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    <title>Image Challenge</title>
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    <id>tag:www.smjr.org,2009-10-18:/IC/13</id>
    <updated>2010-05-15T23:44:32Z</updated>
    <subtitle>There is nothing worse than a sharp image of a fuzzy concept. AA.</subtitle>
    <generator uri="http://www.sixapart.com/movabletype/">Movable Type Pro 4.26</generator>

<entry>
    <title>Image YWG061022</title>
    <link rel="alternate" type="text/html" href="http://www.smjr.org/IC/2010/05/image-ywg061022.html" />
    <id>tag:www.smjr.org,2010:/IC//13.212</id>

    <published>2010-05-15T23:37:56Z</published>
    <updated>2010-05-15T23:44:32Z</updated>

    <summary>This is an 87 year old man who has a protracted hospital stay complicated by ESBL and VRE UTI, c. difficile colitis, MRSA and pseudomonal pneumonia who has had chronic anemia now having acute respiratory distress and rapidly worsening anemia...</summary>
    <author>
        <name>Patrick</name>
        
    </author>
    
        <category term="Urology" scheme="http://www.sixapart.com/ns/types#category" />
    
    <category term="herniatedbowel" label="herniated bowel" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="herniatedbowelinbladder" label="herniated bowel in bladder" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="herniatedbowelinperforatedbladder" label="herniated bowel in perforated bladder" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="imagechallenge" label="image challenge" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="perforatedbladder" label="perforated bladder" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="radiologychallenge" label="radiology challenge" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="rupturedbladder" label="ruptured bladder" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="urology" label="urology" scheme="http://www.sixapart.com/ns/types#tag" />
    
    <content type="html" xml:lang="en" xml:base="http://www.smjr.org/IC/">
        <![CDATA[<p>This is an 87 year old man who has a protracted hospital stay complicated by ESBL and VRE UTI, c. difficile colitis, MRSA and pseudomonal pneumonia who has had chronic anemia now having acute respiratory distress and rapidly worsening anemia (hemoglobin drop from 9.8 g/dL to 6.9 g/dL). He has had hematuria for five days. A CT scan was done, see below, what is the next step?</p>
<p>
<p><a href="http://www.smjr.org/IC/images/YWG.jpg"><img class="mt-image-none" height="391" alt="YWG.jpg" src="http://www.smjr.org/IC/assets_c/2010/05/YWG-thumb-525x391-363.jpg" width="525" /></a></p></p>]]>
        
    </content>
</entry>

<entry>
    <title>Image MZ100221</title>
    <link rel="alternate" type="text/html" href="http://www.smjr.org/IC/2009/11/image-mz100221.html" />
    <id>tag:www.smjr.org,2009:/IC//13.182</id>

    <published>2009-11-02T10:44:03Z</published>
    <updated>2009-11-02T10:48:29Z</updated>

    <summary>This is an 88 year old man with PMH CAD s/p bare-metal coronary stent placement, h/o TIA on aspirin-dipyridamole, s/p left carotid endarterectomy, CRI stage IV, HTN, and dementia who presents with three days of non-bilious, non-projectile, nonbloody vomitting and...</summary>
    <author>
        <name>Patrick</name>
        
    </author>
    
        <category term="Gastroenterology" scheme="http://www.sixapart.com/ns/types#category" />
    
    
    <content type="html" xml:lang="en" xml:base="http://www.smjr.org/IC/">
        <![CDATA[<p>This is an 88 year old man with PMH CAD s/p bare-metal coronary stent placement, h/o TIA on aspirin-dipyridamole, s/p left carotid endarterectomy, CRI stage IV, HTN, and dementia who presents with three days of non-bilious, non-projectile, nonbloody vomitting and dark stools.&nbsp;On&nbsp;abdominal CT, pneumobilia is seen; what is the etiology?</p>
<p>
<span class="mt-enclosure mt-enclosure-image" style="DISPLAY: inline"><a href="http://www.smjr.org/IC/images/MZ%20-%20CT3.jpg"><img class="mt-image-none" height="427" alt="MZ - CT3.jpg" src="http://www.smjr.org/IC/assets_c/2009/11/MZ%20-%20CT3-thumb-525x427-339.jpg" width="525" /></a></span>&nbsp;</p>]]>
        <![CDATA[<p>
<span class="mt-enclosure mt-enclosure-image" style="DISPLAY: inline"><a href="http://www.smjr.org/IC/images/MZ%20-%20CT1.jpg"><img class="mt-image-none" height="419" alt="MZ - CT1.jpg" src="http://www.smjr.org/IC/assets_c/2009/11/MZ%20-%20CT1-thumb-525x419-341.jpg" width="525" /></a></span></p>
<p>
<span class="mt-enclosure mt-enclosure-image" style="DISPLAY: inline"><a href="http://www.smjr.org/IC/images/MZ%20-%20CT2.jpg"><img class="mt-image-none" height="359" alt="MZ - CT2.jpg" src="http://www.smjr.org/IC/assets_c/2009/11/MZ%20-%20CT2-thumb-525x359-343.jpg" width="525" /></a></span></p>]]>
    </content>
</entry>

