1. CORE Case 3 Workshop

2. Learning objectives
Identify common findings of traumatic aortic injury on CXR and CT
Be able to suggest alternative imaging options in TAI
Understand the concept of ruptured diaphragm

3. Learning objectives Be able to identify a supine pneumothoraces
Identify a pneumomediastinum
Recognize normal and abnormal line and tube positions
Know how to approach imaging in patients with suspected rib fractures.

4. What questions/difficulties did you have arising from the case

5. Supine CXR: What might you see in TAI?

7. Traumatic aortic injury

8. What would be the next most appropriate examination
What would be the next most appropriate examination? How is it performed?

9. What other ways do we have of evaluating a traumatic aortic injury?

10. 20 year old woman in ATV accident

14. 26 year old woman in MVA Intubated with initial resuscitation at scene

24. 75 year old woman injured in MVC

29. Obese 14 year old in boy in MVA

35. Supine pneumothorax

36. What happens to air when a patient is supine?

41. Day 1
Day 2

44. What are the causes of a pneumomediastinum?

49. Suspected rib fractures

50. What study will you order?
24 year old man, kicked by a horse on left side with diffuse LUQ tenderness.
65 year old woman who fell at home yesterday, right lower chest pain on deep inspiration, and focal tenderness to palpation over right lateral 10th rib. No dyspnea
62 year old woman with a history of breast cancer and spontaneous onset of right lower rib pain, worsened by inspiration. Focally tender to palpation
18 year old man hit by a baseball in his left chest with shortness of breath and pleuritic chest pain. Focally tender to palpation.