Discover and read the best of Twitter Threads about #ERrad
Most recents (24)
#Wetread Case 19
Hx: Abdominal Pain
Professionally appropriate gif responses only please. No spoilers! wetread.org #FOAMrad #FOAMed #radres #errad #bodyrad
Hx: Abdominal Pain
Professionally appropriate gif responses only please. No spoilers! wetread.org #FOAMrad #FOAMed #radres #errad #bodyrad
#Wetread Case 19 Answer: Cecal volvulus
= torsion of the cecum around it's mesentery
~10% of intestinal volvuli
30-60yo
often prior abd surgery or pelvic mass
present as prox colon obstruction (pain,n,v, distention)
#FOAMrad #FOAMed #radres #errad #bodyrad
= torsion of the cecum around it's mesentery
~10% of intestinal volvuli
30-60yo
often prior abd surgery or pelvic mass
present as prox colon obstruction (pain,n,v, distention)
#FOAMrad #FOAMed #radres #errad #bodyrad
Cecal volulus:
2 types:
-Axial - twists about axial plane (either way) but remains in RLQ
- Loop type - twists and inverts moving to LUQ
Bascule is a variant where the cecum doesn't twist, just folds up anteriorly (NO torsion!)
From UpToDate (a=axial, b=loop, c=bascule):
2 types:
-Axial - twists about axial plane (either way) but remains in RLQ
- Loop type - twists and inverts moving to LUQ
Bascule is a variant where the cecum doesn't twist, just folds up anteriorly (NO torsion!)
From UpToDate (a=axial, b=loop, c=bascule):
#Wetread Case 18
Hx: Chest Pain
Professionally appropriate gif responses only please. No spoilers! wetread.org #FOAMrad #FOAMed #radres #errad #chestrad #CXRarehard
Hx: Chest Pain
Professionally appropriate gif responses only please. No spoilers! wetread.org #FOAMrad #FOAMed #radres #errad #chestrad #CXRarehard
#Wetread Case 18
So hopefully everyone saw this pleural based opacity in the RUL. But does anyone see the other finding? 🤔 #CXRarehard #chestrad
So hopefully everyone saw this pleural based opacity in the RUL. But does anyone see the other finding? 🤔 #CXRarehard #chestrad
#Wetread Case 18
Turns out pt had some pain radiating to their neck so they got this C-spine X-ray. Perhaps one of the rare times a non-trauma C-spine X-ray is helpful? 😁
Turns out pt had some pain radiating to their neck so they got this C-spine X-ray. Perhaps one of the rare times a non-trauma C-spine X-ray is helpful? 😁
#Wetread Case 17
Hx: Wrist pain
Professionally appropriate gif responses only please. No spoilers! wetread.org #FOAMrad #FOAMed #radres #errad #MSKRad #orthorad
Social media breaks are a good thing!😁
Hx: Wrist pain
Professionally appropriate gif responses only please. No spoilers! wetread.org #FOAMrad #FOAMed #radres #errad #MSKRad #orthorad
Social media breaks are a good thing!😁
#Wetread Case 18 Answer: Trans-scaphoid Perilunate dislocation
-lunate still "normal" position while other carpal bones dislocate dorsally
++ assoc scaphoid fx! ⭐️⭐️ (count the proximal row 😁)
#FOAMrad #FOAMed #mskrad #errad #orthorad
-lunate still "normal" position while other carpal bones dislocate dorsally
++ assoc scaphoid fx! ⭐️⭐️ (count the proximal row 😁)
#FOAMrad #FOAMed #mskrad #errad #orthorad
Perilunate Dislocation:
Mechanism: high-energy trauma (MVA) or FOOSH (fall on outstretched hand)
Injury: torn radioscaphoid, scapholunate & lunotriquetral ligaments
👀 for the scaphoid fx!
Mechanism: high-energy trauma (MVA) or FOOSH (fall on outstretched hand)
Injury: torn radioscaphoid, scapholunate & lunotriquetral ligaments
👀 for the scaphoid fx!
