Clinical Snapshots: From the Daily Rounds of My Residency

Vigneshvarprashanth Umapathy

Resident Internal Medicine^,Kauvery Hospital, Tennur, Trichy, Tamil Nadu, India

Image 1

Fig (1): Classical “Eschar”, resembling a cigarette burn, pathognomonic for scrub typhus

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Fig (2): “Split pleura sign” in the left hemithorax (yellow arrow) suggesting empyema (CT Thorax image)

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Fig (3): 2nd degree, Mobitz I atrioventricular block “Wenckebach Phenomenon” – Progressive prolongation of PR interval, with a subsequent non-conducted P wave (ECG image)

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Fig (4): “Golden S sign” also known as “Reverse S sign of Golden” indicating right upper lobe collapse (yellow arrow) (CXR image)

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Fig (5): “Bat wing” appearance of perihilar regions in cardiogenic pulmonary edema (CXR image)

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Fig (6): “D” shaped left ventricle (LV) due to right ventricular overload in a patient with pulmonary embolism (POCUS image)

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Fig (7): “Lindsay’s nails” or half-and-half nails in a patient with renal failure

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Fig (8): Miliary mottling in a patient with disseminated tuberculosis (CXR image)

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Fig (9): Subcutaneous emphysema (CXR image – marked by red arrow)

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Fig (10): Hyperinflated lung fields with tubular heart in chronic obstructive pulmonary disease (CXR image)

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Fig (11): “Continuous diaphragm sign” with lucency above the diaphragm in pneumomediastinum (CXR image)

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Fig (12): Dextrocardia with Situs inversus (CT Thorax/Abdomen, CXR, and ECG images)

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Fig (13): Orange coloured-urine due to rifampicin in a patient taking anti-tubercular therapy (ATT)

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Fig (14): “Money bag” appearance in pericardial effusion (CXR image)

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Fig (15): Ventricular bigeminy (ECG image)

Image 16

Fig (16): ECG findings suggesting pulmonary embolism:

Sinus tachycardia
Right bundle branch block
Right ventricular strain pattern
‘S1Q3T3’ pattern.

Kauverian Bookshelf

Applied Medical Statistics

Clinical Snapshots: From the Daily Rounds of My Residency