Crossword Puzzles:
Antidotes Used In Toxicology

Orthopedics

August 2006 Radiology Quiz

Answers due September 1st, 2006

Name:                                                                                                              PGY:

This patient is a 64 year old male who presents to the ED with the complaint of chest pain and shortness of breath. The following ray is shown.

Questions:

1. Describe what you see?

Left pleural effusion

Mediastinal widening

 

  Diagnosis: Aortic dissection

2. How do these patients present?

Sharp, tearing, intractable chest pain

Murmur or bruit of aortic regurgitation

Previously hypertensive, now possible shock

Asymmetric peripheral pulses

 Pulmonary edema

 

3. What are typical findings CXR findings?

         Mediastinal widening

         Left paraspinal stripe

         Displacement of intimal calcifications

         Apical pleural cap

         Left pleural effusion

         Displacement of endotracheal tube or nasogastric tube

Trivia: Since its summertime and hurricane season, name this Jimmy Buffett song.

Squalls out on the gulf stream
Big storms comin soon
I passed out in my hammock
And God I slept til way past noon
Stood up and tried to focus
I hoped I wouldnt have to look far
I knew I could use a bloody mary
So I stumbled next door to the bar

Chorus:
And now I must confess, I could use some rest
I can’t run at this pace very long
Yes its quite insane, I think it hurts my brain
But it cleans me out and then I can go on………………..

Answer: Tryin’ To Reason With Hurricane Season

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