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Tim Ritzmann

Tim Ritzmann

Tim Ritzmann

Tim Ritzmann

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10
143

Hip Fracture

Left intracapsular neck of femur fracture. This is a common injury which it is important to recognise on imaging. It has a relatively poor prognosis and intracapsular fractures are particularly at risk of avascular necrosis of the hip. Early intervention is therefore important - consider which may be the appropriate treatment approaches in this case?  
Tim Ritzmann
over 10 years ago
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6
163

Chest x-Ray

Left Sided Pleural effusion. The most common cause of this presentation is malignancy. It is important to consider the source of a possible primary. It may also be necessary to obtain a sample of the effusion fluid to determine whether it is a transudate or an exudate, using Light's criteria as a guide. Exudate contains greater levels of protein than a transudate reflecting it's often inflammatory origin as the blood vessels become 'leaky' to protein molecules. The differential diagnosis for bilateral pleural effusions is different again. Consider 'failure' e.g. heart, renal or hepatic.  
Tim Ritzmann
over 10 years ago
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4
172

Chest X-ray

Note the calcified granuloma in the right upper zone (an important differential being malignancy). Note also the left lower lobe collapse ('sail sign' behind the heart). If you look closely you will see the abscence of the lower ribs leading you to the conclusion that the patient has, at some point, undergone a thoracotomy. You can also see surgical clips in the stomach.  
Tim Ritzmann
over 10 years ago