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Search Patient Charts: Ruptured

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Search Results for => Ruptured <= Result Items 1 - 20

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Case ID: 14252 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Ruptured Cerebral Arteriovenous Malformation (AVM)
	History	Previously healthy 31 year old man brought to the ER with a history of an altercation 2 hours prior to admission.
	Findings	• CT Large left hemisphere hematoma - fronto-temporal-parietal • CTA shows several dilated vessels surrounding the hematoma
	Differential Dx	• Ruptured AVM • Traumatic hemorrhage • Aneurysm hemorrhage • Hemorrhage into a neoplasm (GBM or metastasis, oligo, etc.)
	Discussion	... (continues ...)
	User Group
	Contributor	Steven J Goldstein :: University of Kentucky -
	Reviewer	James G. Smirniotopoulos, M.D. :: Uniformed Services University - Case Accepted: 2012-12-12 15:47:09-05 :: Revised: 2012-12-12 10:13:10.595371-05 :: Submitted: 2012-12-12 10:13:10.595371-05

Case ID: 14094 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Dermoid cyst, Ruptured
	History	33 year old woman presents to ER with severe headache
	Findings	Fat attenuation mass in middle cranial fossa on left on CT scan with scattered fat density droplets in subarachnoid spaces. Mass in middle cranial fossa on left on MRI with fat signal intensity and small similiar lesions in the adjacent subarachnoid spaces.
	Differential Dx	Pneumocephalus Congenital lipoma Epidermoid cyst Dermoid cyst
	Discussion	... (continues ...)
	User Group
	Contributor	Steven J Goldstein :: University of Kentucky -
	Reviewer	James G. Smirniotopoulos, M.D. :: Uniformed Services University - Case Accepted: 2012-12-12 15:47:09-05 :: Revised: 2012-12-12 10:13:10.595371-05 :: Submitted: 2012-12-12 10:13:10.595371-05

Case ID: 14003 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Ruptured Meckel's Cave Dermoid Inclusion Cyst
	History	57 year old woman with sudden loss of vision and severe headache
	Findings	Lipid signal containing mass in Meckel's cave on the left. Lipid droplets and globules throughout the SAS of the basal cisterns.
	Differential Dx	Pantopaque from a prior myelogram Ruptured dermoid cyst Ruptured teratoma Ruptured craniopharyngioma
	Discussion	... (continues ...)
	User Group
	Contributor	Steven J Goldstein :: University of Kentucky -
	Reviewer	James G. Smirniotopoulos, M.D. :: Uniformed Services University - Case Accepted: 2012-12-12 15:47:09-05 :: Revised: 2012-12-12 10:13:10.595371-05 :: Submitted: 2012-12-12 10:13:10.595371-05

Case ID: 13831 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Ruptured Left PICA Aneurysm
	History	37 year old woman presents with severe headache and decreased level of consciousness
	Findings	• Extensive subarachnoid hemorrage • Left cerebellopontine angle hematoma • Left PICA aneurysm
	Differential Dx	Ruptured aneurysm with subarachnoid hemorrhage
	Discussion	... (continues ...)
	User Group
	Contributor	Steven J Goldstein :: University of Kentucky -
	Reviewer	James G. Smirniotopoulos, M.D. :: Uniformed Services University - Case Accepted: 2012-12-12 15:47:09-05 :: Revised: 2012-12-12 10:13:10.595371-05 :: Submitted: 2012-12-12 10:13:10.595371-05

Case ID: 13758 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Middle Meningeal Artery Aneurysm, Ruptured
	History	49 yr. old woman presents with first time seizure.
	Findings	• CT - Right middle middle cranial fossa epidural hematoma and small temporal lobe hematoma • CTA - grape like contrast collection within epidural hematoma - "spot sign"? • Angiogram - 1.5cm aneurysm arising from the right middle meningeal artery
	Differential Dx	• trauma • AVM • Dural fistula
	Discussion	... (continues ...)
	User Group
	Contributor	Steven J Goldstein :: University of Kentucky -
	Reviewer	James G. Smirniotopoulos, M.D. :: Uniformed Services University - Case Accepted: 2012-12-12 15:47:09-05 :: Revised: 2012-12-12 10:13:10.595371-05 :: Submitted: 2012-12-12 10:13:10.595371-05

