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
A 2 yo male presents refusing to bear weight on his right leg. There is no known trauma. Parents report he is very active and playful with older siblings. He has focal tenderness over the distal tibia. No fever and no pain with range of motion at the hip. What's the diagnosis? (scroll down for answer)
A 60 yo M presents to the ED for head trauma.
A 12 yo F w/ past medical history of partial complex seizures and congenital hydrocephalus s/p VP shunt (last revised 2 years ago)- presents w/ to the ED with headaches.
A 65 yo M presents to the ED after falling 10 feet off a ladder. He is complaining of R shoulder pain, but denies head trauma, LOC or other injury. An xray of the R shoulder is done. What's the diagnosis? (see below for answer)
Answer: Scapular fracture (superior border)
A 13 yo M presents to the ED c/o knee pain.
A 20 yo M presents to the ED following a high speed motor vehicle collision where he was a restrained driver.
