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06-10-2011
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#1
USMLE-Syndrome
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Steps History: --Posts: 1,207 Threads: 180 Thanked 828 Times in 425 Posts Reputation: 842
High Yield Images for Step 2 CK
High Yield images for the Step 2 CK exam I will be adding more to this thread. If you know more please post your replies and add to the list. Sarcoidosis
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Lobar Pneumonia (Stept Pneumonia)
Lyme Disease (Erythema Chronicum Migans)
Hypertensive Retinopathy
Key distinguishing features are copper wiring (increased retinal arteriole light reflex), and arteriovenous (AV) nicking (arteriolar-venular crossing defects). Cotton wool spots and hemorrhages are seen in both diabetic retinopathy and hypertensive retinopathy.
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06-10-2011
#2 Steps History: C K Only Posts: 476 Threads: 39 Thanked 303 Times in 165 Posts Reputation: 326
1TA2B
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corkscrew sign in midgut volvulus!
Corkscrew Sign of midgut volvulus
__________________ Skill+Hardwork+Preparation=Success
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06-10-2011 #3 Steps History: C K Only Posts: 476 Threads: 39 Thanked 303 Times in 165 Posts Reputation: 326
1TA2B
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Good collection!
This post is useful too! Pediatric Radiological Signs __________________ Skill+Hardwork+Preparation=Success
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06-11-2011 #4 Steps History: --Posts: 1,207 Threads: 180 Thanked 828 Times in 425 Posts Reputation: 842
USMLE-Syndrome
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Sturge-Weber syndrome
The bilateral port wine stain involves the V1, V2, and V3 regions and the right V3. Adenoma Sebaceum
Adenoma sebaceum in patient with tuberous sclerosis
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1TA2B
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NF-cafe' au lait spots!
There are two main types of Neurofibromatosis known as NF1 and NF2. The former also goes under the name of Von Recklinghausens disease and the latter as bilateral acoustic NF. Of the two NF1 is the most common. The symptoms for NF1 will usually present in early childhood and one of the telltale signs is the appearance of coffee coloured birthmarks commonly referred to as caf-au-lait spots. These spots are actually present when the child s born but increase in size, number and pigmentation during the first few years of the childs life.
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1TA2B
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Axillary freckling! NF-1!
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1TA2B
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Kayser-Fleischer ring Wilson's disease!
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1TA2B
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Oral surgeon-herpetic whitlow! Treatment-topical acyclovir!
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07-01-2011 #9 Steps History: Not yet Posts: 101 Threads: 13 Thanked 196 Times in 45 Posts Reputation: 208
amirh899
USMLE Forums Addict
Some other images
Corneal enlargement in congenital glaucoma
click to im age to e nlarge
Anterior dislocation of the shoulder (Humeral head out of glenoid)
Hereditary hemorrhagic telangectasia (Osler Weber Rendu syndrome) with small telangectasias in the mouth, on the tongue and lips
Viral conjunctivitis (with conjunctival injection without purulent discharge)
Testicular appendix torsion with a blue spot at the anterosuperior aspect of the testis
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USMLE-Syndrome
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Failure to pass meconium should suggest the presence of either meconium ileus or Hirschsprung disease. The barium enema reveals a dilated proximal colon and a sudden transition to a narrow distal colon, which is highly suggestive of Hirschsprung disease
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USMLE-Syndrome
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The X-ray reveals the classic double-bubble appearance of duodenal atresia. One bubble is caused by the gas-filled stomach and the other is caused by a dilated proximal duodenum.
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USMLE-Syndrome
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The peripheral blood smear shows hypochromic, microcytic red blood cells (RBCs) consistent with iron deficiency
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USMLE-Syndrome
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Talipes Equinovarus,a common form of clubfoot. Manipulation and serial casting is the mainstay of treatment for this congenital deformity
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USMLE-Syndrome
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Newborn with large right hydrocele Physical findings: Scrotal distention (testicle may be impossible to palpate) Transillumination
USMLE-Syndrome
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several mongolian spots. They are often confused with the bruises of child abuse, but unlike bruises, mongolian spots take months to years to fade. They classically are described as flat blue or gray macules with variable margins
Last edited by USMLE-Syndrome; 07-20-2011 at 01:52 PM.
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07-20-2011
#16
USMLE-Syndrome
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Tension pneumothorax
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07-21-2011
#17
USMLE-Syndrome
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nonbullous impetigo, a superficial bacterial infection transmitted by direct contact. Nonbullous impetigo is caused by group A -hemolytic Streptococcus pyogenes
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USMLE-Syndrome
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Gastroschisis
Gastroschisis The defect is in the abdominal wall and results in protrusion of abdominal viscera without protective sac. The defect is always right sided and the umbilical ring is normal.
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USMLE-Syndrome
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trisomy 18 (Edwards syndrome)
The characteristically clenched overlapping fingers seen in the image are highly specific for trisomy 18 (Edwards syndrome)
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07-26-2011 Steps History: --Posts: 1,207 #20
USMLE-Syndrome
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Threads: 180 Thanked 828 Times in 425 Posts Reputation: 842
Infant with hyaline membrane disease. Note the granular lungs, air bronchogram, and air-filled esophagus. Anteroposterior (A) and lateral (B) roentgenograms are needed to distinguish the umbilical artery from the vein catheter and to determine the appropriate level of insertion
USMLE-Syndrome
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Radiograph of tibial Ewing sarcoma showing periosteal elevation or "onion-skinning.
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USMLE-Syndrome
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The X-ray reveals bowel loops in the left hemithorax. This is pathognomonic of a congenital diaphragmatic hernia.
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USMLE-Syndrome
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chest radiograph showing hyperexpansion, marked peribronchial shadowing, bronchial wall thickening, and ring shadows all strongly indicate a diagnosis of cystic fibrosis
USMLE-Syndrome
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Henoch-Schnlein Purpura
HSP due to an immune vasculitic reaction typically presents with a rash on the lower extremities and buttocks
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USMLE-Syndrome
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Voiding cystourethrogram (VCUG) showing grade IV right vesicoureteral reflux with intrarenal reflux. grade 4 involves more dilitation and tortuosity of the ureters and more calyceal blunting than grade 3.
07-28-2011
#26 Steps History: --Posts: 1,207 Threads: 180 Thanked 828 Times in 425 Posts Reputation: 842
USMLE-Syndrome
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acute bronchiolitis, the chest radiograph shows hyperinflation of the lungs with flattening of the diaphragm, horizontal ribs, and increased hilar bronchial markings. RSV is the most commonly isolated agent
USMLE-Syndrome
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sarcoidosis
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USMLE-Syndrome
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rickets. The ends of the radius and ulna are expanded, rarefied, and cup shaped and the bones are poorly mineralized
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USMLE-Syndrome
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a single palmar crease in a newborn is most closely associated with Down syndrome.
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USMLE-Syndrome
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Basal Cell Carcinoma In contrast to SCCs and actinic keratoses, there is no precursor skin lesion for BCCs. These lesions may have an appearance that varies from nodules in the skin to a large nonhealing sore with drainage and crusting. In comparison to SCCs, they have a slow growth rate,
which can lead to a delay in diagnosis.
USMLE-Syndrome
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Barium enema in patient with cecal volvulus. The contrast stops abruptly at the proximal end of the hepatic flexure (arrowhead). The dilated, air-filled cecum crosses the midline of the abdomen toward the left upper quadrant (arrows)
USMLE-Syndrome
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The X-ray demonstrates a greenstick fracture of both the radius and ulna. A greenstick fracture occurs when the bone is bent and only one side of the bone fractures, leaving the other side cortically intact.
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USMLE-Syndrome
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hepatic abscess
CT is the imaging modality of choice for detecting a hepatic abscess and demonstrates low attenuation ill-defined lesion(s). Air-fluid levels may also be present.
USMLE-Syndrome
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child has a retinoblastoma, the most common ocular tumor in children. It presents with leukokoria, a white pupillary reflex that replaces the usual red reflex
USMLE-Syndrome
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utaneous melanoma warrants a biopsy, and a punch biopsy is the most accepted method. The critical factor in performing a biopsy with a suspicion of melanoma is assessment of the depth of invasion. A punch biopsy is the better choice when compared to a shave biopsy.

