The lateral view of the right ankle shows an avulsion fracture of the calcaneal tuberosity. An ultrasound scan of the affected area showed a complete tear of the Achilles tendon. Calcaneal tuberosity avulsion fractures constitute about 3% of calcaneal fractures. There … Continue reading
A 29 year old man with fever, jaundice and RUQ tenderness has Haemolytic anaemia – (requires LDH, unconjugated bilirubin, Coombs test, haptoglobin and reticulocyte count) – patients LDH was 969 (120-250), unconjugated bilirubin 104 (<21) with normal platelets and Creatinine … Continue reading
A 29 year old man presents with 2 days of dark urine, fevers and yellow eyes. He has mild RUQ tenderness. His oxygen sats are 80% RA with a normal BP and PR Arterial gas/bloods on RA:pCO2 32 pO2 90 … Continue reading
The following right ankle x-rays are from a 56 year old with sudden pain in the ankle following a twisting injury. What can be seen? Answer will be posted in a few days.
The hand x-ray shows a dislocation of the thumb carpometacarpal (CMC) joint. Thumb CMC joint dislocation is a rare injury, and the mechanism is an axial loading injury to a flexed thumb. The dislocation is mostly in the dorsal direction, … Continue reading