Dr. Pepe’s Diploma Casebook: Case 11 – SOLVED!

Dear Friends,

Since some of you misdiagnosed the right aortic arch in case 9, I will give you another chance with another mediastinal case in a 45-year-old man, who is asymptomatic.

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Dr. Pepe’s Diploma Casebook: Case 10 – SOLVED!

Dear Friends,

This week’s case is an 85-year-old man with weight loss. Would you call this study normal?

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Dr. Pepe’s Diploma Casebook: Case 9 – SOLVED!

Dear Friends,

As keen followers of my career will know, the chest is my particular area of expertise, so that’s where we’re returning this week. This case is a 39 year-old woman with a cough.

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Dr. Pepe’s Diploma Casebook: Case 8 – SOLVED!

Dear Friends,

This week’s case is a 61-year-old man who was treated surgically for colon cancer 9 months ago. Normal CT at that time.

Fig. 1

Most likely diagnosis:

1. Liver metastasis
2. Nodular fatty infiltration of the liver
3. Hepatocellular carcinoma
4. None of the above

Click here for the answer

Dr. Pepe’s Diploma Casebook: Case 7 – SOLVED!

Dear Friends,

MRI of the heart is now a standard tool in diagnostic imaging. This week, I want to show you an MRI examination of a 62-year-old man with dyspnoea.

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Dr. Pepe’s Diploma Casebook: Case 6 – SOLVED!


Dear friends,

This week I want to show you a neuro/skeletal case, relating to a 25-year-old male with a 3-month history of sciatica.

Fig. 1

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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.

Fig 1

Fig 2

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Dr. Pepe’s Diploma Casebook: Case 4 – SOLVED!

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.

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Dr. Pepe’s Diploma Casebook: Case 3 – SOLVED!

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.

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Dr. Pepe’s Diploma Casebook: Case 2 – SOLVED!

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

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