#WetreadCoW Case 15
Hx: Fall. Back Pain
Professionally appropriate gif responses only please. Extra points for not using the obvious answer. No spoilers! wetread.org #FOAMrad #FOAMed #radres #errad #MSKRad #NeuroRad
Hx: Fall. Back Pain
Professionally appropriate gif responses only please. Extra points for not using the obvious answer. No spoilers! wetread.org #FOAMrad #FOAMed #radres #errad #MSKRad #NeuroRad
Silly Twitter, lets keep it together now 🤣
ER went ahead and ordered the CT CAP. Does this help?😏
Turns out the patients pain was more T/L junction and L-spine. 🤔
ER went ahead and ordered the CT CAP. Does this help?😏
Turns out the patients pain was more T/L junction and L-spine. 🤔
#WetreadCoW Case 15
Hx: Vaginal bleeding
What is the first question to ask? What are the possible diagnoses? (more images to come of course 😀)
Professionally appropriate gif responses only please. No spoilers! wetread.org #FOAMrad #FOAMed #radres #errad #bodyrad
Hx: Vaginal bleeding
What is the first question to ask? What are the possible diagnoses? (more images to come of course 😀)
Professionally appropriate gif responses only please. No spoilers! wetread.org #FOAMrad #FOAMed #radres #errad #bodyrad
@ER_Rad_Hanna @GayatriJoshiMD @RadioGyan #WetreadCoW Case 15 (cont)
+Urine pregnancy test
Diagnosis(es)? Gifs only please! 😀 FOAMrad #FOAMed #radres #errad #bodyrad
+Urine pregnancy test
Diagnosis(es)? Gifs only please! 😀 FOAMrad #FOAMed #radres #errad #bodyrad
#WetreadCoW Answer: Cervical Ectopic Pregnancy
Imaging is easy!
-⭐️NO IUP(endometrium opposed, no fluid or sac)
-gestation sac w/ fetal pole in cervix
Options:
1) cervical ectopic
2) spont abortion
Here: Closed os, no endometrial fluid➡️ectopic
#FOAMrad #bodyrad #errad #obgyn
Imaging is easy!
-⭐️NO IUP(endometrium opposed, no fluid or sac)
-gestation sac w/ fetal pole in cervix
Options:
1) cervical ectopic
2) spont abortion
Here: Closed os, no endometrial fluid➡️ectopic
#FOAMrad #bodyrad #errad #obgyn
#WetreadCoW Case 14
Hx: Abominal Pain
Can you identify the source of acute pain and the underlying etiology?
Professionally appropriate gif responses only please. No spoilers! #FOAMrad #FOAMed #radres
A case for everyone 😀 #errad #bodyrad #chestrad #NeuroRad
Hx: Abominal Pain
Can you identify the source of acute pain and the underlying etiology?
Professionally appropriate gif responses only please. No spoilers! #FOAMrad #FOAMed #radres
A case for everyone 😀 #errad #bodyrad #chestrad #NeuroRad
#WetreadCoW Answer: Tuberous Sclerosis
More specifically - multiple large bilateral renal angiomyolipomas through the kidneys (green) with acute R perinephric hemorrhage (red arrows)
*remember ⬆️size of AMLs = ⬆️ risk of hemorrhage
#FOAMed #FOAMrad #bodyrad #radres
More specifically - multiple large bilateral renal angiomyolipomas through the kidneys (green) with acute R perinephric hemorrhage (red arrows)
*remember ⬆️size of AMLs = ⬆️ risk of hemorrhage
#FOAMed #FOAMrad #bodyrad #radres
Tuberous Sclerosis (aka Bourneville Dz)
-neurocutaneous disorder (phakomatosis)
-numerous benign tumors of ectodermal orgin (skin, eyes, CNS)
-usually sporatic
-Classic: child with Vogt's triad (seizures, intellectual disability, adenoma sebaceum rb.gy/rlkgei
-neurocutaneous disorder (phakomatosis)
-numerous benign tumors of ectodermal orgin (skin, eyes, CNS)
-usually sporatic
-Classic: child with Vogt's triad (seizures, intellectual disability, adenoma sebaceum rb.gy/rlkgei
#WetreadCoW Case 13
Hx: 50 yo male with cough
Please answer with professionally appropriate gif responses only. No spoilers. wetread.org #FOAMrad #FOAMed #radres #errad #chestrad
Hx: 50 yo male with cough
Please answer with professionally appropriate gif responses only. No spoilers. wetread.org #FOAMrad #FOAMed #radres #errad #chestrad
@RyanBPetersonMD @ER_Rad_Hanna @StefanTigges @RadioGyan @jannimd @thoracicrad #WetreadCoW Case 13
Got the CT for you. Does it help?
