際際滷

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20180103
1/4/2018 abrakca 1
1
1/4/2018 abrakca 2
 Tricompartmental Osteoarthritis
 Joint Effusion
 Tophus
1
1/4/2018 abrakca 3
 Knee joint effusions
 lateral projections
 soft-tissue density in the suprapatellar recess
 loss of normal posterior fat plane of the quadriceps tendon
 fat pad separation sign:
 >10mm diagnostic
 <5mm means no joint effusion
1
1/4/2018 abrakca 4
2
1/4/2018 abrakca 5
2
1/4/2018 abrakca 6
Lipohaemarthrosis
 fat-fluid level (FBI sign)
 Ideally patient has been lying in that position for ~5 minutes to allow fat and
blood to adequately separate
 results from an intra-articular fracture
 Knee, also in hip, shoulder and elbow fractures
2
1/4/2018 abrakca 7
3
1/4/2018 abrakca 8
Abdominal Aortic Aneurysm
3
1/4/2018 abrakca 9
4 21 year old HIV positive patient with fever
1/4/2018 abrakca 10
Pneumocystis Carinii Pneumonia
 Most common cause of interstitial pneumonia in immunocompromised
 Organism Protozoan / fungus Pneumocystis carinii (jiroveci)
4
1/4/2018 abrakca 11
5
1/4/2018 abrakca 12
Salter-Harris Classification Of Epiphyseal Injuries
 fracture lateral condyle
 involving epiphysis, epiphyseal plate and lateral metaphysis/condyle.
 Salter Harris IV fracture.
5
Thurston-Holland sign.1/4/2018 abrakca 13
6 Abdominal pain. History of mastectomy three years ago.
1/4/2018 abrakca 14
Calcified leiomyoma
6
1/4/2018 abrakca 15
1/4/2018 abrakca 16
spinnaker sign/ angel wing sign
 Pneumomediastinum
 thymus being outlined by air with each lobe displaced laterally and
appearing like spinnaker sails
1/4/2018 abrakca 17
8
1/4/2018 abrakca 18
thymic sail sign
 Triangular shaped inferior margin of normal thymus
8
1/4/2018 abrakca 19
9
1/4/2018 abrakca 20
Aggressive Periosteal Reaction (Sunburst Appearance )
 osteosarcoma
 but can also occur with other aggressive bony lesions such as Ewing
sarcoma or osteoblastic metastases (e.g. prostate, lung or breast
cancer).
9
1/4/2018 abrakca 21
10
1/4/2018 abrakca 22
Thank You
10
1/4/2018 23
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