Here are the images again Both Drs. Greenstein and Chan got the answer right. Dr. Greenstein is the winner for putting in the read first. Please note that there is a fracture noted on the post reduction film. …
Xray Vision: Answer
Author: jwang
XRay Vision: Put Your Hands in the Air
27 year old male presents to Janus General Hospital (where Drs. Grock and Freedman also happen to work) s/p left shoulder injury. The patient says he was playing basketball when the incident occurred. He states that he has been unable…
XRay Vision: Belly Pain Answer
Great job, Drs. Liang and Reisman. But the winner is…. Dr. Liang for providing a more thorough reading. The CXR is read as pneumoperitoneum/free air under the diaphragm. Differential diagnoses: perforated viscus – perforated duodenal ulcer, perforated peptic ulcer,…
XRay Vision: So Much Abdominal Pain
47 years old male with no PMH presents with one day of severe epigastric pain. States that he had this type of pain before, and his PMD prescribed him “some pills” that helped with the pain. But he no longer…
Disaster Continues
For Adult Journal Club this coming week, I’ll be discussing allocating scarce resources during disasters. Please read the following article and be ready for discussion. http://www.annemergmed.com/article/S0196-0644%2811%2900676-7/fulltext
MVC: Answer
here’s another image of the portable xray. Case: 30 year old female restrained driver BIBEMS after her vehicle collided with a pole at a high speed. The official read of the portable pelvis film: “dislocation of both femoral heads and…
Xray Vision: MVC
30 year- old restrained driver BIBEMS s/p collision with a pole. See image below. Please provide a complete read. How would you manage the patient?
Ankle problems: Answer
Here’s the xray again. Patient’s fracture was read as an ankle fracture-dislocation. Posterior dislocation of talus and tibiotalar articulation. Comminuted fractures in distal fibula, posterior malleolus and medial mallelous. Orthopedics was consulted. Several reduction attempts were made by ortho,…