Thanks for all the responses and sorry for the delay in posting this answer. Ritchie hit it right on the head. The patient was diagnosed with West Nile Encephalitis. The WNV PCR eventually came back positive. While the diagnosis was…
Category: Xray Vision
X-ray Vision: The Case of AMS
This case starts with a pretty common presentation to the emergency department: AMS. As with most cases of AMS in the ED, the patient had a CT head done during his ED course. However, our patient also had an MRI…
X-ray Vision: Case 2 – Answer!
So to recap… our case was that of a 44yo F presenting from St. Vincents with fever, AMS and abdominal pain. Further pertinent negatives ans positives that were obtained through your questions were the following: No hx of DVT, abnormal rhythm, IVDU,…
X-Ray Vision: Case 2
This month’s image is actually a CT scan. Take a look at the video below. 44yo woman presented to the ED. She just got off a plane from St. Vincents. Her chief complaint was fever, altered mental status and abdominal…
X-ray Vision: Case 1 Solution
Here was our original image: Before we get to the full interpretation here is some background. The patient actually presented to another emergency department after a car accident. They were the back seat passenger on the non-driver’s side and the…
X-ray Vision: Case 1
Welcome to our X-ray of the month! Below is an image from a patient seen in our very own ED. Take a look at the image and the short case history. Respond in the comments if and suggest your diagnosis…