Tuesday, November 24, 2009

THIS WAS AN INTERESTING CASE:

THE PATIENT WAS A FIFTY-TWO YEAR OLD AND CAME DOWN FOR A LOWER LEG CT. THE PATIENT WAS HAVING MID, POSTERIOR THIGH PAIN, NO TRAUMA. A DOPPLER HAD ALREADY BEEN DONE AND THE ORDERING DOCTOR WAS CHECKING FOR A BLOOD CLOT. THE SCAN WAS ORDER WITH IV CONTRAST, BUT THE PATIENT HAD A PREVIOUS ALLERGIC REACTION SO THE ORDERING PHYSICIAN DECIDED TO HAVE US DO THE SCAN WITHOUT CONTRAST. I DIDN'T INITIALLY NOTICE ON THE AXIAL SCAN, BUT DURING THE CORONAL AND SAGITTAL RECONS A CLEAR HIP FRACTURE COULD BE SEEN. THE ONLY HISTORY THE PATIENT GAVE WAS FREQUENT CRAMPING OF THE RIGHT LEG. NO REASON AT ALL TO SUSPECT A HIP FRACTURE.

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