Thursday, May 23, 2013

Image Collection

Many physicians collect images from the patients we see. In the same way we accumulate "interesting presentations" or "ethical dilemmas" or "amazing diagnoses," we also like having a case file of "cool images." Whether a gigantic spleen removed from a patient with leukemia or a CT scan of a ventriculoperitoneal catheter that has migrated into the wrong space or a picture of angioedema, these quick images and case studies provide an opportunity to learn and teach others. The most amazing and famous of these collections, I think, is the NEJM image challenge, which I recommend to anyone in medicine. In any case, it is important for us collecting our images to de-identify any patient information and get consent for taking photos. The X-ray shown above was taken to confirm placement of a triple lumen central line placed in the right neck. After reviewing the X-ray, we promptly discontinued the catheter.

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