Imaging
- A young man with hypertension and hypokalemia
At presentation, his blood pressure was 184/154 mm Hg, and his serum potassium level was 3.1 mmol/L.
- Sigmoid volvulus: Coffee bean sign, whirl sign
A 79-year-old man with cortical cerebellar atrophy presented with progressive abdominal distention and constipation.
- Giant uric acid stone in the bladder
The patient said he had to urinate 30 to 40 times a day, but only in small amounts.
- Atraumatic splenic rupture in acute myeloid leukemia
Atraumatic splenic rupture is rare but potentially life-threatening, especially if the diagnosis is delayed.
- Severe hypercalcemia in a 54-year-old woman
Her calcium level was 18.4 mg/dL; 6 months earlier it had been 9.6. What was the cause?
- A complication of enoxaparin injection
Computed tomography revealed a hematoma measuring 15 by 15 cm compressing the bladder and causing hydronephrosis.
- Cardiovascular complications of systemic sclerosis: What to look for
Pulmonary arterial hypertension, atherosclerosis, heart failure, arrhythmias, pericardial disease, and valvular heart disease.
- Mediastinal granuloma due to histoplasmosis in a patient on infliximab
Immunosuppressive drugs can predispose to invasive fungal infection.
- Are daily chest radiographs and arterial blood gas tests required in ICU patients on mechanical ventilation?
Although routine testing is common, it has low diagnostic yield and is unlikely to alter patient management.
- A young man with acute chest pain
A young man presents with severe, pressure-like, midsternal, nonradiating pain, rated 10 on a scale of 10.

