A Puzzling Breast Case

Invasive ductal carcinoma
A 62-year-old woman has nipple stiffness and a pigmented macule, but mammography is normal. Explore the differential diagnosis for unusual breast signs.
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CT Clue in an Acute Abdomen

Falciform ligament
An 87-year-old with a history of PUD presents with severe abdominal pain and hypotension. CT reveals pneumoperitoneum outlining a key anatomical structure.
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A Grave Sign on Abdominal CT

Bowel ischemia
A 72-year-old man presents with severe abdominal pain, shock, and a striking CT finding of portal venous gas. What is the most likely underlying diagnosis?
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A Gassy Problem in the Gallbladder

Emphysematous cholecystitis
An 80-year-old man presents with RUQ abdominal pain and a positive Murphy's sign. Labs are normal, but imaging reveals a severe gallbladder infection.
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Air in the Spleen: A Diagnostic Puzzle

Gastrosplenic fistulization
A 56-year-old woman with LUQ abdominal pain and a history of NSAID use has a CT showing air in the spleen. Explore this rare and critical diagnosis.
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A Surprising Gum Diagnosis

Metastasis of colorectal cancer
A 60-year-old woman with a history of cancer develops a large gum mass. Discover the diagnostic process when oral swelling signals a more serious condition.
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A Giant Abdominal Mass

Urachal mucinous cystic tumor
An 80-year-old man presents with abdominal bloating and constipation, revealing a massive, non-tender abdominal mass on examination. What could be the cause?
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A Twisted Cause of Abdominal Pain

Gallbladder volvulus
An 86-year-old woman has acute nausea, vomiting, & right abdominal pain. CT shows a distended, displaced gallbladder. What is the rare but critical diagnosis?
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A Race Against the Clock

Delay in surgical intervention >24 hours
A 37-year-old man develops severe arm pain, swelling, and crepitus after blunt trauma. What factor is key to survival in this case of necrotizing myositis?
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The Coffee Bean Sign

Cecal volvulus
An 87-year-old man presents with constipation and abdominal pain. A plain radiograph reveals a classic sign. Can you diagnose this surgical emergency?
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