Got the CT for you. Does it help?
@WetreadCoW Case 13 Answer: Mounier-Kuhn syndrome (aka tracheobronchomegaly)
-cystic dilation of trachea&bronchi
-absence/atrophy of elastin fibers&smooth muscle
-?congenital (not agreed upon)
-assoc w Ehlers-Danlos
#FOAMed #FOAMrad #chestrad #radres #thoracicrad
-cystic dilation of trachea&bronchi
-absence/atrophy of elastin fibers&smooth muscle
-?congenital (not agreed upon)
-assoc w Ehlers-Danlos
#FOAMed #FOAMrad #chestrad #radres #thoracicrad
#WetreadCoW Case 12
Hx: heel pain
Please answer with professionally appropriate gif responses only. No spoilers. wetread.org #FOAMrad #FOAMed #radres #errad #mskrad #orthorad
Hx: heel pain
Please answer with professionally appropriate gif responses only. No spoilers. wetread.org #FOAMrad #FOAMed #radres #errad #mskrad #orthorad
#WetreadCoW Case 12 Answer: Haglund's Syndrome
Haglund's deformity= post-sup calcaneal spur (red)="pump bump"
Haglund's syndrome= deformity +Kager's fat pad edema (blue)+thick Achilles @ insertion & retroAchilles bursitis (green) #FOAMrad #FOAMed #radres #mskrad #orthorad
Haglund's deformity= post-sup calcaneal spur (red)="pump bump"
Haglund's syndrome= deformity +Kager's fat pad edema (blue)+thick Achilles @ insertion & retroAchilles bursitis (green) #FOAMrad #FOAMed #radres #mskrad #orthorad
Haglund's deformity/syndrome is assoc w use of rigid heel shoes, ex high heels (aka "pumps")➡️ irritation @ Achilles insertion & retroAchilles bursitis➡️ deformity+ edema+pain
US & MR show same thing!
Deformity(spur) alone ❌=symptoms (like plantar spur ❌=plantar fasciitis sx)
US & MR show same thing!
Deformity(spur) alone ❌=symptoms (like plantar spur ❌=plantar fasciitis sx)
#WetreadCoW Case 11
Hx: abdominal distention
Please answer with professionally appropriate gif responses only. No spoilers. #FOAMrad #FOAMed #radres #errad #bodyrad
Hx: abdominal distention
Please answer with professionally appropriate gif responses only. No spoilers. #FOAMrad #FOAMed #radres #errad #bodyrad
#WetreadCoW Case 11 Answer: Pseudomyxoma Peritonei
-accumulation of mucinous ascites from mucin producing tumor. This case is the classic mucinous appendiceal tumor s/p multiple debulking surgeries! #FOAMed #FOAMrad #Radres #bodyrad
👍 on the gifs everyone!
-accumulation of mucinous ascites from mucin producing tumor. This case is the classic mucinous appendiceal tumor s/p multiple debulking surgeries! #FOAMed #FOAMrad #Radres #bodyrad
👍 on the gifs everyone!
Pseudomyxoma Peritonei
Source: mucinous tumor of appendix (#1), colon, stomach, pancreas, urachus, ovary
Rupture➡️ mucin & neoplastic cells into the peritoneum ➡️ diffuse peritoneal spread of malignancy and increasing abdominal distention
Source: mucinous tumor of appendix (#1), colon, stomach, pancreas, urachus, ovary
Rupture➡️ mucin & neoplastic cells into the peritoneum ➡️ diffuse peritoneal spread of malignancy and increasing abdominal distention
#WetreadCoW Case 10
Hx: trauma survey exam. Fall, pain
Dx? Anything else you may want to consider given the history?
