Small Bowel Obstruction

55M c h/o colon ca p/w abd pain x 3d.  Rebound on exam.  3/6/9 Rule: small bowel dilated if > 3 cm, large bowel if > 6 cm, cecum if > 9 cm.

Brugada Type II

30M w/o PMH p/w intermittent CP and dizziness w/o syncope x 1 year.

Phlegmasia Cerulea Dolens

Sudden onset painful leg that became swollen within 15 minutes.

Osteomyelitis

53M s/p TMA p/w new ulcer.  Elevated inflammatory markers and clear cortical involvement on XR (although not called by radiology); MR confirmed oseteo.  Findings suggestive of OM on radiography include cortical erosion, periosteal reaction, mixed lucency, and sclerosis; but may not be evident for up to 2 weeks into the infection.

Free Air

60M w/o PMH p/w sudden onset abd pain several hours earlier, rigid abd, found to have free air on upright.  Perfed dudenoal ulcer found on ex-lap.

Spine Sign

40F c h/o CHF p/w SOB and productive cough.  Radiology report made no mention of focal consolidation.  The vertebral bodies should become more lucent the more inferior they are, but you can clearly see they become more opaque in this lateral view - a finding called "the spine sign."  This is consistent with a focal consolidation.

Wellens' Syndrome

60M c exertional CP x 2 weeks, biphasic t's and STE; 95% prox LAD on LHC.

Complete Heart Block

83M c CP, new RBB and CHB, STD in anterolateral leads and TWI in inf, HR36; taken for PPM following day.