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
A 56-year-old man presents to the emergency room after being in a motor vehicle accident. He was driving on an icy road when his car swerved off the road and ran head on into a tree. He complains of severe pain in his right lower extremity. He denies loss of consciousness during the accident. His past medical history is notable for poorly controlled hypertension, hyperlipidemia, and major depressive disorder. He takes enalapril, atorvastatin, and sertraline. His temperature is 99.1°F (37.3°C), blood pressure is 155/85 mmHg, pulse is 110/min, and respirations are 20/min. On exam, he is alert and fully oriented. He is unable to move his right leg due to pain. Sensation is intact to light touch in the sural, saphenous, tibial, deep peroneal, and superficial peroneal distributions. His leg appears adducted, flexed, and internally rotated. An anteroposterior radiograph of his pelvis would most likely demonstrate which of the following findings?
AFracture line extending between the greater and lesser trochanters
BFemoral head larger than contralateral side and inferior to acetabulum
CFracture line extending through the femoral neck
DFracture line extending through the subtrochanteric region of the femur
EFemoral head smaller than contralateral side and posterior to acetabulum
A 6-month-old boy is brought to the emergency department by his mother, who informs the doctor that her alcoholic husband hit the boy hard on his back. The blow was followed by excessive crying for several minutes and the development of redness in the area. On physical examination, the boy is dehydrated, dirty, and irritable and when the vital signs are checked, they reveal tachycardia. He cries immediately upon the physician touching the area around his left scapula. The doctor strongly suspects a fracture of the 6th, 7th, or 8th retroscapular posterior ribs. Evaluation of his skeletal survey is normal. The clinician is concerned about child abuse in this case. Which of the following is the most preferred imaging technique as the next step in the diagnostic evaluation of the infant?
ABedside ultrasonography
BMagnetic resonance imaging
CBabygram
DChest computed tomography scan
ESkeletal survey in 2 weeks
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