Author: jwang

Xray Vision Answer

Good job, Dr. Oiyemhonlan. This is a Monteggia fracture!   Monteggia Fractures   Overview: Dislocation of the proximal radioulnar joint in association with a forearm fracture. Relatively uncommon. Less than 5% of all forearm fracture. Primarily associated with falls on…

Xray Vision: Limping Answer

Here’s the image again: good job, Dr. Berkowitz! The image shows SCFE of the right hip. SCFE Slipped capital femoral epiphysis results from a Salter-Harris physeal fracture. Mainly occurs between ages of 10 -16 years. Incidence is higher in boys…

Xray Vision: Limping

A “chubby” 13 year-old male presents with ED with 3 months of right hip pain. Per patient’s mom, the pain is progressively getting worse that the patient has been limping for last few weeks. Denies pain at the knee or…

Xray Vision: Answer

Here are the images again:   There is a right middle third clavicle fracture and right scapula fracture!     Scapula Fractures: Relatively uncommon Many associated injuries, which can be LIFE-THREATENING: hemothorax, pneumothorax, pulmonary contusion, humeral fractures, skull fractures, or…

Xray Vision: My Shoulder Hurts

35 year old male presents s/p trauma. Patient was riding a motorcycle when he was struck by another vehicle, which caused patient flip in the air and fall on his right shoulder. On exam you see visible deformity around his…

Xray Vision: My Arm! Answers

Here’s the image again The answer is….Galeazzi fracture! Congrats to Dr. Berkowitz for the correct answer and treatment!   Galeazzi Fracture Basics: Galeazzi fractures are isolated fractures of the junction of the distal third and middle third of the radius…

Xray Vision: My Arm!

29 year old male presents s/p trauma. During your primary survey, you notice a deformity to the patient’s right forearm. You obtain a xray and see… Describe the xray and name the fracture. What is the treatment for this patient?

Xray Vision: Chest Pain Answer

            Physical exam: Hypertension can be seen in 50% of the patients and can be due to catecholamine surge. Hypotension (in 20% patients) can be a result of excessive vagal tone, cardiac tamponade, or hypervolemia…

Xray Vision: Chest Pain

65 year old male presents with chest pain. He describes the pain as “pain”, but radiating to the back. Denies shortness of breath, nausea, or diaphoresis. You decide to get a CXR…and you see:   please provide a read. What…