When the Stomach Wanders

Paraesophageal hernia
Explore a case of a large intrathoracic gastric bubble found on chest X-ray, confirmed by a barium study, and treated with surgical repair and fundoplication.
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A Twisted Heart After Trauma

Tension pneumothorax
A motorcycle accident leads to shocking chest X-ray findings, including a rotated heart and mediastinal shift. What is this life-threatening diagnosis?
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The Double-Bubble Sign

Duodenal atresia
Explore a classic case of congenital duodenal obstruction presenting with the pathognomonic double-bubble sign. Learn about its diagnosis and management.
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Decoding a 3-Month Cough and Fever

Tuberculosis
Patient presents with a chronic cough, reddish sputum, and weight loss. A chest CT reveals an abscess. Discover the most likely diagnosis and its management.
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A Twisted Abdominal Emergency

Small-bowel volvulus
Explore a medical case of acute abdominal pain. A CT scan reveals dilated, rotated small bowel. Can you diagnose this surgical emergency before it's too late?
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The Thinker’s Pose and a Hidden Disease

Respiratory system
Discover Dahl's sign, a finding of symmetric hyperpigmentation on the thighs. Learn how this skin sign, caused by the tripod position, can point to a serious disease.
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Roth Spots: An Ocular Red Flag

Infective endocarditis
Discover why white-centered retinal hemorrhages, known as Roth spots, are a critical clinical sign. Learn about the underlying systemic condition they can indicate.
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Decoding Cobblestone Skin Changes

Chronic venous stasis
Explore the causes of chronic leg swelling with skin changes like hyperkeratosis, plaques, and a cobblestone appearance. Learn about this challenging condition.
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When Hormones Harm the Heart

Carcinoid syndrome
Explore a case of tricuspid regurgitation caused by a rare neuroendocrine tumor. Learn about diagnostic clues, including elevated 5-HIAA and liver metastases.
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Burning Palms After Washing?

Aquagenic keratoderma
A patient develops burning pain, itching, and swelling of the hands after contact with water. Discover the rare diagnosis and its surprising treatment.
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