AML Blast Cells. Wright stained peripheral blood smear, ×1000

Slides:

Advertisements

Similar presentations

Erythematous maculopapular and urticarial edematous plaques are seen on the thighs (A). (B) in a patient 2 weeks after receiving Bactrim. Fever, arthralgia,

Advertisements

(A, B) An 8-year-old girl with abdominal pain and cystic mass arising from the right ovary on sonography. Notice fat plug (white arrow). (C) MRI showing.

A child presenting with high fever, refusal to eat, and sores in the mouth. (Photo contributor: Binita R. Shah, MD.) Source: Chapter 3. Infectious Diseases,

(A) Conjunctivitis due to Chlamydia trachomatis is the most common infectious cause of ophthalmia neonatorum. This 10-day-old neonate presented with lid.

(A) Extrapyramidal signs seen here such as torticollis, inability to speak, and trismus were the presenting complaints in this girl who was brought to.

A-D: PA, oblique, lateral, and scaphoid views of the right wrist show a subtle fracture through the scaphoid waist. The fracture is seen best on the scaphoid.

Iron deficiency anemia. (Peripheral blood, 50 ×

A-C: AP mortise and lateral views of the right ankle show a subtle nondisplaced fracture of the lateral malleolus. The fracture is best seen on the mortise.

Diagnostic algorithm for normocytic anemia.

Classic Metaphyseal Lesion (CML)

Retropharyngeal Abscess

Cholera. Severely dehydrated child during an outbreak in Uganda

Lateral view of the neck shows a goat bone (arrow) in the cervical esophagus in a patient presenting with throat pain that began while eating curry goat.

(A) Asymmetric movements of facial muscles, inability to close right eye (but not left), deviated angle of the mouth and flattening of the right nasolabial.

Cross-table lateral radiograph of the cervical spine shows a flexion teardrop injury at the C5 level. In addition to the fracture of the anterior, inferior.

An AP view of the proximal right femur shows a healing stress fracture in the lateral cortex of the proximal right femoral diaphysis (arrowhead). This.

A cystoscopic image shows a stone in the urethra that was pushed in the bladder and subsequently fragmented with laser. This 8 year-old child presented.

This currant-jelly stool was passed by an 8-month-old infant brought to the ED with complaints of vomiting, lethargy, and intermittent episodes of crying.

Rodin, “The Kiss” (545 x 800). Accessed at

Coral Snake (Close-Up)

(A) 12-lead ECG demonstrating atrial flutter with variable conduction in a 10-day-old infant who presented to the emergency department with poor feeding.

Obstructive sleep apnea resulting in significant oxygen desaturation occurred in this child who had a long history of snoring. A nasopharyngeal airway.

Traumatic exophthalmos

A 15-month-old infant with periorbital/facial edema is seen in this photo, which was taken soon after he woke up in the morning. Facial edema is usually.

CMMl. PB smear (A, Wright stain, ×600)

Single frontal view of the abdomen shows multiple ingested radio-opaque iron pills. This 17-year-old female with altered mental status was found by her.

Lateral view of the c-spine show traumatic spondylolisthesis of C2 upon C3. This “hangman’s” fracture (arrow) resulted from a high-speed MVA where the.

A: In this patient at T12, there is a pathologic fracture through a large metastatic lesion. The sagittal T1-weighted sequence shows replacement of normal.

(A) Bell palsy is a clinical diagnosis

Copperhead Snake. The Copperhead is frequently encountered in wooded mountains, abandoned buildings, and damp, grassy areas. It is able to climb low bushes.

King of Hearts monitor. The device is attached to the patient and easily activated when symptoms arise. Record button is on top; out of view. The send.

Lichen Sclerosus—Chronic

Patients presenting with clinical features compatible with MAE but with seizure semiology consistent with focal seizure or focal abnormality seen in the.

As seen in this toddler, most patients present with a history of a brief febrile seizure without any postictal neurologic deficits (the overwhelming majority.

Frontal view of the chest showing a coin at the thoracic inlet

Clavicle Fracture. This 12-year-old boy complains of pain, tenderness, and deformity over the mid left clavicle after an injury incurred during football.

Single high-resolution CT image of a patient with pulmonary fibrosis from sarcoidosis. Note the interlobular and intralobular septal lines along with traction.

(A) The coral snake can be identified by the yellow and red bands that touch while red and black bands do not. The coral snake is a member of the Elapidae.

Left orbital cellulitis with subperiosteal abscess and extensive ethmoid and maxillary sinusitis are seen in this postcontrast CT scan. About 75% to 90%

Intense erythema, eyelid edema, and tenderness due to maxillary sinusitis in an adolescent who had normal vision, full range of eye movements without pain,

Swelling of the phalanges of the right thumb and hemorrhagic rash in an adolescent girl. Her blood culture was positive for N. gonorrhea. (Photo contributor:

Jequirity Pea. Jequirity peas are also known as rosary peas, Indian beans, Buddhist’s beads, crab’s eyes, and prayer beads. They are about 5 mm in diameter.