Case ID: 13711 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Ruptured globe, prolapse of uveal and retinal tissue
	History	30 year old woman, automobile collision. Unrestrained passenger. Presents to ER with left eye, swelling and pain
	Findings	Hematoma left globe. Lens not identifiable.
	Differential Dx	• tumor • infection • trauma • phthisis bulbi
	Discussion	... (continues ...)
	User Group
	Contributor	Steven J Goldstein :: University of Kentucky -
	Reviewer	James G. Smirniotopoulos, M.D. :: Uniformed Services University - Case Accepted: 2012-12-12 15:47:09-05 :: Revised: 2012-12-12 10:13:10.595371-05 :: Submitted: 2012-12-12 10:13:10.595371-05

Case ID: 13612 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Ruptured brain abscess and pyocephalus
	History	51 year old man with headache and fever. No heart disease or recent surgery nor instrumentation.
	Findings	• Multiple ring enhancing brain lesions • Enhancement of ventricular lining ependyma • Debris layering in ventricles
	Differential Dx	• Metastatic disease • Lymphoma • Ventriculitis, encephalitis, meningitis
	Discussion	... (continues ...)
	User Group
	Contributor	Steven J Goldstein :: University of Kentucky -
	Reviewer	James G. Smirniotopoulos, M.D. :: Uniformed Services University - Case Accepted: 2012-12-12 15:47:09-05 :: Revised: 2012-12-12 10:13:10.595371-05 :: Submitted: 2012-12-12 10:13:10.595371-05

Case ID: 13182 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Ruptured Ectopic Pregnancy
	History	23 y/o female with known pregnancy who presented to the Emergency Department with complaint of severe abdominal pain
	Findings	The uterus is visualized and is normal in size, shape and echogenicity with a 2.2 mm endometrial stripe. There is no sac or fluid collection within the uterus. No adnexal ring or definite fetal pole is identified. Hyperemia is evident in the wall of the fallopian tube by Doppler US. There is a large amount of hypoechoic material outside of the uterus consistent with a large amount of blood in the pelvis and cul-de-sac. There is hypoechoic material suggestive of blood between the right kidney and the posterior liver (Morrison’s pouch), as well as above the liver.
	Differential Dx	Ruptured Ectopic Pregnancy
	Discussion	... (continues ...)
	User Group
	Contributor	Nicolas B Moya del Pino :: - Leave Blank - -
	Reviewer	Ellen M Chung :: Uniformed Services University - Case Accepted: 2012-12-12 15:47:09-05 :: Revised: 2012-12-12 10:13:10.595371-05 :: Submitted: 2012-12-12 10:13:10.595371-05

Case ID: 12527 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Ruptured Baker Cyst
	History	Sudden onset of unilateral calf pain.
	Findings	Large fluid collection in the popliteal fossa with heterogeneously echogenic material inside.
	Differential Dx	Ruptured Baker Cyst DVT Ruptured popliteal aneurysm
	Discussion	... (continues ...)
	User Group
	Contributor	Leonard Blinder :: National Naval Medical Center Bethesda -
	Reviewer	Albert V Porambo :: Civilian Medical Center - Case Accepted: 2012-12-12 15:47:09-05 :: Revised: 2012-12-12 10:13:10.595371-05 :: Submitted: 2012-12-12 10:13:10.595371-05

Case ID: 12317 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Ruptured Appendicitis
	History	46 y.o. woman with fever and right abdominal pain.
	Findings	CT images demonstrate an enlarged, fluid filled enhancing appendix with periappendiceal fat stranding. Small foci of extraluminal air and a small fluid collection are present.
	Differential Dx	Appendicitis Perforated appendicitis
	Discussion	... (continues ...)
	User Group
	Contributor	Andrew Mullins :: Civilian Medical Center -
	Reviewer	Pil Kang :: Uniformed Services University - Case Accepted: 2012-12-12 15:47:09-05 :: Revised: 2012-12-12 10:13:10.595371-05 :: Submitted: 2012-12-12 10:13:10.595371-05

