Imaging
- Which test for CAD should be used in patients with left bundle branch block?
CT angiography is the fi rst-line test in those under 65; for older patients there are SPECT and dobutamine echocardiography.
- A 75-year-old with abdominal pain, hypoxia, and weak pulses in the left leg
Workup revealed the patient had both arterial and venous thrombosis. What was the cause?
- Detecting and managing device leads inadvertently placed in the left ventricle
How it happens, how to prevent it, how to detect and correct it immediately, and how to manage cases discovered long after.
- Scapular rash and endocrine neoplasia
A woman in her 30s presents with an itchy skin-colored rash over her scapula of 8 years’ duration.
- Iliopsoas abscess
A 52-year-old woman with diabetes presents with pain in her lower abdomen and back.
- Fever after recent travel
The patient had been taking a TNF-alpha inhibitor and had recently returned from Mexico.
- Sarcoidosis mimicking lytic osseous metastases
Sarcoidosis involves the lung in more than 90% of cases; skeletal involvement has been reported in 1% to 14%.
- Ring-enhancing cerebral lesions
The patient has poorly controlled HIV, seizures, and brain lesions. Is Histoplasma or Toxoplasma the cause of the lesions?
- When should brain imaging precede lumbar puncture in cases of suspected bacterial meningitis?
Few patients need it. Empiric antibiotic and corticosteroid therapy must not be delayed.