Jequirity Pea. Jequirity peas are also known as rosary peas, Indian beans, Buddhist's beads, crab's eyes, and prayer beads. They are about 5 mm in diameter.

(A) White strawberry tongue (edematous red papillae projecting through white-coated tongue is seen on the second day of illness in a child with scarlet.

(A) Worsening jaundice and right-sided abdominal pain were the presenting complaint in this adolescent girl with sickle cell disease. Sickle cell-related.

(A) Several round identical purpuric lesions are seen on the back because of cupping that was used to relieve back pain. First- or second-degree burns.

(A, B) Compare the close-ups of a battery with a coin from two different patients clearly demonstrating the radiographic differences. Battery has a lucent.

A: Axial T1 MRI without contrast demonstrates a large mass near the inferior left basal ganglia containing areas of bright signal (thrombus or slow-moving.

(A) An ultrasound image of an infant with pyloric stenosis

(A) An ultrasound image of an infant with pyloric stenosis

A-C: Axial, coronal, and sagittal CTA images demonstrate a large filling defect in the main right pulmonary artery consistent with a large pulmonary embolism.

Corneal Ulcer. An elliptical ulcer at 5-o’clock position near the limbus is seen. This location is atypical for a bacterial ulcer. The patient presented.

Acute Otitis Externa with marked swelling of the proximal external auditory canal (EAC). Oto wicks can be helpful in stenting the EAC so that otic drops.

Sickle cell anemia. This peripheral blood smear exhibits sickled cells (arrowheads). Sickled cells pass through the vasculature with more difficulty, becoming.

Because of their impressive size and the relatively low toxicity of their venom, emperor scorpions are often kept as pets. Found in the wild only in Africa,

A, B: Numerous fibroid tumors alter the normal contours of the uterus

This autopsy photograph shows marked dilation of the ventricular system and prominent thinning of the cerebral mantle in a child who developed hydrocephalus.

A young male child was referred for evaluation of sexual abuse

Nasal Cellulitis. Swelling and erythema of the nose in a middle-aged man. A contrasted CT was done to exclude abscess because of the marked swelling of.

Corneal metallic foreign body (FB) is shown (A) and FB being removed by needle at slit lamp is shown (B). (Photo contributor: Douglas R. Lazzaro, MD.)

Beck Airway Airflow Monitor (BAAM)

(A) Swelling, redness, eye pain, and blurred vision were the presenting complaints following blunt trauma in this patient. (B) Close-up showing severe.

A, B: Transvaginal images now demonstrate a rounded yolk sac within the gestational sac. Source: Chapter 7. Atraumatic Conditions of the Abdomen, The Atlas.

The nomogram is also not useful if the time of ingestion is uncertain, if ingestion occurred more than 24 hours before presentation, or if repeated ingestion.

Echinoderms like this starfish have sharp toxin-covered spines projecting out from their legs that can easily become imbedded in human skin. (Photo taken.

The dogs that most often bite people are not strays or wild dogs, but rather pets well known to the victim and owned by the family (15%) or neighbors (75%).

Fishhook Removal. Hooks with small superficially embedded barbs may be carefully backed out through the original puncture site (A and B). This may require.

Hip Fracture. Patients with hip fractures often present with the affected extremity shortened, externally rotated, and abducted. Note the rotation and.

Sagittal T2 MRI reveals large abdominal mass (white arrows) with intraspinal extension (red arrow) in a 4-year-old with abdominal distension, vomiting,

(A) Lateral view of the airway shows enlargement of the epiglottis (arrow), thickening of the aryepiglottic folds (A), and amputation of the vallecula.

Presentation transcript:

AML Blast Cells. Wright stained peripheral blood smear, ×1000 AML Blast Cells. Wright stained peripheral blood smear, ×1000. Multiple blast cells seen in this smear from a patient with shortness of breath and a WBC of 105 K/uL, 80% blasts, HCT 20%, and PLT 75 K/uL. Flow cytometry confirms these are myeloid blasts conforming AML. (Photo contributor: Mary Ann Thompson Arildsen, MD, PhD.) Source: MICROSCOPIC FINDINGS, The Atlas of Emergency Medicine, 4e Citation: Knoop KJ, Stack LB, Storrow AB, Thurman R. The Atlas of Emergency Medicine, 4e; 2016 Available at: http://accessmedicine.mhmedical.com/DownloadImage.aspx?image=/data/books/1763/atl_ch25_f025b.png&sec=125439680&BookID=1763&ChapterSecID=125439555&imagename= Accessed: November 10, 2017 Copyright © 2017 McGraw-Hill Education. All rights reserved