Please answer with professionally appropriate gif responses only. No spoilers. #FOAMrad #FOAMed #radres #errad #orthorad #MSKRad
Hx: trauma survey exam. Fall, pain
Dx? Anything else you may want to consider given the history?
Please answer with professionally appropriate gif responses only. No spoilers. #FOAMrad #FOAMed #radres #errad #orthorad #MSKRad
#WetreadCoW Case 10 Answer: Ankylosing Spondylitis
-fused SI jts
-fused pubic symphysis
- interspinous ligament ossification = "dagger spine"
-fused Lspine?
⭐️Need to look for spine fx!
Too easy? or maybe everyone is distracted by #ASER2020
#FOAMed #radres #mskrad #orthorad
-fused SI jts
-fused pubic symphysis
- interspinous ligament ossification = "dagger spine"
-fused Lspine?
⭐️Need to look for spine fx!
Too easy? or maybe everyone is distracted by #ASER2020
#FOAMed #radres #mskrad #orthorad
Ank Spon:
-seroneg spondyloarthropathy (neg Rheum factor) ➡️ fusion of the spine, SI jts, pubic symphsysis, and sometimes other jts
- assoc w HLA B27 gene
-M>F
-usually presents 3rd-4th decade
-trt: NSAIDS, motion/exercise, TNF-alpha blockers
-seroneg spondyloarthropathy (neg Rheum factor) ➡️ fusion of the spine, SI jts, pubic symphsysis, and sometimes other jts
- assoc w HLA B27 gene
-M>F
-usually presents 3rd-4th decade
-trt: NSAIDS, motion/exercise, TNF-alpha blockers
#WetreadCoW Case 9
Hx: MVA, chest pain
Please answer with professionally appropriate gif responses only. No spoilers! wetread.org #FOAMrad #FOAMed #radres #errad #chestrad
Hx: MVA, chest pain
Please answer with professionally appropriate gif responses only. No spoilers! wetread.org #FOAMrad #FOAMed #radres #errad #chestrad
#WetreadCoW Case 9 Answer: Diverticulum of Kommerell
Focal outpouching of the distal aortic arch + h/o trauma ➡️ think traumatic PSA⭐️, but lets look a bit closer here
No perioaortic stranding
No wall thickening
location = medial (retroesophageal 🤔)
#FOAMrad #radres #chestrad
Focal outpouching of the distal aortic arch + h/o trauma ➡️ think traumatic PSA⭐️, but lets look a bit closer here
No perioaortic stranding
No wall thickening
location = medial (retroesophageal 🤔)
#FOAMrad #radres #chestrad
#WetreadCoW Case 8
Hx: 30yo female w abdominal pain
Please answer with professionally appropriate gif responses only. No spoilers. wetread.org #WetreadCow #FOAMrad #FOAMed #radres #errad @RyanBPetersonMD @ER_Rad_Hanna @RadioGyan
Hx: 30yo female w abdominal pain
Please answer with professionally appropriate gif responses only. No spoilers. wetread.org #WetreadCow #FOAMrad #FOAMed #radres #errad @RyanBPetersonMD @ER_Rad_Hanna @RadioGyan
#WetreadCoW Case 8 Answer: Hepatic Adenoma w hemorrhage
Multiple hyperenhancing hepatic masses in a young female. Largest in L lobe w hyperdensity (blood)➡️irreg contour w mild extracapsular hemorrhage #FOAMrad #radres #bodyrad #ERrad
Multiple hyperenhancing hepatic masses in a young female. Largest in L lobe w hyperdensity (blood)➡️irreg contour w mild extracapsular hemorrhage #FOAMrad #radres #bodyrad #ERrad
#WetreadCow Case 7
Hx: chest pain
Please answer with professionally appropriate gif responses only. No spoilers! wetread.org #FOAMrad #FOAMed #radres #errad #chestrad @thoracicrad @chestcases @TanMohammedMD