08-07-2011
#36
USMLE-Syndrome
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EEG of hypsarrhythmia in infantile spasms. There is a chaotic background of slow-wave activity with sharp components. This is pathognomonic for infantile spasms.
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08-07-2011
#37
USMLE-Syndrome
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child has idiopathic avascular necrosis (Legg-Calve-Perthes disease) of the left hip. It usually affects boys 510 years of age and presents with the insidious onset of limp and antalgic gait, and loss of internal rotation and abduction of the hip.
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Anteroposterior radiograph of the right hip of an 8-yr-old boy with Legg-Calv-Perthes disease. There is a collapsed yet dense capital femoral epiphysis with early fragmentation. The small medial triangle of the capital femoral epiphysis is uninvolved in the disease process.
08-07-2011 Steps History: --Posts: 1,207 Threads: 180 #39
USMLE-Syndrome
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Thanked 828 Times in 425 Posts Reputation: 842
Pelvic radiographs demonstrating development dysplasia of the left hip. A, The Hilgenreiner method for identification of dysplasia of the hip before ossification of the capital femoral epiphysis; ' is greater than , indicating greater obliquity of the acetabular roof. d', is greater than d, indicating lateral displacement of the femur. h is greater than h', indicating cephalad displacement of the femur. These relationships indicate dysplasia of the patient's left hip. B, Developmental dislocation of the left hip. The bony roof of the left acetabulum is quite oblique, and there is the beginning of a false acetabulum above its most lateral aspect. The left femur is displaced laterally and superiorly. The ossification center of the left capital femoral epiphysis is smaller than that of the right.
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candidal fungal infection, as in this figure showing pseudohyphae with prominent cell walls characteristic of the organism.
USMLE-Syndrome
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The chest radiograph shows loops of bowel in the chest and displacement of the mediastinum indicating diaphragmatic hernia. Upon first suspicion of a diagnosis of diaphragmatic hernia, a nasogastric tube should be passed to decompress the stomach and to avoid visceral distention.
USMLE-Syndrome
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children gestated during untreated maternal hypothyroidism.
Macroglossia and coarse facial features are seen. These findings along with hyperreflexia and a slow return phase are typical for children gestated during untreated maternal hypothyroidism.
USMLE-Syndrome
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This child is exhibiting the dramatic harlequin color change. It is a benign event and lasts anywhere from a few seconds to half an hour. The pathogenesis is unknown, but occurs more frequently in preterm infants. Thus, it is hypothesized that it is the result of the
The pathogenesis is unknown, but occurs more frequently in preterm infants. Thus, it is hypothesized that it is the result of the immaturity of the autonomic nervous system and its regulation of cutaneous blood flow.
sharply demarcated erythematous zone on the dependent side with blanching of the skin on the nondependent side
USMLE-Syndrome
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. Autoimmune congenital heart block is the most probable diagnosis. As the name implies, mothers of children with this syndrome have an increased incidence of certain autoimmune disorders. Anti-Ro antibodies are present in more than 90% of mothers of newborns with isolated heart block, and approximately 5% of children born to mothers with anti-Ro antibody have heart block.
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staphylococcal scalded skin syndrome (SSSS)
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08-09-2011
#46
USMLE-Syndrome
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Osteogenesis imperfecta , a condition resulting from abnormal type I collagen that manifests as fragile bones. This newborn likely has Type I, which presents at birth with blue sclera, in utero fractures, moderate bone fragility, conductive hearing loss and mild short stature.
08-12-2011
#47
USMLE-Syndrome
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the crescentic shape of a subdural hematoma. Subdural hematomas are more common in the elderly because the superficial bridging
the crescentic shape of a subdural hematoma. Subdural hematomas are more common in the elderly because the superficial bridging vessels have a greater distance to travel because of brain atrophy and consequently, are easier to rupture
USMLE-Syndrome
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Kayser-Fleischer ring. It is the result of deposition of copper in Descemet membrane and is present in many cases of Wilson disease. Wilson disease is an autosomal recessive disorder of copper metabolism and results in accumulation of copper in the liver and brain. Laboratory evaluation reveals low serum copper, low serum ceruloplasmin and elevated copper stores on liver biopsy.
USMLE-Syndrome
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Congenital melanocytic nevi are present in approximately 1% of newborn infants. These nevi have been categorized by size: giant congenital nevi are more than 20 cm in diameter (adult size), small congenital nevi are less than 2 cm in diameter, and intermediate nevi are in between in size.
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3 Weeks Ago #50 Steps History: --Posts: 1 Threads: 0 Thanked 0 Times in 0 Posts Reputation: 10
drlmorice
USMLE Forums Newbie
Please keep them coming. Great revision aid when tired of starring at books

