ChrisPAinED Posted May 2, 2022 Share Posted May 2, 2022 On 8/11/2009 at 7:45 PM, EMEDPA said: anything odd about this portable cxr ? (The spray paint look at the top is my first ever use of a photo editing system....) heartonright.bmp 297.05 kB · 1,025 downloads Dextrocardia! Pretty cool. Quote Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted June 5, 2022 Author Moderator Share Posted June 5, 2022 Car rolled over pt. Findings? Quote Link to comment Share on other sites More sharing options...
jmj11 Posted June 5, 2022 Share Posted June 5, 2022 I've looked at a lot of brains but not abdominal CT in years. But I see a significant contusion of the liver's right lobe ... unless my own brain is seeing a Rorschach. Quote Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted June 5, 2022 Author Moderator Share Posted June 5, 2022 1 hour ago, jmj11 said: I've looked at a lot of brains but not abdominal CT in years. But I see a significant contusion of the liver's right lobe ... unless my own brain is seeing a Rorschach. nope, you got it. Multiple grade 3 liver lacs. Transferred to facility with IR for embolization. Quote Link to comment Share on other sites More sharing options...
jmj11 Posted June 5, 2022 Share Posted June 5, 2022 10 hours ago, EMEDPA said: nope, you got it. Multiple grade 3 liver lacs. Transferred to facility with IR for embolization. Passenger? I would suspect the passenger would have more "liver exposure" in a roll over than the driver. Quote Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted July 9, 2022 Author Moderator Share Posted July 9, 2022 Quote Link to comment Share on other sites More sharing options...
ohiovolffemtp Posted July 9, 2022 Share Posted July 9, 2022 Pre & post reduction films of an open and comminuted distal R tib/fib fx. Don't know what the radio-opaque material that overlaid the distal fib on the 1st plain film is. Was the achilles tendon transected? Gastronemius looks shortened. Quote Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted July 9, 2022 Author Moderator Share Posted July 9, 2022 38 minutes ago, ohiovolffemtp said: Pre & post reduction films of an open and comminuted distal R tib/fib fx. Don't know what the radio-opaque material that overlaid the distal fib on the 1st plain film is. Was the achilles tendon transected? Gastronemius looks shortened. medics had applied a tourniquet appropriately for bleeding they could not control with standard maneuvers. Their ambulance looked like they killed a pig back there. On arrival she was still bleeding despite the tourniquet. I gingerly placed quikclot trauma gauze in the wound and applied 4x4s and a tight ace wrap around the wound and placed her leg up on several pillows. I removed the TK and bleeding did not return. The initially cyanotic leg(expected with TK) pinked up right away. Then I got the first film above. The reduction was quite easy. Inline traction and push the bone back in. The pt is elderly and has neuropathy. They required no meds for the reduction. They were then lifeflighted to the regional trauma center for a washout and x-fix. I get all my ATLS points for remembering abx and tdap achilles and gastroc looked ok, but it would not surprise me if they find partial tears in the OR. 2 2 Quote Link to comment Share on other sites More sharing options...
jmj11 Posted July 10, 2022 Share Posted July 10, 2022 On 7/8/2022 at 9:42 PM, EMEDPA said: medics had applied a tourniquet appropriately for bleeding they could not control with standard maneuvers. Their ambulance looked like they killed a pig back there. On arrival she was still bleeding despite the tourniquet. I gingerly placed quikclot trauma gauze in the wound and applied 4x4s and a tight ace wrap around the wound and placed her leg up on several pillows. I removed the TK and bleeding did not return. The initially cyanotic leg(expected with TK) pinked up right away. Then I got the first film above. The reduction was quite easy. Inline traction and push the bone back in. The pt is elderly and has neuropathy. They required no meds for the reduction. They were then lifeflighted to the regional trauma center for a washout and x-fix. I get all my ATLS points for remembering abx and tdap achilles and gastroc looked ok, but it would not surprise me if they find partial tears in the OR. Eric, once again you do us all proud. 1 Quote Link to comment Share on other sites More sharing options...
nprice8 Posted April 10, 2023 Share Posted April 10, 2023 Fast Track patient - right upper arm pain following a night of heavy drinking, patient couldn't recall details from the night but was sure she fell and landed on her right shoulder. Physical exam unremarkable. Xray negative for fracture, mild soft tissue swelling noted over posterior elbow and medial humerus. What was the etiology? Quote Link to comment Share on other sites More sharing options...
ohiovolffemtp Posted April 11, 2023 Share Posted April 11, 2023 Did this patient lay for a long time on her right arm after falling? Quote Link to comment Share on other sites More sharing options...
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