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Flashcards in Anatomy and Radiology Deck (13)
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1

What does this X-ray show?

What are the associated risks?

How is it managed?

Comminuted L femoral fracture

Haemodynamic instability, fat embolus, infection if open

Prophylactic anticoagulation, thomas splint, surgical debridement if open, surgical fixation

2

What does this show?

What are the associated risks?

How is it managed?

Tension pneumothorax

Cardiogenic shock

Needle decompression in the 2nd intercostal space mid-clavicular line

3

What does this show?

What are the associated risks?

How is it managed?

 

Pelvic fracture - superior and inferior pubic ramus

Haemodynamic instability

Pelvic binder

4

What does this show?

What are the associated risks?

How is it managed?

Splenic laceration, renal laceration, liver contusion

Severe bleeding, if hilum has been detached from kidney then it will no longer function

Surgical or interventional radiology

5

What does this show?

What are the associated risks?

How is it managed?

Extradural haematoma

Raised ICP

Small so expectant management, monitor GCS

6

What does this show?

What are the associated risks?

How is it managed?

Clot in L MCA (hyperattenuated area)

Ischaemic injury

Antiplatelets, thombolysis or thrombectomy

7

What does this show?

 

Odema with compression of left ventricle, loss of definition, midline shift, haemorrhagic conversion (some hyperdense areas)

 

8

What does this show?

What are the associated risks?

How is it managed?

Narrowing of LAD and RCA

Angina, MI

Acute MI - MONA T + PCI within 90 mins

9

What does this show?

 

Stenting of coronary arteries (white dots)

10

What does this show?

What are the associated risks?

How is it managed?

L pleural effusion

Infection, breathlessness

Chest drain - 5th intercostal space mid-clavicular line

11

What does this show?

What are the associated risks?

How is it managed?

(Occupation - welder)

Left sided opacification with meniscus indicating large pleural effusion, potential mass around bronchus with mediastinal shift to the R, not possible to see heart margins on L

Likely malignany mesothelioma

Palliative radiotherapy, pleurodesis

12

What does this show?

 

Pleural thickening on L around entire lung, collapsed L lung with few bronchi present, pleural effusion

 

13

What does this show?

What are the associated risks?

How is it managed?

Plaques with calcium deposits in both lungs

Likely asbestosis, silicosis etc

Expectant management