Mixed Cases !

Listening to MP3s in a storm could blow your mind

A man in Vancouver, Canada, has discovered the hard way that listening to earphones in a thunderstorm can be a very bad idea. He was jogging while listening to an iPod, when he was struck by lightning. The earphones conducted the electricity through his head, bursting his eardrums and fracturing his jaw.

Most people who are struck by lightning are not hit directly, but get a "side flash" when the electric discharge jumps from the object that was hit.

In 2006, the 37-year-old Vancouver man...

Virchow's Node (Troisier's Sign)

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A 56-year-old woman presented with jaundice and a painless mass in her left supraclavicular fossa that had become progressively enlarged during the preceding 8 weeks. Physical examination revealed a hard lymph node measuring 6 cm by 6 cm in the left supraclavicular fossa (Panel A) and hepatomegaly....

Macular Hemorrhage from Bungee Jumping

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A 25-year-old woman with no clinically significant medical history and with normal coagulation and hematologic studies went bungee jumping from a vertical height of 150 ft (45.7 m). Immediately afterward, she noticed a substantial decrease in vision in her left eye, with a large...

This elderly male has exertional dyspnea, orthopnea, and paroxysmal nocturnal dyspnea. His CXR is shown below. What is the diagnosis?

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A 60-year-old male presented at the Emergency Room with severe chest pain of sudden onset. What is the diagnosis?

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This middle-aged female non-smoker was recently diagnosed and treated as for asthma with little response. What is the diagnosis?

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50-year-old male presented to the Emergency Room with shock and a four-day history of a febrile illness. He required intubation and was started on inotropes. What is the diagnosis?

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