Dr. Pepe’s Diploma Casebook: Case 5 – SOLVED!
Dear friends
Today, I want to show you a classic case of vertebral affectation. I’m hoping for 100% correct answers.
59-year-old female with lumbar pain.
Dear friends
Today, I want to show you a classic case of vertebral affectation. I’m hoping for 100% correct answers.
59-year-old female with lumbar pain.
Since some of you have been complaining about the cases being difficult, Muppet wants to show a really difficult case: a 76-year-old woman with previous heart troubles and currently asymptomatic.
Diagnosis:
1. Calcified pericardial cyst
2. Hydatid cyst of the heart
3. Intracardiac calcified aneurysm
4. None of the above
Dear Friends,
Abdominal films are being displaced nowadays by CT and US; but they are still useful if interpreted properly. In this case you are provided with a supine film of an 84-year-old man who has experienced epigastric pain, vomiting and abdominal distension for several days.
Dear Friends,
Muppet is feeling good today (love letter from Miss Piggy) and wants to show you an easy case: a 69-year-old male with chest pain and productive cough. TB in his youth.
Diagnosis:
1. Active TB
2. Empyema necessitatis
3. Pleural abscess
4. None of the above
Dear Friends,
Moving forward on our journey through the systems, our next stop is the heart. I want to put your diagnostic skills to the test with the following cardiac case.
Our patient is a 60-year-old male with dyspnea and fatigability.
Dear Friends,
Muppet is feeling mean today and wishes to inflict upon you the following case: a 56-year-old woman with a history of respiratory infections. She was operated on for osteogenic sarcoma of the right leg eight years earlier.
Diagnosis:
1. Metastases from sarcoma
2. Carcinoma of the lung
3. Tuberculosis
4. None of the above
Dear Friends,
Following the usual pattern of an oral examination (mixed cases from all the subspecialities), I challenge you with the following neuro case, below.
Look out for the answer on Thursday. Good luck!
This week’s patient is a 61-year-old immunocompetent male with progressive disorientation and general weakness
Dear Friends,
Muppet has chosen to show a case from the Iron Islands. Winter is coming …
An 83 year-old lady with cough and moderate dyspnea.
Diagnosis:
1. Normal for age
2. One process
3. Two processes
4. Three processes
Dear diploma fans,
Welcome to the very first entry from my diploma casebook!
This is just the first of many weekly cases I’m going to show here on the ESR blog, to help you prepare for the European Diploma in Radiology. They are all typical of what you might expect to find in the exam and I will guide you through each one and remind you of the key points to consider.
To start off, I’m going to follow in the footsteps of my good friend Jose Caceres (although I will be more compassionate), and show you a chest case. If you have any comments or questions, please leave them in the comments section under this post. The answer will be posted on Thursday.
Good luck!
Dear Friends,
Muppet is becoming soft and wants to show easy cases. The following case is a 44-year-old woman with a cough, low-grade fever, and back pain.
Diagnosis:
1. Lung mass
2. Loculated pleural fluid
3. Chest wall mass
4. None of the above