Wednesday

What's the Diagnosis? By Dr. Jacob Martin

A 40 yo M presents to the ED with R wrist pain. Onset was just before arrival when he was lifting at work, "felt a pop" and had sudden onset of pain. Exam reveals swelling and tenderness of the R wrist. Neurovascular exam is normal. A R wrist xray is done and shown below.  What's the diagnosis? (scroll down for answer)

 

 

Answer: Scapholunate Dissociation

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What's the Diagnosis? By Dr. Sydney Tabaac

A 17 yo F with no PMHx presents to Urgent Care w/ L sided chest pain. Pain sharp, radiates to L upper back, has been intermittent x 1 month, worse x last 2-3 days. No exacerbating or relieving factors. She denies fever/chills, cough/URI sx, LE pain/edema. No prior hx of DVT, no OCPs. On exam, she is anxious appearing. She is tachycardic to the 120s with normal heart sounds. Spo2 is 100% and breath sounds are diminished on the left. A CXR is done and shown below. What's the diagnosis?(scroll down for answer) 

 

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