Hx: chest pain
Please answer with professionally appropriate gif responses only. No spoilers! wetread.org #FOAMrad #FOAMed #radres #errad #chestrad @thoracicrad @chestcases @TanMohammedMD
#WetreadCow Answer: Sprengel's Deformity
-M/C congenital abnl of the shoulder
-Failure of ⬇️ scapula (starts mid-cervical)
-often part of Klippel-Feil Deformity (cervical vert fusion)
-shoulder asymmetry w ⬇️ ABduction
#FOAMed #radres #chestrad #chestcases #orthorad
-M/C congenital abnl of the shoulder
-Failure of ⬇️ scapula (starts mid-cervical)
-often part of Klippel-Feil Deformity (cervical vert fusion)
-shoulder asymmetry w ⬇️ ABduction
#FOAMed #radres #chestrad #chestcases #orthorad
Sprengel's Imaging:
- ⬆️ (blue arrows) and ↪️(red arrow) scapula so inf tip points to spine (? smaller)
- Uni- or Bi- lateral
-👀 for bony omovertebral bone (bony or fibrous scapulo-vertebral connection - usually C4-C7) - up to 50%
-👀 for rib/spine abnl (green arrows) (K-F)
- ⬆️ (blue arrows) and ↪️(red arrow) scapula so inf tip points to spine (? smaller)
- Uni- or Bi- lateral
-👀 for bony omovertebral bone (bony or fibrous scapulo-vertebral connection - usually C4-C7) - up to 50%
-👀 for rib/spine abnl (green arrows) (K-F)
#WetreadCow Case 6
Hx: survey CXR after MVA
Please answer with professionally appropriate gif responses only. No spoilers! wetread.org #FOAMrad #FOAMed #radres #errad #chestrad
Can I play? 😀 @thoracicrad @chestcases @TanMohammedMD
Hx: survey CXR after MVA
Please answer with professionally appropriate gif responses only. No spoilers! wetread.org #FOAMrad #FOAMed #radres #errad #chestrad
Can I play? 😀 @thoracicrad @chestcases @TanMohammedMD
#WetreadCoW Case 6 Answer: Continuous Diaphragm sign of Pneumomediastinum
The heart rests on the medial diaphragms, so normally they are silhouetted out. When we see them (blue arrows) it means there is air between the heart and diaphragm @chestcases #FOAMed #errad #chestrad
The heart rests on the medial diaphragms, so normally they are silhouetted out. When we see them (blue arrows) it means there is air between the heart and diaphragm @chestcases #FOAMed #errad #chestrad
This can be seen with pneumomediastinum or pneumopericardium.
There is a more subtle lucency about the high left heart border (yellow arrow) which is also consistent with pneumomediastinum.
These findingscan be difficult to see on CXRs, esp when not involving the neck/axilla.
There is a more subtle lucency about the high left heart border (yellow arrow) which is also consistent with pneumomediastinum.
These findingscan be difficult to see on CXRs, esp when not involving the neck/axilla.
Wetread Case 5
Hx: abdominal pain
Please answer with professionally appropriate gif responses only. No spoilers. wetread.org #WetreadCow #FOAMrad #FOAMed #radres #errad #bodyrad
Hx: abdominal pain
Please answer with professionally appropriate gif responses only. No spoilers. wetread.org #WetreadCow #FOAMrad #FOAMed #radres #errad #bodyrad
@RyanBPetersonMD @ER_Rad_Hanna @RadioGyan Wetread Case 5
More images helpful?
@bwells80 @GayatriJoshiMD @HKhasawneh @tdelae
More images helpful?