Case ID: 12010 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Ruptured appendicitis with abscess, appendicolith, uncomplicated cholelithiasis
	History	Down syndrome with vague abdominal pain, fever and vomitting for 1 week.
	Findings	Plain film: Non-obstructed bowel gas pattern. Calcifications in the right upper quadrant. Albeit difficult to see on this image, there is a subtle ovoid density projecting over the mid-lower right sacrum. US: Gallstones but otherwise unremarkable. (not shown) CT: Gallstones in the gallbladder. A large "8" shaped fluid collection in the right lower quadrant with rim enhancement and surrounding inflammatory change. A focal ovoid density is present in the base of this collection.
	Differential Dx	Cholecystitis Acute appendicitis Appendiceal abscess Crohn's disease with abscess Bowel obstruction
	Discussion	... (continues ...)
	User Group
	Contributor	Nicholas Lange :: National Capital Consortium -
	Reviewer	William R Carter, M.D. :: National Naval Medical Center Bethesda - Case Accepted: 2012-12-12 15:47:09-05 :: Revised: 2012-12-12 10:13:10.595371-05 :: Submitted: 2012-12-12 10:13:10.595371-05

Case ID: 11968 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Ruptured Aortic Aneurysm
	History	84 year old woman with a known descending thoracic aneurysm and new complaints of "tearing" chest pain.
	Findings	• PA chest radiograph shows interval widening of the mediastinum compared to films from 2 weeks earlier • Lateral views confirms enlargement of the descending aorta • Axial CT images with IV contrast demonstrate a descending thoracic aneurysm with mural thrombus • Hyperdense fluid throughout the mediastinum consistent with hematoma • Bilateral pleural fluid collections
	Differential Dx	• Aortic aneurysm with rupture • Aortic Dissection with rupture
	Discussion	... (continues ...)
	User Group
	Contributor	Michael V Huppmann :: Walter Reed Army Medical Center -
	Reviewer	Albert V Porambo :: Civilian Medical Center - Case Accepted: 2012-12-12 15:47:09-05 :: Revised: 2012-12-12 10:13:10.595371-05 :: Submitted: 2012-12-12 10:13:10.595371-05

Case ID: 11265 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Neurocysticercosis and Ruptured Subarachnoid Aneurysm
	History	The patient is a 54-year-old man who presents with sudden onset headache, nausea, vomiting and hypertension. Prior to these symptoms, he had been in his usual state of health.
	Findings
	Differential Dx	Metastatic lesions characteristically lodge at the corticomedullary junction and can enhance in a ringlike pattern, and often present with more edema than expected for the size of the lesion. A High Grade Astrocytoma (WHO 3 or 4) can be included in the differential, although they are more likely to be heterogeneous with irregular borders. Fluid suggests parasitic infections, including cysticercosis, paragonimiasis, or echinococcus.
	Discussion	... (continues ...)
	User Group
	Contributor	Matthew R Gosssage :: - Leave Blank - -
	Reviewer	James G. Smirniotopoulos, M.D. :: Uniformed Services University - Case Accepted: 2012-12-12 15:47:09-05 :: Revised: 2012-12-12 10:13:10.595371-05 :: Submitted: 2012-12-12 10:13:10.595371-05

Case ID: 11072 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Ruptured Ectopic Pregnancy
	History	27 year old female presents to ER with nausea and vomiting.
	Findings	-No intrauterine pregnancy -Free fluid in the pelvis -Cystic adnexal mass with peripheral flow
	Differential Dx	Ectopic pregnancy Corpus luteum cyst
	Discussion	... (continues ...)
	User Group
	Contributor	John Yasmer :: Walter Reed Army Medical Center -
	Reviewer	Albert V Porambo :: Civilian Medical Center - Case Accepted: 2012-12-12 15:47:09-05 :: Revised: 2012-12-12 10:13:10.595371-05 :: Submitted: 2012-12-12 10:13:10.595371-05

Case ID: 10949 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Ruptured Dermoid Inclusion Cyst
	History	20 year old man with abrupt onset of headaches and personality changes.
	Findings	CT: There are numerous fat attenuation foci seen within the subarachnoid space predominantly in the region of the Sylvian fissure on the left. MRI: There are multiple T1 bright signal foci distributed throughout the subarachnoid space. These lesions correlate with the fat-density lesions visualized on prior CT.
	Differential Dx	Ruptured Dermoid Inclusion Cyst
	Discussion	... (continues ...)
	User Group
	Contributor	Paul M Michaud :: Walter Reed Army Medical Center -
	Reviewer	James G. Smirniotopoulos, M.D. :: Uniformed Services University - Case Accepted: 2012-12-12 15:47:09-05 :: Revised: 2012-12-12 10:13:10.595371-05 :: Submitted: 2012-12-12 10:13:10.595371-05

