Anatomical Surprise During Dialysis

Left-sided superior vena cava
A dialysis catheter is placed, but imaging reveals it's in an unusual vessel. Explore this case of a common congenital venous anomaly and its implications.
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Skin Signs of a Deeper Problem

Endocarditis
Discover how splinter hemorrhages under the fingernails and tiny skin petechiae can signal a serious systemic infection. Learn the key diagnostic clues.
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Chest Pain & a Widened Mediastinum

Ascending aortic aneurysm
A patient presents with chest pain. A chest radiograph reveals a widened mediastinum. Explore the differential diagnosis and key investigations for this finding.
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A Foot That Changes Color

Arterial insufficiency
A patient presents with a 10-day history of left foot discoloration that resolves with elevation. Explore the differential diagnosis and key clinical signs.
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A Case of Double Valve Trouble

Aortic and mitral valves
A clinical case on the management of severe rheumatic heart disease. Learn about the diagnosis and treatment of a patient with multivalvular stenosis.
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An Unexpected Leg Finding

Chronic venous insufficiency
A routine X-ray reveals unexpected subcutaneous calcifications in the lower limbs. What could this incidental finding signify? Explore the diagnosis.
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Ocular Clues to a Systemic Crisis

Malignant hypertension
A patient presents with visual changes. Fundoscopy reveals disk edema, cotton-wool spots, and retinal hemorrhages. Can you diagnose this medical emergency?
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The Splayed Carina Sign

Left atrium
Explore the classic chest radiograph findings of cardiomegaly, such as a splayed carina, and learn to identify the underlying dilated cardiac structure.
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When High BP Blurs Your Vision

Malignant hypertension
Explore a case of severe hypertension with disk swelling, cotton-wool spots, and retinal detachment. Learn about this vision-threatening medical emergency.
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Decoding a Macular Star

Malignant hypertension
Explore a case of optic-disk hyperemia, retinal hemorrhage, and a macular star. Learn the critical diagnosis behind these alarming funduscopic findings.
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