A 68-year-old lady presents following a fall on her outstretched hand (FOOSH). She has marked pain around the wrist joint with bony tenderness on palpation. A wrist X-ray demonstrates a fracture of the distal radius with anterior (palmar) displacement of the distal fragment. There is no neurovascular compromise.
Select the most appropriate initial management option.
A 27-year-old man comes to the Emergency Department with pain in his hand. He had a similar incident to the previous patient, where he fell onto an outstretched hand while playing basketball. He is experiencing pain in the wrist, particularly below the thumb. X-rays are taken, including AP, lateral, and scaphoid views, but no fracture is seen.
What is the best course of action for managing this patient?
A 42-year-old man has a high thoracic spine injury at T2 sustained from a motorbike accident. He is now 10 days post injury and has had a spinal fixation. He is paraplegic with a sensory level at T2. He has had a normal blood pressure today requiring no haemodynamic support. You are called to see him on the trauma ward as he has a tachycardia at about 150/beat per minute and very high blood pressure, up to 230/110 mmHg. The nurses have just changed his catheter. He says he feels slightly strange, sweaty and flushed in his face.
What would explain this?
A 23-year-old woman was assaulted with a bat during a domestic altercation. The attack caused an oblique fracture in the middle of the humerus.
Which nerve is most likely to be damaged during a midshaft humeral fracture?
A 25-year-old woman was assaulted with a cricket bat during a domestic altercation. The attack caused an oblique fracture in the middle of the humerus.
Which nerve is most likely to be damaged during a midshaft humeral fracture?
A 67-year-old woman is brought to the Emergency Department after she slipped on a wet kitchen floor and fell onto her outstretched hand. Her X-ray shows a fracture within 2.5 cm of the distal radius, with dorsal displacement of the distal segment and avulsion of the ulnar styloid.
What is the diagnosis?
A 67-year-old man presents to the Emergency Department with a hot swollen joint. The physician suspects septic arthritis and decides to perform synovial fluid analysis. Can you name another type of synovial joint?
How does teriparatide, a derivative of parathyroid hormone (PTH), help in treating severe osteoporosis despite the fact that primary and secondary hyperparathyroidism are associated with loss of bone mass?
A radiologist examines the ankle and foot X-rays of an elderly man with a suspected ankle fracture. A fracture of the talus is noted, with the fracture line interrupting the subtalar joint.
With which of the following bones does the talus articulate at the subtalar joint?
An 85-year-old patient visits his General Practitioner (GP) complaining of increasing pain in his left upper leg over the past 4 months. After conducting a thorough examination and taking a detailed medical history, the GP decides to order a set of blood tests and an X-ray of the left femur. Upon reviewing the results, the GP notices that the X-ray report indicates an area of cotton-wool calcification. What condition is cotton-wool calcification on an X-ray typically linked to?