Case Notes
History
Right hip pain.Exam
Prior Study
Dicom
Findings
| Limitations | Correct Answer | Your Answer |
|---|---|---|
|
There is patient motion or other limitations. |
No | NA |
| Skin/Hypodermis | Correct Answer | Your Answer |
|---|---|---|
|
There is edema or hyperenhancement. |
Yes | NA |
|
There is soft tissue ulceration or sinus tract. |
No | NA |
|
There is gas or foreign body. |
No | NA |
|
There is confluent hypoenhancement to suggest phlegmon, suppuration, abscess, or drainable fluid collection. |
No | NA |
| Investing/Intermuscular Fascia | Correct Answer | Your Answer |
|---|---|---|
|
|
No | NA |
|
|
No | NA |
|
There is bulging of the fascia. |
No | NA |
| Muscles | Correct Answer | Your Answer |
|---|---|---|
|
There is edema or hyperenhancement. |
No | NA |
|
There is hypoenhancement, lack of enhancement, or organized fluid collection. |
No | NA |
|
There is fatty atrophy. |
No | NA |
| Bones | Correct Answer | Your Answer |
|---|---|---|
|
There are fractures. |
No | NA |
|
There is periosteal reaction, osseous destruction, or focal demineralization to suggest osteomyelitis. |
Yes | NA |
|
There is cloaca, sequestrum, or involucrum. |
No | NA |
|
There is a subperiosteal or intra-osseous abscess. |
No | NA |
| Visualized Joints | Correct Answer | Your Answer |
|---|---|---|
|
There is a joint effusion. |
No | NA |
|
There is malalignment, degenerative changes, or other gross internal derangement. |
No | NA |
| Miscellaneous | Correct Answer | Your Answer |
|---|---|---|
|
There is tenosynovitis. |
No | NA |
|
Major visualized vascular structures are abnormal. |
No | NA |
|
Major visualized nerves are abnormal. |
No | NA |
Impression
Expert Answer
Unilateral right sacroiliitis, concerning for septic arthritis.
Your Answer
Recommendations & Acuity
Recommendations
Expert Answer
Surgical consultation.
Your Answer
Acuity
Expert Answer
Emergent (Action Necessary now)