@bwells80 @GayatriJoshiMD @HKhasawneh @tdelae
#WetreadCow Case 4
Hx: MVA, neck pain
Please answer with professionally appropriate gif responses only. No spoilers! wetread.org #FOAMrad #FOAMed #radres #errad #Neurorad #MSKRad
Hx: MVA, neck pain
Please answer with professionally appropriate gif responses only. No spoilers! wetread.org #FOAMrad #FOAMed #radres #errad #Neurorad #MSKRad
#WetreadCow Case 4
Answer: Unilateral Facet Dislocation
Normal L & R superior articular facets overlap/aligned to the C6-C7 where 1 is shifted anterior(red dash)
-Ant & post vertebral lines (green) ?ok
-Spinolaminar line (orange)=broken ❌
-Post spinous line (purple) = gap ❌
Answer: Unilateral Facet Dislocation
Normal L & R superior articular facets overlap/aligned to the C6-C7 where 1 is shifted anterior(red dash)
-Ant & post vertebral lines (green) ?ok
-Spinolaminar line (orange)=broken ❌
-Post spinous line (purple) = gap ❌
Perched facet = subluxed joint with tip of inferior facet resting on tip of super facet of lower body
Dislocated/jumped/locked facet = complete dislocation with inferior tip ANTERIOR to superior facet of lower body (thus "locked")
Get the CT and ALWAYS 👀 for the fracture!
Dislocated/jumped/locked facet = complete dislocation with inferior tip ANTERIOR to superior facet of lower body (thus "locked")
Get the CT and ALWAYS 👀 for the fracture!
#WetreadCoW Case 3
Hx: Chest pain
Diagnosis? (it's August, we're starting easy! I'm giving you PA AND Lat! 😀)
Professionally appropriate gif responses only please. No spoilers! wetread.org #FOAMrad #FOAMed #radres #errad #chestrad #bodyrad
Hx: Chest pain
Diagnosis? (it's August, we're starting easy! I'm giving you PA AND Lat! 😀)
Professionally appropriate gif responses only please. No spoilers! wetread.org #FOAMrad #FOAMed #radres #errad #chestrad #bodyrad
#WetreadCOW Case 3 Answer: Bochdalek Hernia
Large round opacity right lung base.
On frontal does NOT obscure anterior diaphragm or R heart border - ie posterior/RLL
On lateral DOES "obscure" entire posterior R diaphragm
#Chestrad #ERRad #radres #FOAMrad
Large round opacity right lung base.
On frontal does NOT obscure anterior diaphragm or R heart border - ie posterior/RLL
On lateral DOES "obscure" entire posterior R diaphragm
#Chestrad #ERRad #radres #FOAMrad
#WetreadCoW Case 2
Hx: Fall, pain
Anyone know my name?
Please answer with professionally appropriate gif responses only. No spoilers. wetread.org #FOAMrad #FOAMed #radres #errad #mskrad #orthorad
Hx: Fall, pain
Anyone know my name?
Please answer with professionally appropriate gif responses only. No spoilers. wetread.org #FOAMrad #FOAMed #radres #errad #mskrad #orthorad
#WetreadCow Answer: Barton Fracture
Distal radial fx but only involves dorsal aspect of the distal radius (volar aspect is intact). Radial styloid ok on oblique?🤔
Barton fx=shear fx of dorsal distal radius
Shear off volar aspect=reverse Barton fx
#mskrad #orthorad #FOAMrad
Distal radial fx but only involves dorsal aspect of the distal radius (volar aspect is intact). Radial styloid ok on oblique?🤔
Barton fx=shear fx of dorsal distal radius
Shear off volar aspect=reverse Barton fx
#mskrad #orthorad #FOAMrad
This fx is not too displaced, but as the fx fragment displaces more, the carpal bones often dislocate with it. If we cone in tightly we can see the scaphoid/lunate are starting to migrate with the dorsal fragment
W/o proper trt, this can cause long term wrist pain/instability
W/o proper trt, this can cause long term wrist pain/instability
#WetreadCoW Season 9 Case 1 - back to the basics
Hx: Line placement 😮 OR is calling now for a STAT report. Look OK?
Please answer with professionally appropriate gif responses only. No spoilers! wetread.org #FOAMrad #FOAMed #radres #errad #chestrad
Hx: Line placement 😮 OR is calling now for a STAT report. Look OK?
