1 / 36

Radiology - SYB II

Radiology - SYB II. Brad Moatz MS IV Penn State – Hershey 2-28-08. Case #1. Ms. D Cc: R wrist pain

sovann
Download Presentation

Radiology - SYB II

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Radiology - SYB II Brad Moatz MS IV Penn State – Hershey 2-28-08

  2. Case #1 • Ms. D • Cc: R wrist pain • HPI: 28 y.o. s/p fall from roof. RHD. Pt seen in ED in FL was offered surgery butdeclined. Pt was instructed to seek medical tx within 3 days. Did not receive any tx while in FL. • PMH: unremarkable • SH: no tobacco, no EtOH • All: NKDA • PSH: ACL surgery (2000)

  3. Case #1 • PE – numbeness and paresthesia in median n. distribution. • Full sensation in radial and ulnar nn. • Pt unable to flex/extend wrist • Pt able to move fingers but decreased ROM secondary to pain • Marked swelling appreciated • 2+ radial pulse with <2 sec cap refill

  4. Case #2 • Ms. B • Cc: L hip pain • HPI: 89 y.o. female with h/o fall in bathroom. Presents with L hip pain. No LOC. • PMH: Dementia, angina, HTN, colon polyps removed in 1990 • SH: no EtOH, no cigs • Meds: Paxil, Nemenda • All: NKDA

  5. Case #2 • PE – No overlying ecchymosis, • Prominence over L ant & lat thigh • LLE shortened, ER • SP/DP/S/S/T SILT • EHL/TA/G/S 5/5, limited ROM with HF and ext. as well as knee flexion/ext • 2+ DP/PT pulse

  6. Case #3 • Mr. B • Cc: R foot pain • HPI: 18 y.o. male. Chasing dog around house and kicked couch. C/o R 5th toe pain • PMH: unremarkable • Meds: None • SH: no cigs, no EtOH • All: NKDA • PSH: None

  7. Case #3 • PE – R 5th toe markedly swollen • No overlying ecchymosis • Toe is laterally deviated • Pt able to flex toe slightly • S/S/SP/DP/T SILT • DP/PT 2+ pulse

  8. Case #4 • Mr. M • Cc: R arm pain • HPI: 8 y.o. male. Pt was jumping on trampoline and landed on R arm. No LOC. RHD • PMH: L forearm fx 4 years ago • Meds: None • All: NKDA • PSH: None

  9. Case # 4 • PE – Pt able to move all 5 fingers but decreased ROM secondary to pain • SILT r/u/m distribution • 2+ radial pulse • No overlying ecchymosis • Prominence over R posterior forearm with marked swelling

  10. 2 day f/u

  11. Case #5 • Mr. J • Cc: R arm pain • HPI: 56 y.o. male with h/o HCC. Fell while attempting to sit on stool. Fell onto R arm and L side. No LOC • PMH: HCC, s/p liver transplant 1994 secondary to Hep C, HTN • All: NKDA • SH: no cigs, no EtOH • Meds: Avastin, Zarafinib, Rapirimine, Pepcid, Lyrica, Ursodiol, Lexapro, Lasix, Fosamax, Dexamethasone

  12. Case #5 • PE – No obvious overlying skin changes • Decreased ROM at R shoulder and R elbow secondary to pain • R and L wrist fused previously (MVA) • No sensory deficits, C5 – T1 SILT • 2+ radial pulse, <2 sec cap refill

More Related