A 36-year-old male is taken to the emergency room after jumping from a building. Bilateral fractures to the femur were stabilized at the scene by emergency medical technicians. The patient is lucid upon questioning and his vitals are stable. Pain only at his hips was elicited. Cervical exam was not performed. What is the best imaging study for this patient?
AAP and lateral radiographs of hips
BLateral radiograph (x-ray) of hips
CMagnetic resonance imaging (MRI) of hips, knees, lumbar, and cervical area
DAnterior-posterior (AP) and lateral radiographs of hips, knees, lumbar, and cervical area
EComputed tomography (CT) scan of cervical spine, hips, and lumbar area
An 80-year-old woman is brought to the emergency department for left hip pain 30 minutes after she fell while walking around in her room. Examination shows left groin tenderness. The range of motion of the left hip is limited because of pain. An x-ray of the hip shows a linear fracture of the left femoral neck with slight posterior displacement of the femur. Which of the following arteries was most likely damaged in the patient's fall?
ASuperior gluteal artery
BDeep circumflex iliac
CDeep femoral artery
DObturator
EMedial circumflex femoral
A 69-year-old woman presents with pain in her hip and groin. She states that the pain is present in the morning, and by the end of the day it is nearly unbearable. Her past medical history is notable for a treated episode of acute renal failure, diabetes mellitus, obesity, and hypertension. Her current medications include losartan, metformin, insulin, and ibuprofen. The patient recently started taking high doses of vitamin D as she believes that it could help her symptoms. She also states that she recently fell off the treadmill while exercising at the gym. On physical exam you note an obese woman. There is pain, decreased range of motion, and crepitus on physical exam of her right hip. The patient points to the areas that cause her pain stating that it is mostly over the groin. The patient's skin turgor reveals tenting. Radiography is ordered. Which of the following is most likely to be found on radiography?
ALoss of joint space and osteophytes
BPosterior displacement of the femoral head
CHyperdense foci in the ureters
DFemoral neck fracture
ENormal radiography
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