Radiology Quiz 028

FACEM VAQ

A 55 year old man presents to the emergency department with chest pain and shortness of breath following vomiting four hours earlier. On examination the patient is distressed by chest pain and has the following observations.

Die Like a King

Dissection

An unusual presentation of Aortic dissection, followed by a review of the current state of play with this disease in the Emergency Department

Condom Inhalation

2811556

With the Flu season upon us the Utopian College of Emergency for Medicine (UCEM) would like to remind all fondling members of their duty to take a full and appropriate past medical history. This includes a past sexual history…

Is resistance futile?

Resistance Futile

An elderly man with a nasty looking chest x-ray is treated with penicillin. Should the antibiotic be changed in light of his sputum MCS?

Pediatric Perplexity 005

RMB inhaled FB

A toddler’s respiratory distress is getting worse. He is wheezy but not responsive to bronchodilators. Could Swedish furniture be the cause?

Radiological Oddity #019

Radiological Oddity 019_2

There is something strange about this chest x-ray of a neonate who has just arrived in ICU from the OR. What is the oddity and what are the implications?

Are you Satisficed?

recent CXR_2

Review these chest radiographs of an ICU patient with respiratory deterioration. What has been missed? What cognitive bias contributed to the error?

Lung collapse, recruitment and bronchoscopy

image_1

A 19 year old male is admitted after a severe traumatic brain injury. Due to refractory intracranial hypertension he is intubated and receiving 20mg an hour of morphine, 20mg an hour of midazolam and 200mg an hour of propofol.

Quiz Radiology 024

FACEM VAQ

A 35 year old homeless man presents with two months of increasing cough. He has no other medical past history.

Sternoclavicular Joint Dislocation

SCJ_Dislocation

Clinical cases of Bilateral Posterior Sternoclavicular joint dislocation