Jillian Smith MD

What's the Diagnosis? By Katie Selman, MD

Editor: 
Jillian Smith MD

An 82 yo F with a history of HTN, DM, CAD, GERD presents to the ED with expressive aphasia that started 1hour prior to arrival. On exam, she has difficulty answering questions but follows commands. CT head is negative, neurology in consulted and tPA is given. An hour later, you are called back into the room for worsening neurologic exam. The patient is awake but not speaking and is unable to follow commands. A stat repeat head CT is ordered and shown below. What's the diagnosis? (scroll down for answer) 

Katie Selman, MD
Wed, 10/30/2019 - 9:00am
Topic: 
Radiology
Category (Day): 
Wednesday

What's the Diagnosis? By Dr. Angela Ugorets

Editor: 
Jillian Smith MD

A 59 yo M presents to the ED complaining of chest pain following an MVC where he was a restrained driver. He reports that he crashed into a cement wall and his chest hit the steering wheel upon impact. On exam, there is noted exquisite tenderness to palpation with a deformity over the sternum. A CXR is obtained. What's the diagnosis? (scroll down for answer)

 

 

Diagnosis: Depressed sternal fracture

Angela Ugorets, MD
Wed, 09/04/2019 - 12:09am
Topic: 
Radiology
Category (Day): 
Wednesday

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