A 55 yo M presents to the ED w/ thumb pain following an MVC. He states his car spun out of control and he felt the steering wheel slam into the webspace between his thumb and 2nd digit. Pain and swelling have worsened since the time of the accident. An xray is done and shown below. What's the diagnosis? (scroll down for answer)

Answer: Carpometacarpal dislocation of first digit

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) 

A 14 yo F with no past medical history presents to the ED after acute onset of headache, nausea/vomiting and change in mental status.

A 55 yo F with a history of untreated hypothyroidism presents to the ED with fatigue, SOB, abdominal distension and lower extremity edema.