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SET T0002 - Emergency Department

CASE 1

HISTORY

Patient fell down a long flight of stairs. Painful neck.

QUESTION

Normal or abnormal?

ANSWER

CASE 2

HISTORY

Recent onset of a cough and fever. Clinically - this patient has developed a pneumonia.

QUESTION

Which lobe is affected? How can you be very precise in terms of the anatomical location ?

ANSWER

CASE 3

HISTORY

Painful shoulder. Patient is a kitchen fitter and he received a severe electric shock at work today.

QUESTION

This is a single " second view " of the shoulder. The other view that was obtained ( the AP radiograph ) is not provided because we want you to answer questions in relation to the " second view ". 

When a shoulder is injured, two radiographs will be obtained : an AP radiograph and a second view

  1. In general, there are three technically different second views to choose from. Can you name them?
  2. Which " second view " is shown here?
  3. Can you identify and name and describe the different bones and alignments on this radiograph?
  4. What major abnormality do you detect on this radiograph?

ANSWER

CASE 4

HISTORY

Rugby player. Over the years he has dislocated his right shoulder several times. Today he presents once again to the ED with pain in the shoulder.

QUESTION

 We want you to concentrate on evaluating this second view.

  1. Which one of the available second views is shown here?
  2. Do you know how the patient was positioned when this radiograph was obtained? (That knowledge will assist you in understanding the anatomical alignments - both normal and abnormal).
  3. What does this radiograph show?

ANSWER