination was normal....

 Open Access DOI:10.23937/2474-3682/1510216

Unique Ulcerating Lesion Revealing Adenocarcinoma of the Lung

Hasna Kerrouch, Youssef Zemmez, Rachid Frikh and Naoufal Hjira

Article Type: Clinical Image | First Published: April 03, 2023

A 57-year-old man was admitted to our department with a single ulcerated skin lesion on the right lumbar zone. The patient quit smoking 1 years ago, following a history of 35 years of smoking 13 cigarettes per day. There was no evidence of respiratory symptoms, or anorexia....

Volume 9
Issue 2