Please answer with professionally appropriate gif responses only. No spoilers! wetread.org #FOAMrad #FOAMed #radres #errad #chestrad
#WetreadCoW S9C1 Answer
1)Malpositioned left subclavian catheter (extends into R IJ)
2)Malpositioned right jugular Swan-Ganz catheter (extends into hepatic vein)
Did you see both? You have to check every one! 🤬
#FOAMrad #FOAMed #radres #chestrad #radtwitter #MedTwitter
1)Malpositioned left subclavian catheter (extends into R IJ)
2)Malpositioned right jugular Swan-Ganz catheter (extends into hepatic vein)
Did you see both? You have to check every one! 🤬
#FOAMrad #FOAMed #radres #chestrad #radtwitter #MedTwitter
Let go through them. Correct ones first.
ETT - tip below the thoracic inlet and >2cm above carina ✅
GI tube - tip/side port below GE junction (hard to see but I think so)✅
Mediastinal drain ✅
Right chest tube x 2✅ (No pneumothorax)
I'm not @radiologistpage but I try 🤣
ETT - tip below the thoracic inlet and >2cm above carina ✅
GI tube - tip/side port below GE junction (hard to see but I think so)✅
Mediastinal drain ✅
Right chest tube x 2✅ (No pneumothorax)
I'm not @radiologistpage but I try 🤣
Wetread Summer Series Case 8
Hx: shoulder pain
Please answer with professionally appropriate gif responses only. No spoilers. wetread.org #WetreadCow #FOAMrad #FOAMed #radres #errad #orthorad #MSKrad
Hx: shoulder pain
Please answer with professionally appropriate gif responses only. No spoilers. wetread.org #WetreadCow #FOAMrad #FOAMed #radres #errad #orthorad #MSKrad
#WetreadCow SS Case 8
Answer: Septic joint + osteomyelitis (humerus + glenoid)
+RTC tear or two on MRI 😮
-Cortical destruction w/ ⬆️⬆️osteopenia
-large jt effusion
- ⬆️ soft tissue swelling
These go bad VERY fast! Aspiration is key!
#FOAMrad #radres #errad #orthorad #MSKrad
Answer: Septic joint + osteomyelitis (humerus + glenoid)
+RTC tear or two on MRI 😮
-Cortical destruction w/ ⬆️⬆️osteopenia
-large jt effusion
- ⬆️ soft tissue swelling
These go bad VERY fast! Aspiration is key!
#FOAMrad #radres #errad #orthorad #MSKrad
This was literally a Friday 5PM walking out the door case. To this day it reminds me:
1) Provided Hx can be useless (your 👀 >> indication)
2) Cortex, Cortex, Cortex - examine all the cortical margins
3) Soft tissues are your friend!
4) Beware first and last case of the day 😉
1) Provided Hx can be useless (your 👀 >> indication)
2) Cortex, Cortex, Cortex - examine all the cortical margins
3) Soft tissues are your friend!
4) Beware first and last case of the day 😉
Wetread Summer Series Case 7
Hx: scrotal pain (we got a bit different hx from the pt...)
Please answer with PROFESSIONALLY APPROPRIATE gif responses only. No spoilers. wetread.org #WetreadCow #FOAMrad #FOAMed #radres #errad #bodyrad
Hx: scrotal pain (we got a bit different hx from the pt...)
Please answer with PROFESSIONALLY APPROPRIATE gif responses only. No spoilers. wetread.org #WetreadCow #FOAMrad #FOAMed #radres #errad #bodyrad
#Wetread SS Case 7 Answer: Penile Fracture
Hx was actually classic "Heard pop w/ pain during intercourse"
US shows 1 corpus spongiosum + 2 corpus cavernosa. Examine for rupture of the tunica albuginea which surrounds the CC and CS ->deflation. Hematoma (red) extends proximally.
Hx was actually classic "Heard pop w/ pain during intercourse"
US shows 1 corpus spongiosum + 2 corpus cavernosa. Examine for rupture of the tunica albuginea which surrounds the CC and CS ->deflation. Hematoma (red) extends proximally.
-Hx is typical
-Imaging classic once you get there.
-ER often just orders a scrotal US (need penile US).
-Uncommon so US techs may/may not know how to scan
Get trans/long images looking for CC/CS ruptured hyperechoic albuginea and/or hematoma
Urtheral injuries rare but occur
-Imaging classic once you get there.
