1. Brad Moatz MS IV Penn State – Hershey 2-28-08
Radiology - SYB II
Brad Moatz MS IV
Penn State – Hershey

2. Case #1 Ms. D Cc: R wrist pain
HPI: 28 y.o. s/p fall from roof. RHD. Pt seen in ED in FL was offered surgery but declined. Pt was instructed to seek medical tx within 3 days. Did not receive any tx while in FL.
PMH: unremarkable
SH: no tobacco, no EtOH
All: NKDA
PSH: ACL surgery (2000)

3. Case #1 PE – numbeness and paresthesia in median n. distribution.
Full sensation in radial and ulnar nn.
Pt unable to flex/extend wrist
Pt able to move fingers but decreased ROM secondary to pain
Marked swelling appreciated
2+ radial pulse with <2 sec cap refill

8. Case #2
Ms. B
Cc: L hip pain
HPI: 89 y.o. female with h/o fall in bathroom. Presents with L hip pain. No LOC.
PMH: Dementia, angina, HTN, colon polyps removed in 1990
SH: no EtOH, no cigs
Meds: Paxil, Nemenda
All: NKDA

9. Case #2 PE – No overlying ecchymosis,
Prominence over L ant & lat thigh
LLE shortened, ER
SP/DP/S/S/T SILT
EHL/TA/G/S 5/5, limited ROM with HF and ext. as well as knee flexion/ext
2+ DP/PT pulse

17. Case #3 Mr. B Cc: R foot pain
HPI: 18 y.o. male. Chasing dog around house and kicked couch. C/o R 5th toe pain
PMH: unremarkable
Meds: None
SH: no cigs, no EtOH
All: NKDA
PSH: None

18. Case #3 PE – R 5th toe markedly swollen No overlying ecchymosis
Toe is laterally deviated
Pt able to flex toe slightly
S/S/SP/DP/T SILT
DP/PT 2+ pulse

23. Case #4
Mr. M
Cc: R arm pain
HPI: 8 y.o. male. Pt was jumping on trampoline and landed on R arm. No LOC. RHD
PMH: L forearm fx 4 years ago
Meds: None
All: NKDA
PSH: None

24. Case # 4
PE – Pt able to move all 5 fingers but decreased ROM secondary to pain
SILT r/u/m distribution
2+ radial pulse
No overlying ecchymosis
Prominence over R posterior forearm with marked swelling

29. 2 day f/u

30. Case #5
Mr. J
Cc: R arm pain
HPI: 56 y.o. male with h/o HCC. Fell while attempting to sit on stool. Fell onto R arm and L side. No LOC
PMH: HCC, s/p liver transplant 1994 secondary to Hep C, HTN
All: NKDA
SH: no cigs, no EtOH
Meds: Avastin, Zarafinib, Rapirimine, Pepcid, Lyrica, Ursodiol, Lexapro, Lasix, Fosamax, Dexamethasone

31. Case #5 PE – No obvious overlying skin changes
Decreased ROM at R shoulder and R elbow secondary to pain
R and L wrist fused previously (MVA)
No sensory deficits, C5 – T1 SILT
2+ radial pulse, <2 sec cap refill