Here’s the image again: Congrats to Dr. Yohannes! The official read was: “pneumomediastinum and subcutaneous emphysema along the left chest wall and bilateral neck.” Pneumomediastinum Definition: free air within the mediastinum, which originates from the airways or the alveolar space. Despite how scary it appears, it rarely leads to Read more…
28 year old male presents to the ED complaining of severe coughing, shortness of breath and chest pain. Denies fever or chills. But persistently complains of the severe coughing during history taking. States that only the last two days he has had the chest pain and shortness of breath, which Read more…
Here are the images again: that’s correct Dr. Bogoch! it is indeed a domino! The patient was brought in by staff members of the facility after questionable ingestion during a game of dominos. Ingested Foreign Body Foreign bodies can be anywhere in the entire GI tract. The esophagus Read more…
35 year old male with MR presents from a monitored facility for possible ingestion of a foreign body. Per staff who are with the patient, the ingestion took place a few hours prior to arrival. Since the incident, the patient has complained of nausea. Denies vomiting, shortness of breath, drooling Read more…
Here are the images again. Official read of the CT head: left hemispheric subdural hematoma with significant subfalcine and likely uncal/downward transtentorial herniation. Traumatic Brain Injury Impairment of brain function as a result of mechanical force. The clinical severity ranges from very mild to profoundly impaired. The classification Read more…
During one of your trauma shifts at Janus General, a 21 year old male is BIBEMS s/p fall onto his head. Patient was unresponsive at the scene without a gag reflex, but the patient could not be intubated in the field. After initial stabilization provided by you and your lovely Read more…
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. Answer: 1st Xray: read as inferior shoulder dislocation. 2nd Xray: Read more…
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 to “put down” his left arm since the injury. On Read more…
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, ruptured diverticulum Toxic megacolon Surgery (after laparotomy) Peritoneal dialysis Read more…
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 takes the medication. You get a CXR and you see… Read more…