A 29 year-old man has recurrent abdominal pain. Can you make the diagnosis where others have failed?
CT Safety and Radiation Risk
June 24, 2010 By View Comments
DeBakey’s Dissection
March 23, 2010 By View Comments
A previously well 50 year old presents with sharp severe chest pain after a long haul flight from North America. A chest X-ray and ECG are performed and reveal no abnormalities. The examination is unremarkable. The patient proceeds to a CT chest.
Sternoclavicular Joint Dislocation
February 6, 2010 By View Comments
Sternoclavicular dislocation is a relatively uncommon injury that can be easily missed or misdiagnosed. The importance in determining the direction of dislocation is emphasised by the dichotomy of management. Hence, a thorough history and examination, especially looking for evidence of compression of retrosternal structures, is paramount. Specialised sternoclavicular X-ray views should be supplemented by CT/MRI if clinical suspicion is high. Posterior dislocations necessitate prompt orthopedic referral.
Gastrointestinal Gutwrencher 001
February 1, 2010 By View Comments
A 50 year-old man presented to the ED with sharp abdominal pain localised to his left lower quadrant.
ENT Equivocation #001
January 13, 2010 By View Comments
A 38 year old male with a background history of type 2 diabetes presents with fevers, rigors and pain on swallowing. There is no sign of impending airway compromise; however, marked trismus is noted. The following plain X-ray is obtained:
AAA rupture and rhabdomyolysis
December 29, 2009 By View Comments
Consider a 65-year-old male presenting with flank pain radiating to the groin. The following CT scan was taken to confirm a presumed diagnosis of renal colic
Broken-hearted chest drain
December 3, 2009 By View Comments
This 86 year old male presented with shortness of breath. He developed a complication after insertion of a left chest drain.
This CT scan demonstrates that complication
Trauma Tribulation 003
December 1, 2009 By View Comments
A 27 year-old male was involved in head on collision at high speed. He was GCS 8 at the scene.
Not just a pulmonary embolism…
November 24, 2009 By View Comments
A classic respiratory case. This 25 year old female presented with worsening breathless. She has no previous medical problems.
Neurological Mind-boggler 001
November 24, 2009 By View Comments
Consider a 45 year-old HIV positive male with right hemiparesis and fluctuating conscious state. His CT head is shown below.
Quiz Radiology 021
November 7, 2009 By View Comments
A head CT scan of an 83 year old woman has been performed, who has presented with a 3 day history of increasing confusion and unsteady gait following a fall. Her GCS is 12 (M5, V3, E4).
Quiz Radiology 020
November 7, 2009 By View Comments
An 45 year old man presents to your emergency department with vertigo and ataxia.
Quiz Radiology 016
November 7, 2009 By View Comments
A 72 year old man undergoes this investigation in your emergency department after his presentation with a first ever generalised seizure. He has normal vital signs and no focal neurological signs on examination. A CT head scan with a ring enhancing left sided lesion is shown.
Quiz Trauma 010
November 7, 2009 By View Comments
A 19 year old football player presents to the emergency department complaining of abdominal pain following a tackle during a match 5 days previously. A CT scan has been performed.
Quiz Radiology 013
November 7, 2009 By View Comments
A 48 year old man presents to your emergency department via ambulance following a syncopal episode. He is confused with a GCS of 12 (M – 5, V – 4, E – 3). His observations, otherwise, are within normal limits. He has had a CT scan of his head performed.
Quiz Paediatrics 007
November 4, 2009 By View Comments
A 4 year old boy arrives at your urban district emergency department one hour after falling from a playground slide. He opens his eyes to speech, uses inappropriate words and obeys commands (GCS 12).
Radiology Oddity #016
November 3, 2009 By View Comments
It is another busy night in ED. The ‘Bat-Phone’ rings, gently pricking the ear to attention in anticipation of the next code…
We are bringing in a 60 year old lady with profuse diaphoresis, hypotensive with a systolic of 70 and altered conscious state…
Radiology Oddity 004
October 21, 2008 By View Comments
Plombage: Treatment with Lucite balls – an early treatment for tuberculosis
