Imaging
- Gallstones: Watch and wait, or intervene?
Consider laparoscopic cholecystectomy for symptomatic cholelithiasis, expectant management for asymptomatic cases.
- Gas under the right diagphragm (February 2018)
Errors occurred in Matsuura H, Hata H. Gas under the right diaphragm. Cleve Clin J Med 2018; 85(2):98–100.
- Ascites from intraperitoneal urine leakage after pelvic radiation
Six years earlier, the patient had undergone hysterectomy and chemoradiotherapy for cervical cancer.
- 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.