<entry>
    <title>Image JD021179</title>
    <link rel="alternate" type="text/html" href="http://www.smjr.org/IC/2009/10/jd021179.html" />
    <id>tag:www.smjr.org,2009:/IC//13.176</id>

    <published>2009-10-28T21:50:18Z</published>
    <updated>2009-11-02T10:50:24Z</updated>

    <summary>32 year old presents with septic shock. Below is an endotracheal sputum gram stain. What is the most appropriate treatment?...</summary>
    <author>
        <name>Patrick</name>
        
    </author>
    
        <category term="Infectious Diseases" scheme="http://www.sixapart.com/ns/types#category" />
    
        <category term="Pulmonology" scheme="http://www.sixapart.com/ns/types#category" />
    
    
    <content type="html" xml:lang="en" xml:base="http://www.smjr.org/IC/">
        <![CDATA[32 year old presents with septic shock. Below is an endotracheal sputum gram stain. What is the most appropriate treatment?<br /><br /><img src="http://www.smjr.org/images/id/staph.jpg" />]]>
        
    </content>
</entry>

<entry>
    <title>Image CM091449</title>
    <link rel="alternate" type="text/html" href="http://www.smjr.org/IC/2009/10/cm091449.html" />
    <id>tag:www.smjr.org,2009:/IC//13.158</id>

    <published>2009-10-19T06:09:13Z</published>
    <updated>2009-10-29T01:11:25Z</updated>

    <summary><![CDATA[Dx: Adenocarcinoma, primary lung origin, bronchoalveolar carcinoma60 year old Chinese immigrant with complaints of dry cough for 3 months. AFB sputum smear is negative. &nbsp; &nbsp;...]]></summary>
    <author>
        <name>Patrick</name>
        
    </author>
    
        <category term="Pulmonology" scheme="http://www.sixapart.com/ns/types#category" />
    
    
    <content type="html" xml:lang="en" xml:base="http://www.smjr.org/IC/">
        <![CDATA[<p><b>Dx: Adenocarcinoma, primary lung origin, bronchoalveolar carcinoma</b><br /></p><p>60 year old Chinese immigrant with complaints of dry cough for 3 months. AFB sputum smear is negative. </p>
<p><a href="http://www.smjr.org/IC/images/CM091948%20-%20CXR.jpg" target="_blank"><img class="mt-image-none" alt="CM091948 - CXR.jpg" src="http://www.smjr.org/IC/assets_c/2009/10/CM091948%20-%20CXR-thumb-525x516-292.jpg" target="_blank" width="525" height="516" /></a> 
</p><p>&nbsp; 
</p><p>&nbsp;</p>]]>
        <![CDATA[<p>
<span style="DISPLAY: inline" class="mt-enclosure mt-enclosure-image"><a href="http://www.smjr.org/IC/images/CM091948%20-%20CT.jpg"><img class="mt-image-none" alt="CM091948 - CT.jpg" src="http://www.smjr.org/IC/assets_c/2009/10/CM091948 - CT-thumb-525x388-301.jpg" width="525" height="388" /></a></span></p>
<p>
<span style="DISPLAY: inline" class="mt-enclosure mt-enclosure-image"><a href="http://www.smjr.org/IC/images/CM091948%20-%20CT2.jpg"><img class="mt-image-none" alt="CM091948 - CT2.jpg" src="http://www.smjr.org/IC/assets_c/2009/10/CM091948 - CT2-thumb-525x568-298.jpg" width="525" height="568" /></a></span></p>]]>
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