A Tale of Two Limbs

Eisenmenger's syndrome
Explore the clinical puzzle of differential cyanosis and clubbing. Learn why a patient might show signs of low oxygen in their feet but not their hands.
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A Vascular Detour

Thrombosis of the inferior vena cava
A case of chronic venous obstruction confirmed by CT imaging. Explore why superficial veins dilate to create a collateral pathway for blood return.
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When Air Surrounds the Heart

Pneumopericardium
A patient presents with findings of air in the pericardium on a chest radiograph. Explore the diagnosis and management of this rare but critical condition.
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Decoding a Widespread STEMI

Left main stem
A patient presents with widespread ST changes on their ECG. Can you identify the critical coronary artery occlusion based on the classic pattern?
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A Sinister Sine Wave on the ECG

Hyperkalemia
A patient presents with a bizarre sine-wave ECG pattern. Discover the critical electrolyte imbalance causing this emergency and the steps needed to save their life.
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Mechanical Heart, Broken Cells

Mitral-valve repair
Explore a case of hemolytic anemia following a cardiac procedure. Learn how high shear stress from valvular issues can damage red blood cells.
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What Your Ears Say About Your Heart

Atherosclerosis
Discover Frank's sign, a diagonal earlobe crease that can be a subtle but significant marker for cardiovascular disease. Learn about its diagnostic value.
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A Tangled Web of Veins on the Chest

Superior vena caval obstruction
Explore the causes of prominent veins on the chest and abdomen. Learn about the differential diagnosis, including vascular obstructions and cirrhosis.
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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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A Curious Case of Upper Body Cyanosis

Superior vena cava syndrome
Explore a medical case of cyanosis confined to the head, neck, and arms. Discover the underlying cause, confirmed by venography, and its successful treatment.
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