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.

Lane's Top Ten

I can't claim credit for this, but Lane Blankenship recently gave his Senior Grand Rounds, and it was excellent!  Here are his top ten articles:

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.

Transfusion Strategies in UGIB

Villanueva C, et al.  Transfusion Strategies for Acute Upper Gastrointestinal Bleeding.  2013 Jan 3;368(1):11-21.
Recently, I presented the landmark article for promoting a restrictive transfusion strategy in upper GI bleeding (UGIB) at our journal club.  I spent a fair amount of time researching the background to this study.  Suffice it to say, there's been a lot of nerds manufacturing non-evidenced based guidelines for decades regarding this issue.  They usually met in Italy, so I can understand the draw to convene.  This study aimed to set the record straight on transfusion strategy for undifferentiated UGIB.

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.

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