Case ID: 10870 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Ruptured anterior communicating artery aneurysm complicated by vasospasm post-clipping
	History	58 year old female with headache and confusion. Presented to another hospital 3 weeks prior to admission with similar symptoms. No imaging done at that time.
	Findings	CT- poorly defined mass involving both frontal lobes. No evidence of hydrocephalus MR- Bifrontal hematomas. No evidence of enhancement. Flow void demonstrated within right sided hematoma on T1 saggital scans Angiogram-Confirms presence of ACA aneurysm mild vasospasm noted
	Differential Dx	Glioblastoma multiforme Metastatic disease Post traumatic hematomas
	Discussion	... (continues ...)
	User Group
	Contributor	Steven J Goldstein :: University of Kentucky -
	Reviewer	James G. Smirniotopoulos, M.D. :: Uniformed Services University - Case Accepted: 2012-12-12 15:47:09-05 :: Revised: 2012-12-12 10:13:10.595371-05 :: Submitted: 2012-12-12 10:13:10.595371-05

Case ID: 10689 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Ruptured appendicitis
	History	14 year old boy with right lower quadrant pain that progressed to diffuse abdominal pain over four days.
	Findings	Free air, pockets of pus, and an enlarged Ruptured appendix with multiple appendicoliths.
	Differential Dx
	Discussion	... (continues ...)
	User Group
	Contributor	Jason W. Schroeder :: Civilian Medical Center -
	Reviewer	Albert V Porambo :: Civilian Medical Center - Case Accepted: 2012-12-12 15:47:09-05 :: Revised: 2012-12-12 10:13:10.595371-05 :: Submitted: 2012-12-12 10:13:10.595371-05

Case ID: 10655 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Arteriovenous Malformation (AVM) Ruptured
	History	16 y.o. with a one day history of headache, nausea and vomiting
	Findings	Large hemorrhagic mass in the left frontal and parietal lobe with surrounding vasogenic edema
	Differential Dx	• Astrocytoma • Ependymoma • DNET • Metastatic disease • Trauma • Non-traumatic hemorrhage (aneurysm, AVM, etc.)
	Discussion	... (continues ...)
	User Group
	Contributor	Steven J Goldstein :: University of Kentucky -
	Reviewer	James G. Smirniotopoulos, M.D. :: Uniformed Services University - Case Accepted: 2012-12-12 15:47:09-05 :: Revised: 2012-12-12 10:13:10.595371-05 :: Submitted: 2012-12-12 10:13:10.595371-05

Case ID: 10527 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Ruptured Dermoid Inclusion Cyst
	History	Chronic headaches for many years. MRI requested after patient had an abnormal CT done at outside hospital
	Findings	Lipid containing extra-axial mass occupying arising from the cribiform fossa. There are also some lipid collections in the sylvian fissure on the right and interhemispheric fissue.
	Differential Dx	Dermoid Inclusion Cyst, Ruptured Epidermoid Inclusion cyst Retained pantopaque Lipoma
	Discussion	... (continues ...)
	User Group
	Contributor	Steven J Goldstein :: University of Kentucky -
	Reviewer	James G. Smirniotopoulos, M.D. :: Uniformed Services University - Case Accepted: 2012-12-12 15:47:09-05 :: Revised: 2012-12-12 10:13:10.595371-05 :: Submitted: 2012-12-12 10:13:10.595371-05

Case ID: 10008 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Ruptured Appendicitis
	History	Abdominal pain for two days
	Findings	Dilated appendix with diffuse surrounding inflammatory change an intraperitoneal air
	Differential Dx
	Discussion	... (continues ...)
	User Group
	Contributor	Andrew Sellers :: Naval Medical Center Portsmouth -
	Reviewer	Stephanie A Bernard :: Penn State University - Case Accepted: 2012-12-12 15:47:09-05 :: Revised: 2012-12-12 10:13:10.595371-05 :: Submitted: 2012-12-12 10:13:10.595371-05

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