Neonatal Hemangioma: Key Role of Physical Assessment
Marta Figueiredo, Leonor Aires Figueiredo, Filipa Cirurgião, Joana Soares, Cristina Claro and Marta Aguiar
Article Type: Medical Image | First Published: 2024/01/31
A male newborn with a gestational age of 39 weeks and 2 days, with appropriate weight for gestational age, was born by eutocic delivery. Pregnancy surveillance was unremarkable, with maternal serologies and obstetric ultrasounds considered normal. In the delivery room, an adherent red-violaceous rounded lesion in the left gluteal region, with hard consistency, peripheral pale halo and telangiectasias, measuring approximately 5 cm, was observed (Figure 1). ...
Squamous Cell Carcinoma of the Inter-Toe Space: A Case Report
Elkhalil El Bakali, Edgar Keby, Youssef Zemmez, Rachid Frikh and Naoufal Hjira
Article Type: Clinical Image | First Published: 2024/01/25
A 73-year-old female patient, without any notable pathological history, who presented with an intertrigo of the 4th inter-toe space of the right foot for 6 years and refractory to antifungal treatment, evolving to a protruding lesion. Clinical examination revealed a bulging nodular lesion, filling the entire 4th inter-toe space, 2 × 1.5 cm in size, with a small ulceration and crusts on the surface and the lesion associated with deep cracking of the inter-toe space (Figure 1a, Figure 1b and Figu...
Recurrent Tongue Hyperpigmentation in Hidradenitis Suppurativa
Palmeiro AG and João Teles-Sousa
Article Type: Clinical Image | First Published: 2024/01/21
The authors present the case of a non-smoker, 40-year-old woman, with hidradenitis suppurativa (IHS4 9). When she presented for deroofing surgery she complained of an asymptomatic dark pigmentation of her tongue. She recalled three similar self-limited episodes, that coincided with doxycycline cycles, but denied a similar reaction when she took minocycline. A diagnosis of hairy black tongue induced by doxycycline was made and the patient was reassured (Figure 1)....
Cutaneous Lymphangioma Circumscriptum: Seeing Closer
Marcela de Oliveira Pires, Leonor Aires Figueiredo and Cristina Amaro
Article Type: Clinical Image | First Published: 2023/12/24
A previously healthy seven-year-old female presented to the Pediatric Dermatology clinic with multiple, grouped, red fluid-filled lesions on the left side of the torso, that appeared about one month earlier. No other symptoms, such as pain, pruritus or fever were present....
Mycobacterium abscessus Lung Infection Mimicking Lady Windermere Syndrome
Xin Ya See, MD, Yu-Cheng Chang, MD and Kuan-Yu Chi, MD
Article Type: Clinical Image | First Published: 2023/2/21
A 60-year-old non-smoking, slender woman without significant medial history presented with a 6-month history of intermittent low-grade fever, dyspnea, and productive cough with greenish sputum. Physical examination revealed crackles in both lung fields. Laboratory tests showed a white cell count of 21,700/μL (reference range 3,200 to 9,200). Chest radiography revealed multiple linear, nodular opacities, and infiltrates inboth lung fields (Figure 1). ...
Uterine Adenomyosis: An Uncommonly Oversized Uterus in a 30-Year-Old Patient
Fernanda Alves, Zélia Gomes, Yida Fan, Ana Moreira and Osvaldo Moutinho
Article Type: Image - New Technique | First Published: 2023/12/17
Uterine adenomyosis is a disorder in which endometrial glands and stroma are present within the myometrium, resulting in hypertrophy of the surrounding myometrium [1,2]. Its exact epidemiology is uncertain as data regarding this condition has often relied on the assessment of the uterus following hysterectomy. However, studies have reported that it seems to be present in a wide range of individuals undergoing hysterectomy (9-62%)....
Two-Finger Technique and No-Finger Technique of Holding a Face Mask
Bokinala Naveen, MBBS, MD
Article Type: Image - New Technique | First Published: 2023/12/11
The Figure 1 shown above depicts the method of holding a face mask in a paralyzed patient. The middle finger is used to lift the chin and thumb is used to hold the mask with direction of force towards the angle of mandible (arrow direction) making sure that the lower side of mask is in contact with the patient....
Emphysematous Pyelonephritis on Lithiasis Obstruction Complicated by Subcapsular Hematoma: A Double Urological Emergency
Nedjim A Saleh, Hagguir Hissein, Fadoul Achta, Moataz Amine, Dakir Mohamed, Debbagh Adil and Aboutaieb Rachid
Article Type: Clinical Image | First Published: 2023/09/04
Emphysematous pyelonephritis is a necrotizing infection of the renal parenchyma and surrounding tissues, characterized by the presence of gas. It is a serious infection whose main complications are septic shock, acute renal failure and disseminated intravascular coagulation . Subcapsular haematoma secondary to pyelonephritis is an extremely rare complication whose clinical manifestations vary considerably according to terrain and severity ....
Progression and Resolution of a Post-Traumatic Pleurocutaneous Fistula
Benjamin O'Brien, BS, Aidan Farrell, BS and Pranav N Shah, MD
Article Type: ESSENTIAL IMAGES | First Published: 2023/08/02
A 45-year-old female with no known past medical history presented to the trauma unit as an unrestrained passenger in a motor vehicle accident. On arrival, her GCS was 8 and she was intubated. Focused Assessment with Sonography for Trauma (FAST) exam was negative, but initial chest imaging (Figure 1A and Figure 1B) revealed right-sided fractures of the first through seventh ribs, a fracture of the left first rib with bilateral consolidations, and a small right-sided hemopneumothorax. ...
Primary Aortoesophageal Fistula: A Rare Cause of Upper Gastrointestinal Bleeding
Ahmet Bozer, MD
Article Type: Clinical Image | First Published: 2023/07/31
Aortoesophageal fistula (AEF) is a rare but life-threatening condition characterized by a communication between the aorta and the esophagus. It is often associated with aortic aneurysm rupture and can present with gastrointestinal bleeding. Rapid diagnosis and treatment are crucial for optimal patient outcomes. Here, we present a case of AEF in a 73-year-old female patient who presented with bloody vomiting....