Orthopedic and Trauma Cases in Emergency Medicine

Explore three distinct cases encountered in the emergency department, including wrist injury from a fall during football, neck injury in a lifeguard, and foot wound in a diabetic patient. Each case presents unique challenges and diagnostic considerations. Radiographs and clinical tests play a crucial role in the evaluation and management of these orthopedic and trauma cases.

• Orthopedic
• Trauma
• Emergency Medicine
• Radiographs
• Clinical Tests

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1. JCM OSCE 07.2020 RH AED

2. Case 1 A 27 year old gentleman attended the emergency department after falling on his outstretched left hand while playing a game of football. He complained of pain and decreased range of movement in the wrist joint.

4. Case 1 1.What abnormalities can be seen on the X- rays films?

5. Case 1 2.Name 2 clinical tests that may be useful for this injury.

6. Case 1 3.What structures may be damaged in this injury?

7. Case 1 4.What is your initial treatment for this patient?

8. Case 2 A 18 year old lifeguard underestimated pool depth and jumped head first into a 1.6 meter deep pool from pool side. He complained of severe neck pain thereafter

10. Case 2 1.What are the abnormalities on this CT film

11. Case 2 2.What important structures may be affected in this injury?

12. Case 2 3.Name the different types of incomplete spinal cord injury syndromes.

13. Case 2 4.Name 2 clinical decision rules to help you determine need for imaging in cervical injuries.

14. Case 3 A 53 year old diabetic patient complained of a wound of his left foot for 1 month.

16. Case 3 1.What abnormalities are seen on the radiograph?

17. Case 3 2.Name several differential diagnoses.

18. Case 3 3.The causative organism was found to be Clostridial. What are the 2 main clinical presentation of this disease and the most common pathogen?

19. Case 3 4.Name 2 standard and 1 investigational modality of treatment

20. Case 4 A 69 year old lady sustained a fall in the street. She injured her left forearm with an open wound.

21. Case 4

22. Case 4

23. Case 4

24. Case 4 1.Describe the X-ray findings

25. Case 4 2.Name this type of forearm fracture

26. Case 4 3.Name the structures likely to be damaged by this injury

27. Case 4 4.Name one grading score for assessment of open extremity fractures