Clinical Cases and Diagnostic Imaging Analysis in Emergency Medicine

This content delves into multiple clinical cases captured through diagnostic imaging, highlighting the patient presentations, radiological findings, potential diagnoses, and recommended treatments. The cases cover scenarios such as shoulder injuries, chest pain with associated symptoms, hip pain in adolescents, and central chest pain in a smoker. Each case includes X-ray images and poses specific questions to aid in diagnosis and management. The content offers a comprehensive educational experience for medical professionals seeking to enhance their emergency medicine skills.

• Clinical Cases
• Diagnostic Imaging
• Emergency Medicine
• Radiological Findings
• Patient Presentation

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Uploaded on Oct 02, 2024 | 0 Views

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1. OSCE OSCE Dr KM Poon POH A&E 10/2015

2. X ray R shoulder X ray R shoulder 2

3. Questions Questions a. What did you see on the X ray ? b. What did it suggest? c. What nerves and vessels are at risk of the condition in b ? d. What is the advice for patient to help avoid further episode of condition in b? 3

4. Case 2 Case 2 17/M, GPH c/o SOB in the morning Associated with central pleuritic chest discomfort & odynopagia + Cough, sputum -ve Recalled carried 2 boxes of water (24 bottles of 600ml H2O) the previous night 4

5. CXR CXR 5

6. Neck X ray Neck X ray 6

7. Questions Questions a. What are the X rays findings. b. What is the diagnosis? c. What specific physical sign would you look for? d. What should be the ED treatment? 7

8. Case 3 Case 3 12 boy, c/o left hip pain for 1 month Injury ve Walk with left limping gait 8

9. X ray hip X ray hip 9

10. Questions Questions a. What are the X ray finding? b. What is the clinical diagnosis? c. What are the signs in physical examination? d. What are the complications? e. What type of epiphyseal injury (Salter Harris classification) does this patient belong to? 10

11. Case 4 Case 4 45/M, smoker c/o central chest pain for 20 mins Radiation ve Sweating+ ECG done 11

12. ECG ECG 12

13. Right sided ECG Right sided ECG 13

14. Questions Questions a. What are the ECG findings? b. What is your diagnosis? c. What are possible complications? d. What drug should be avoided if there is RV involvement? e. Patient eventually received the TNK thrombolytic therapy. What is the expected door-to-needle time ? 14

15. Case 5 Case 5 63/F CA ovary with TAHBSO done in 2012 C/O dizziness & headache CT brain was done 15

16. CT brain CT brain 16

17. CT brain CT brain 17

18. Questions Questions a. What are the CT findings. b. What are possible diagnosis. c. What physical signs you would expect in this patient. d. What are ED treatments. 18

19. Thats all That s all Any questions ? Any questions ? Thank you 19