Imaging
- 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 forPulmonary 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.
- Deciding when a picture is worth a thousand words and several thousand dollars
Physical examination is cheap but not highly reproducible. Imaging is expensive but may be more sensitive and specific.
- Osteonecrosis of the femoral head with subchondral collapse
A 45-year-old woman had been taking corticosteroids long-term after organ transplant.
- When does acute pyelonephritis require imaging?
Imaging is recommended for those at risk of complications.