A 6 year old boy presents with lower abdominal pain and vomiting. He has had intermittent pain for a week thought to be due to mesenteric adenitis.
An 18 year old presents with progressive swelling and erythema of his distal phalanx. The question was asked - is this a simple paronychia?
A middle aged man presents with a painful, bruised swollen penis after feeling a sharp snap and pain during sexual intercourse. This resulted in immediate detumescence, swelling and pain.
A 74 year old man presents with increasing fluid overload and hypotension. He has small complexes on his ECG and you are asked to assess for a pericardial effusion. There is lots of fluid, can you describe where it is?
A 70 year old male presents with fever and right upper quadrant pain. Describe the findings on ultrasound
A 27 year old man presents with 10 hours of right testicular pain. He suffered minor trauma to the testis 20 hours prior to presentation and attributed the severe pain and swelling to that
A 55 year old man presents with upper calf tenderness and slight swelling. He has just returned from trekking in Nepal. He has a minor knee effusion clinically with tender subtle swelling of his upper calf. You consider the probable differential as DVT, calf muscle injury and Baker's cyst with or without rupture.
A 47 year old previously healthy man presents with sore throat / neck, dry cough and shortness of breath for 2 weeks. This had not improved despite inhalers and a course of antibiotics. He also describes widespread aches and pains including in both calves. There is some swelling in his right lower neck and you wonder whether it is lymphadenopathy, an abscess or something else.
A 40 year old man presents describing sudden calf pain that occurred when he was playing tennis. Describe and interpret his ultrasound
A 44 year old woman presents with calf pain after a long hike followed by a long flight. Her upper medial calf is particularly tender. You consider Baker's cyst, calf muscle tear and DVT the most likely differentials.
A 68 year old male presents 2 weeks post coronary artery bypass grafting. He describes continuing chest wall pain, increasing shortness of breath and poor exercise tolerance. You wonder whether this is a pericardial effusion have a look.