Crossword Puzzles:
Antidotes Used In Toxicology

Orthopedics

October 2008 Radiology Quiz

Answers due by November 1st, 2008

Patient is a 23yo male who presents to the ED with the cc of left-sided facial pain after being hit with a brick to the right side of the face.

1. Describe what you see?

• Inferior and lateral orbital wall and rim fracture
• Zygomatic frontal suture diaphysis
• Zygomatic arch fracture

 

Diagnosis: Tripod fracture

2. How do these patients typically present?

• Facial flattening
• Periorbital edema and ecchymosis
• Hypoesthesia of the infraorbital nerve distribution

3. What are the complications of the above fractures?

• Trismus
• Diplopia
• Infraorbital anesthesia
• Sinusitis
• Visual loss

4. What would be your treatment and disposition of this patient?

• OMS consultation
• Nondisplaced fractures without eye involvement:
• Ice and analgesics
• Decongestants
• Tetanus
• Broad-spectrum antibiotics
• Delayed operative consideration in 5-7 days
• Displaced tripod fractures usually require admission for open reduction and internal fixation.
• Ophthalmology consult

Trivia: Who was the first Western pop star to perform in Israel?

• Elton John
• Bob Dylan                   
• Billy Joel
• Ringo Starr

[St Barnabas Hospital] [Tintinalli & Rosen's Quiz] [Radiology Case Studies] [2004-05 Radiology Quizzes] [2005-06 Radiology Quizzes] [2006-07 Radiology Quizzes] [2007-08 Radiology Quizzes] [2008-09 Radiology Quizzes] [Cardiology Case Studies] [Conference] [Lectures] [Teaching Files] [Board Review] [Links] [Residency Program] [Research] [Senior Party] [Shetty's Farewell] [Senior Party 2008]