Anatomy and Radiology Flashcards
What does this X-ray show?
What are the associated risks?
How is it managed?
Comminuted L femoral fracture
Haemodynamic instability, fat embolus, infection if open
Prophylactic anticoagulation, thomas splint, surgical debridement if open, surgical fixation
What does this show?
What are the associated risks?
How is it managed?
Tension pneumothorax
Cardiogenic shock
Needle decompression in the 2nd intercostal space mid-clavicular line
What does this show?
What are the associated risks?
How is it managed?
Pelvic fracture - superior and inferior pubic ramus
Haemodynamic instability
Pelvic binder
What does this show?
What are the associated risks?
How is it managed?
Splenic laceration, renal laceration, liver contusion
Severe bleeding, if hilum has been detached from kidney then it will no longer function
Surgical or interventional radiology
What does this show?
What are the associated risks?
How is it managed?
Extradural haematoma
Raised ICP
Small so expectant management, monitor GCS
What does this show?
What are the associated risks?
How is it managed?
Clot in L MCA (hyperattenuated area)
Ischaemic injury
Antiplatelets, thombolysis or thrombectomy
What does this show?
Odema with compression of left ventricle, loss of definition, midline shift, haemorrhagic conversion (some hyperdense areas)
What does this show?
What are the associated risks?
How is it managed?
Narrowing of LAD and RCA
Angina, MI
Acute MI - MONA T + PCI within 90 mins
What does this show?
Stenting of coronary arteries (white dots)
What does this show?
What are the associated risks?
How is it managed?
L pleural effusion
Infection, breathlessness
Chest drain - 5th intercostal space mid-clavicular line
What does this show?
What are the associated risks?
How is it managed?
(Occupation - welder)
Left sided opacification with meniscus indicating large pleural effusion, potential mass around bronchus with mediastinal shift to the R, not possible to see heart margins on L
Likely malignany mesothelioma
Palliative radiotherapy, pleurodesis
What does this show?
Pleural thickening on L around entire lung, collapsed L lung with few bronchi present, pleural effusion
What does this show?
What are the associated risks?
How is it managed?
Plaques with calcium deposits in both lungs
Likely asbestosis, silicosis etc
Expectant management
