Jillian Smith MD

What's the Diagnosis? By Dr. Patrice Baptista

A 4 yo M presents to Urgent Care with R shoulder pain after a fall off his bed. Father denies any head trauma or other injury. On exam, he has decreased ROM at the R shoulder and tenderness and ecchymosis along the distal/mid clavicle. Neurovascular exam is normal. An xray is done and shown below. What's the diagnosis?  (scroll down for answer) 

 

 

 

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What's the Diagnosis? By Dr. Loran Hatch

A 62 yo M presents to the ED with 1 week of abdominal distension with associated nausea and vomiting. He has had only 2 small bowel movements in the last week. He denies abdominal pain. On exam, his abdomen is distended and rigid. An obstruction series is obtained and shown below. What's the diagnosis? (scroll down for answer) 

 

 

 

Answer: Xray showing multiple air-fluid levels, concerning for obstruction

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