PAMJ - Images Quiz
 Images in Clinical Medicine Quiz allows clinicians, interns, medical students alike to test their clinical knowledge using articles published in the PAMJ. The PAMJ Image Quiz is distributed under the terms of the Creative Commons Attribution 4.0 International (CC BY 4.0).

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A 17-year-old male with a history of recurrent peripheral arteriovenous malformations (pAVMs) of right chest, axilla, and right upper extremity (RUE), presented after having multiple procedures for pAVMs and complex right shoulder wound. Being managed conservatively at first, he later underwent diagnostic angiogram and biopsy which shows ectatic vessels, hence, Onyx embolization of right subclavian, axillary, and brachial arteries was performed (A). Within two years, due to his necrotic right shoulder wound with osteomyelitis of humeral head, he underwent RUE amputation and resection of newly developed right chest pAVMs with further Onyx embolization post angiogram (B). He also required series of reconstructive procedures including tissue expander placement and subsequent muscle flap to necrotic anterior right chest wound which was measured 14x3 cm. What is your diagnosis?
Peripheral arteriovenous malformations
Vascularitis
Endarteritis
Arterial malformations

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The PAMJ Clinical Quiz was comes from manuscripts submitted in PAMJ journals mostly in the category Images in Clinical Medicine, or Case Reports. Quiz questions are developed by PAMJ Clinical Editors and provide an opportunity to health professional, clinicians, medical students to test their clinical skills. The PAMJ Image Quiz is distributed under the terms of the Creative Commons Attribution 4.0 International (CC BY 4.0). If you use or ever used the PAMJ for training purposes, we will be happy to hear from you at editor@panafrican-med-journal.com.

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Articles published in PAMJ are Open Access and distributed under the terms of the Creative Commons Attribution 4.0 International (CC BY 4.0).

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