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Title: What's the diagnosis?

Category: Visual Diagnosis

Posted: 3/28/2011 by Haney Mallemat, MD (Updated: 3/28/2011)

Question

25 year old male presents after falling from 10 feet and landing on right shoulder. Diagnosis?

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Title: What's the daignosis? Written by Sanober Shaikh, MD

Category: Visual Diagnosis

Keywords: lung, ultrasound, pneumonia, hepatization, sonogram, air bronchograms (PubMed Search)

Posted: 3/14/2011 by Haney Mallemat, MD

Question

 

65 yo female with breast cancer presents with dyspnea and CXR shown below. Diagnosis? Can anything help clarify the diagnosis? 

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Title: What's the daignosis? Written by Adam Brenner, MD

Category: Visual Diagnosis

Keywords: ultrasound, ectopic, free fluid, hypotension, pregnancy (PubMed Search)

Posted: 2/28/2011 by Haney Mallemat, MD (Updated: 8/28/2014)

Question

24 yo woman presents with syncope, abdominal pain, and normal menses 4 days prior. Urine HCG(+) and quantitative beta-HCG is 1300 with the transvaginal ultrasound seen below. Diagnosis?

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Question

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Title: What's wrong with this picture? (Don't scroll too far down)

Category: Visual Diagnosis

Keywords: boxer's, fracture, orthopedics, hand, brawler's, radiology, xray (PubMed Search)

Posted: 1/17/2011 by Haney Mallemat, MD

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Boxer's (or Brawler's) Fracture

  • Fifth metacarpal neck fracture, usually secondary to a direct blow or closed-fist impact.
  • Potentially an unstable fracture and difficult to maintain reduction due to tension from tendons and muscles in the hand.
  • Up to forty degrees of angulation can be tolerated without repair, although there is potential for reduced hand function without repair. Any rotational deformity, however, must be corrected.
  • Non-displaced fractures: RICE therapy, gutter splint, and Ortho follow-up.
  • Displaced, rotated, or angulated fractures (>40 degrees): closed reduction may be attempted but surgical fixation usually required.

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