A 74-year-old woman presented a 3-day history of lower abdominal pain, nausea, and vomiting. A plain-film radiograph of the abdomen showed marked dilatation of bowel loops and abrupt termination of gas within the descending colon, referred to as a colon cutoff sign. The colon cutoff sign is classically described in association with which disease process? A) Diaphragmatic hernia B) Acute pancreatitis C) Toxic shock syndrome D) Lead poisoning E) Crohn’s disease

Patient in early 50s who has a history of SARS when it was going round. Presents with shortness of breath, oxygen saturation in high 80s despite no chronic pulmonary disease. The patient seems to be coping well, but when do you decide to proceed to intubation assuming this is COVID-19? Watch and observe until they begin to deteriorate, or intubate while still well?

Patient in early 40 s with a week of fever and dry cough, the normal image on the left is one acquired a year earlier. Image 2 patient in mid 50s with similar history but unlike the former, has oxygen requirement. First patient discharged, second admitted for O2 therapy. Your opinion.

Geriatric female with PMHx DM, HTN, A fib on Xarelto, chronic facial asymmetry present to ED following fall at home, change in mental status and febrile. Suggestions? Should I sent for COVID-19 test.

23 years male pt come with law grade fever since 8/8/16 CBC MP (8/8/16) s/o TC:10200,HB:12.3,PCV:36.9,MCV:72.78,MCH:24.26,Platelets:195000,WIDAL(slide):negative treated with IV fluid 1 litre per day, cefreiaxone 1gm BD & supportive Rx given pt remain afebrile for 2 days but from 10/8/19 T:99.5 with chills ,headache bodyache,nausea and vertigo so repeat CBC mp done s/o HB:10.2,RBC:4.41,PCV:32.3,MCV:73.24,MCH:23.13,MCHC:31.57,TC:3500,Platelet: 88000,MP:ring and trophozoites of P.VIVAX(++). treatment ::: inj.RTsunate 120mg BD inj.DNS/RL @ 120ML/HR INJ.EMESET 4MG BD INJ.RANTAC 2CC BD INJ.FEBRINIL SOS INJ.VITCOFOL 2CC OD above treatment continue since 10/8/16 temperature chart: T:99.5 on 10/8/16 T:101.8 on 11/8/16 T:102.2 on 12/8/16 issue : fever spike increasing,vertigo ,vomiting and appetite decrease , please review this case and help me for further management report of date 12/8/16 attached here report of date 14/8/16: Hb-11.2,TC:9000,Platelet count-53000,MP-negative current issue: platelet decreasing,weakness,appetite decrease. but no fever,no rashes,no nausea and vomiting what can I do?? orally Rx. lumex forte BF emeset 1BD pantocid 1BD calpol 650 sos if fever /headache plz suggest me further Rx