From my teaching files

Why filter the inferior vena cava? Ken U. Ekechukwu, MD, MPH, FACP

Introduction A 32-year-old man was admitted for passing out twice in a shopping mall. Following investigation, he proved to have suffered substantial bilateral pulmonary embolism (PE) from an aneurysm of his right popliteal vein. While on therapeutic systemic heparin therapy, his physician asked for a filtering device in his inferior vena cava, but was advised […]

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Autosomal dominant polycystic kidney disease
Ken U. Ekechukwu, MD, MPH, FACP.

History This is a 57-year old woman taken to a community hospital for care following a motor vehicle collision. Radiologic findings Figure1: These are two contiguous computerized axial tomographic sections of the abdomen obtained after intravenous infusion of contrast.They show an enlarged liver that contains multiple cysts ranging in size from a few to several […]

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Neurocysticercosis.
Ken U. Ekechukwu, MD, MPH, FACP.

History This is an eighteen-month old child born of Mexican extraction resident in Texas, USA . His prenatal and natal histories are unremarkable. Figure 1: Neurocysticercosis in an 18-month child. a. Sagittal T1 without gadolinium; b. Axial T1 with gadolinium; c. Axial T2; d. Coronal FLAIR Radiologic diagnosis: Neurocysticercosis. Radiologic differential diagnosis 1. Pyogenic abscesses. […]

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