Category: Radical radiology

Clinical CT – May 2017

A 54 year-old woman with history of gastric band surgery and 10 years of uncontrolled hypertension has had 4 weeks of progressively increasing abdominal girth, exertional dyspnea, and dependent edema. Today, the patient has dyspnea at rest with epigastric pain.…

Clinical CT – April 2016

Clinical CT for April 2016 by Adam Blumenberg MD Special thanks to Mark Silverberg MD A 78 year-old man presents to the ED for pre-syncope and back pain. Physical exam is remarkable for systolic blood pressure in the 80s and…

Temper Tantrums Gone Wrong!!!

A 25 year-old male presents with swelling and pain to the hand. He just had a temper tantrum at home and punched his wall. You examine his hand and find significant point tenderness and swelling over the 5th metacarpal bone of his…

More than just a fracture!

A 55 year-old morbidly obese female was brought in by EMS after a mechanical fall at home. She sustained the above distal tib-fib fracture while attempting to stand up. No LOC reported, and she is not taking any blood thinners…

Clinical CT – October 2016

  Written by Adam Blumenberg MD Special Thanks to Mark Silverberg MD A 54 year-old woman with a history of cigarette smoking and uncontrolled hypertension presents to the ED disoriented and mumbling incomprehensible words. Her family members say she began…

Clinical CT – August 2016

Clinical CT for August 2016 by Adam Blumenberg MD A 75 year-old woman with a history of left femur ORIF and hypertension was “clipped” on the left knee by a turning car as she was crossing the street. She is…

The Widow Maker

A 54 year-old male smoker is brought in by EMS with acute-onset, substernal chest pain. Vitals: BP 110/88, HR: 90. He is diaphoretic. The rest of his physical exam is unremarkable. A stat ECG reveals the following: The patient is taken…

Clinical CT – June 2016

Clinical CT for June 2016 by Adam Blumenberg MD Special thanks to Mark Silverberg MD A 12 year-old boy presents to the emergency department at 7:00AM Sunday morning with 2 hours of left sided abdominal pain, waxing & waning nausea…

A Ripping Pain

A 67 year-old male with history of hypertension, diabetes mellitus type II, dyslipidemia presents to the emergency department with 1 hour of severe chest discomfort that started while he was watching the evening news at home. The chest discomfort is…

An Ultrasound from the Peds Side!

A 12 year-old female with no PMHx presents to the pediatric ED with acute-onset crampy and sharp left-sided pelvic pain. The pain started 3-4 hours earlier, associated with nausea but no vomiting or diarrhea. VS: HR 102, BP 110/86, T: 99.4…