-ER often just orders a scrotal US (need penile US).
-Uncommon so US techs may/may not know how to scan
Get trans/long images looking for CC/CS ruptured hyperechoic albuginea and/or hematoma
Urtheral injuries rare but occur
Wetread Summer Series Case 6
Hx: pelvic pain (pregnancy test pending 🙄)
Please answer with professionally appropriate gif responses only. No spoilers! wetread.org #WetreadCow #FOAMrad #FOAMed #radres #errad #bodyrad #obgyn
Hx: pelvic pain (pregnancy test pending 🙄)
Please answer with professionally appropriate gif responses only. No spoilers! wetread.org #WetreadCow #FOAMrad #FOAMed #radres #errad #bodyrad #obgyn
Here are some coned down views that may be helpful.
Wetread SS Case 6 Answer: Ruptured Heterotopic Pregnancy (IUP + ruptured ectopic pregnancy)
Too easy?🤔 No one likes OB?☹️🤣
+IUP generally excludes ectopic pregnancy. Here's the rare exception proving the rule. Labeled gif below for #radres. #WetreadCow #FOAMed #errad #bodyrad
Too easy?🤔 No one likes OB?☹️🤣
+IUP generally excludes ectopic pregnancy. Here's the rare exception proving the rule. Labeled gif below for #radres. #WetreadCow #FOAMed #errad #bodyrad
Wetread Summer Series Case 5
Hx: dizziness
Anything of interest?
Please answer with professionally appropriate gif responses only. No spoilers! wetread.org #WetreadCow #FOAMrad #FOAMed #radres #errad #NeuroRad
Hx: dizziness
Anything of interest?
Please answer with professionally appropriate gif responses only. No spoilers! wetread.org #WetreadCow #FOAMrad #FOAMed #radres #errad #NeuroRad
Wetread SS Answer: Persistent Primitive Trigeminal Artery (PPTA)
We don't need a CTA to see the now ca++ primitive connection between the right cavernous ICA and basilar artery
Tau sign is the classic description on the sagittal CTA/MRA #WetreadCOW #FOAMed #radres #Neurorad
We don't need a CTA to see the now ca++ primitive connection between the right cavernous ICA and basilar artery
Tau sign is the classic description on the sagittal CTA/MRA #WetreadCOW #FOAMed #radres #Neurorad
Persistent Carotid-Vertebrobasilar Anastamoses:
-Embryologic connections
-Normally regress
-Named by cranial nerve it follows
Caudal->Cranial: "HOT"
Hypoglossal - cervical ICA (C1-C3)
Otic - petrous ICA - rare/controversial
Trigeminal - cavernous ICA->basilar a (most common)
-Embryologic connections
-Normally regress
-Named by cranial nerve it follows
Caudal->Cranial: "HOT"
Hypoglossal - cervical ICA (C1-C3)
Otic - petrous ICA - rare/controversial
Trigeminal - cavernous ICA->basilar a (most common)
Wetread SS Case 4
Hx: hip dislocation
Initial and post reduction films. Thoughts? 🤔 There may be a CT coming 😉
Professionally appropriate gif responses only. No spoilers! wetread.org #WetreadCow #FOAMrad #FOAMed #radres #errad #MSKRad
Hx: hip dislocation
Initial and post reduction films. Thoughts? 🤔 There may be a CT coming 😉
Professionally appropriate gif responses only. No spoilers! wetread.org #WetreadCow #FOAMrad #FOAMed #radres #errad #MSKRad
@AdamSingerMD @StefanTigges @ER_Rad_Hanna @RyanBPetersonMD Pt still had pain and limited ROM so CT was ordered. Anything wrong here?
#WetreadCow Answer: dislocated arthroplasty liner
Femoral head component does not sit centrally in the acetabular component because the radiolucent liner has dislocated into a communicating fluid collection (ie circular lucency lateral to troch!)#FOAMed #radres #MSKrad #orthorad
Femoral head component does not sit centrally in the acetabular component because the radiolucent liner has dislocated into a communicating fluid collection (ie circular lucency lateral to troch!)#FOAMed #radres #MSKrad #orthorad
