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SET T0007 - Emergency Department

CASE 1

HISTORY

Attended the ED complaining of neck pain following a fall down the stairs.

QUESTION

1). Normal or abnormal?

2). Describe the expected normal appearance of, and alignments at, the C1 and C2 anatomy on a lateral view.

3). What are the crucial anatomical alignments that you should assess on all open mouth Peg views?

ANSWER

CASE 2

HISTORY

Two different patients. Both involved in a road traffic accident (RTA). Both complaining of neck pain. These are their open mouth Peg views obtained in the ED.  

QUESTION

Are these open mouth Peg views normal or abnormal?

ANSWER

CASE 3

HISTORY

Persistent cough. Has smoked 3 packs a day for 15 years.

QUESTION

Normal or abnormal?

Let us check on your understanding of some important normal features. When a CXR is normal . . . 

  1. How frequently is the right hilum higher than the left hilum?
  2. How frequently is the right descending pulmonary artery visible?
  3. How frequently is the left descending pulmonary artery visible?
  4. What is the " little finger " appearance in relation to a pulmonary artery?

ANSWER

CASE 4

HISTORY

Cough and fever.

QUESTION

  1. Normal or abnormal?
  2. Is the heart enlarged?

ANSWER