Teenager with Sudden Chest Discomfort

Pneumomediastinum
Explore the case of a 15-year-old presenting with chest pain. Discover how a chest radiograph reveals an unexpected diagnosis, separate from a pneumothorax.
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The Dilated Pupil Conundrum

Ipatropium
A patient on BiPAP develops acute anisocoria. Explore the differential for a unilateral dilated pupil and identify the common iatrogenic cause.
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A Shocking Complication

Digital ischemia
A patient in shock with DIC develops severe extremity changes. Review the pathophysiology, diagnosis, and management of this critical vascular emergency.
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A Poisonous Crystal Clue

Ethylene glycol poisoning
Discover how specific urine crystals can be a critical clue to diagnosing a life-threatening ingestion. Learn to recognize the signs of this dangerous poisoning.
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Hidden Thoracic Trauma

Diaphragm
A patient presents after a high-speed motor vehicle crash. Analyze the imaging to identify a critical, often-missed injury in blunt thoracic trauma.
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A Diver’s Mottled Rash

Decompression sickness
A patient presents with a strange, mottled rash nine hours after a scuba dive. Learn about the differential diagnosis and management of this concerning symptom.
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Beyond a Simple Toothache

Ludwig's angina
A simple toothache escalates into a life-threatening neck swelling. Understand the signs of this rapidly progressing infection that can compromise the airway.
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A Deep Sulcus Sign After Trauma

Pneumothorax
A 23-year-old man presents after a car accident. Analyze his chest x-ray showing a deep sulcus sign to determine the critical diagnosis.
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The Case of the Fern-Leaf Tattoo

Electrocution
A patient presents with painless, erythematous fern-leaf marks on both legs. What could cause these strange Lichtenberg figures? Learn more about this rare sign.
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A Patient with Leg Swelling and Track Marks

Abscess
A patient presents with a painful, swollen lesion on their calf. Examination reveals track marks. Explore the differential diagnosis and management.
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