Trauma Radiology Flashcards

1
Q

What are the main pathologies seen on chest x-ray in A&E?

A

pneumothorax, pneumonia, effusion, pneumoperitoneum

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2
Q

What are the main pathologies seen on abdominal x-ray in A&E?

A

obstruction & pneumoperitoneum

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3
Q

What is Rigler’s sign?

A

double wall sign - presence of air along the luminal and peritoneal aspect of the bowel wall

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4
Q

What size of pneumothorax requires intervention?

A

> 2cm

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5
Q

How can you recognise small bowel on a radiograph?

A

Has striations all the way across

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6
Q

Transverse/oblique fractures occur due to…

A

A direct blow

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7
Q

Spiral fractures occur due to…

A

Twisting injury

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8
Q

What is a communited fracture?

A

In 2 or more pieces

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9
Q

In which group are Torus/Greenstick fractures found?

A

Children as bones are softer

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10
Q

What is a torus fracture?

A

periosteum in-tact but middle distorted

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11
Q

What is a greenstick fracture?

A

periosteum broken on one side only

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12
Q

How is anatomical neck of the humerus fracture treated?

A

Replacement of humeral head

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13
Q

How are surgical neck of humerus fractures treated?

A

Traction sling

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14
Q

Anterior sail sign and posterior fat pad sign suggests…

A

radial head fracture in adults or supracondylar fracture in children

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15
Q

What is a Colles fracture?

A

distal radius with dorsal angulation

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16
Q

Which fracture frequently happens with a Colles fracture?

A

Ulnar styloid fracture

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17
Q

What is a Smith’s fracture?

A

distal radial fracture with volar displacement

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18
Q

Which complication is associated with scaphoid fracture?

A

AVN

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19
Q

What proportion of patients with scaphoid fracture are at risk of AVN?

A

1/3

20
Q

What is the importance of location in # NOF?

A

If extra-capsular then you will maintain blood supply

21
Q

What is the gold standard treatment for intra-capsular #NOF ?

A

Total arthroplasty

22
Q

Inter-trochanteric #NOF should be treated using…

A

Dynamic hip screw

23
Q

Sub-trochanteric # NOF should be treated using…

A

Intra-medullary nail

24
Q

Which feature of ankle fracture may determine treatment?

A

talar shift – if minimal, can just use a cast

25
Q

Which pathology is shown here?

A

Right lower lobe consolidation - likely pneumonia

26
Q

Which pathology is seen here?

A

Right middle lobe consolidation - likely pneumonia

27
Q

Which pathology is seen here?

A

Right sided pleural effusion

28
Q

Which pathology is seen?

A

Pneumoperitoneum

29
Q

Which pathology is seen here?

A

Bowel obstruction

30
Q

Which pathology is seen here?

A

Pneumoperitoneum

31
Q
A
32
Q

Which pathology is shown?

A

Torus fracture

33
Q

Which pathology is seen?

A

Greenstick fracture of the ulna and radius

34
Q

Which pathology is seen?

A

Anatomical neck of humerus fracture

35
Q

Which pathology is seen?

A

Surgical neck of the humerus #

36
Q

What is the arrow pointing to?

A

Normal fat pad

37
Q

What pathology is seen here?

A

Anterior fat pad sign - likely radial #

38
Q

Which fracture is seen here?

A

Colles’

39
Q

What kind of fracture is this?

A

Smith’s fracture

40
Q

Which pathology is seen?

A

Intertrochanteric fracture

41
Q

What is seen here?

A

Dynamic hip screw

42
Q

Which pathology is seen here?

A

Fracture of distal tibia & fibula

43
Q

What is the first clinical sign of haemorrhage?

A

Tachycardia, then low BP

44
Q

Which pathology does the green arrow point to?

A

Sub-dural haemorrhage

45
Q

How is splenic laceration treated?

A

Splenectomy or splenic artery embolization.

46
Q

What is the blood supply to the spleen?

A

Splenic artery & short gastric arteries

47
Q

Which pathology is seen here?

A

T12 fracture