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High Yield Images for Step 2 CK

click im age to e nlarge

Lobar Pneumonia (Stept Pneumonia)

click im age to e nlarge

Lyme Disease (Erythema Chronicum Migans)

click im age to e nlarge

click im age to e nlarge

This webpage is not available

USMLE Forums Guru

corkscrew sign in midgut volvulus!

Corkscrew Sign of midgut volvulus

click im age to e nlarge

USMLE Forums Guru

This post is useful too! Pediatric Radiological Signs __________________ Skill+Hardwork+Preparation=Success

click im age to e nlarge

click im age to e nlarge

Adenoma sebaceum in patient with tuberous sclerosis

USMLE Forums Guru

NF-cafe' au lait spots!

click im age to e nlarge

USMLE Forums Guru

Axillary freckling! NF-1!

click im age to e nlarge

USMLE Forums Guru

Kayser-Fleischer ring Wilson's disease!

click im age to e nlarge

USMLE Forums Guru

Oral surgeon-herpetic whitlow! Treatment-topical acyclovir!

click im age to e nlarge

USMLE Forums Addict

Some other images

Corneal enlargement in congenital glaucoma

click to im age to e nlarge

Anterior dislocation of the shoulder (Humeral head out of glenoid)

click to im age to e nlarge

click to im age to e nlarge

Viral conjunctivitis (with conjunctival injection without purulent discharge)

click to im age to e nlarge

click to im age to e nlarge

click to im age to e nlarge

click to im age to e nlarge

click to im age to e nlarge

click to im age to e nlarge

click to im age to e nlarge

click im age to e nlarge

This webpage is not available

click im age to e nlarge

click im age to e nlarge

click im age to e nlarge

trisomy 18 (Edwards syndrome)

click im age to e nlarge

Threads: 180 Thanked 828 Times in 425 Posts Reputation: 842

click im age to e nlarge

click im age to e nlarge

Radiograph of tibial Ewing sarcoma showing periosteal elevation or "onion-skinning.

which can lead to a delay in diagnosis.

This webpage is not available

Thanked 828 Times in 425 Posts Reputation: 842

children gestated during untreated maternal hypothyroidism.

staphylococcal scalded skin syndrome (SSSS)

This webpage is not available