Image of the Day 16: 10 Years old Boy With Left Forearm Deformity

Deformity, swollen and no open wound. Palpation will give the other sign of fractures that are tenderness and warm.

Left distal radius fracture with displacement

AP views shows displacement (shortening) of the radius bone. left ulnar styloid process look like as it is fractured as well but it is normal.

Principles of bone fracture management. Reduce, Immobilize and Hold!

Lower Limb Trauma

25 years old gentleman fall from his motorbike at the speed of 70 km/hr and his left leg landed on the road divider. He sustains pain over his leg and unable to move the leg due to pain. He was fully conscious during the accidents. Below is the radiograph image of his left femur.

 

Questions

1) Describe the radiographic finding

2) What other injury that you are looking for

3) Complication that this patient may have

4) Management for this patient

For answer to this questions, click [here]

Bone infection

An 80 years old lady with history of bipolar implants of the left leg for 2 years due to fracture of the neck of femur and defaulted follow up presented with left leg pain and chronic serous discharge from the implant site. Below is the radiological image of his left femur.

Questions

1) Describe the radiological findings

2) What is your provisional diagnosis

3) Investigation

4) Management for this patient.

5) What are the component of implant failure

For answer to this questions, click [here]

Radius Fracture

16 years old boy fall from motorbike with his wrist landing in flexion position. He sustains pain, deformity and swelling of his right hand. Picture A is his right hand and picture B is the Right/Ulnar radius with Hand X Ry in AP and Lateral view.

Picture A

Picture B

Questions

1) Describe the radiological finding for this patient

2) What is your spot diagnosis?

3) How do you differentiate between Smith vs Barton's fracture?

4) How do you treat this fracture?

5) Complication of untreated or mis treatment of this fracture?

For answer to this question, click here

Diabetic foot ulcer

This man has Diabetes Mellitus

Questions

1)Describes the abnormal findings
2)What is your diagnosis?
3)Give two investigations


For answer to this question, click [here]

Complication of fracture

This man has history of MVA 6 months prior to admission

Questions

1)Describes the abnormal findings
2)What is your diagnosis?
3)Give two further investigations to support your diagnosis


For answer to this question, click [here]

OSCE pro III series 7

Modified question of OSCE Professional III 2004/05 Station 1

Questions

1)Describes two abnormalities in the picture
2)What is your provisional diagnosis
3)How do you differentiate between dead and healthy tissue?
4)Complication that this patient might get
5)What are the advantages of the above procedure?

for answer to this question, click [here]

Blunt Injury to the Chest

A 23 Years old Malay man was brought to hospital by the EMD after involving in MVA, car vs. car. According to the rescuer team, patient was not wearing the seatbelt. On initial assessment, the eye opened in response to pain, confused and able to localize the pain. Below is the picture of his chest.

Questions

1) Describe the picture

2) Assess this patient GCS

2) What are the injuries that likely to occur in this patient?

3) What investigation you want to take

4) How do you manage this patient?

For answer to this question, click [here]