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Feb 8 2010, 2:45 AM EST
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AndyC
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Change: Moved by AndyC Feb 8 2010, 2:45 AM EST
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Nov 6 2009, 9:38 AM EST
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Change: inis no view" (from Dr John Harris). One of the few exceptions is the survey examination where the cost-vs-yield considerations are different Case 1- Single View Inadequate This is an AP ankle image. There appears to be no obvious fracture or dislocation.(? visible tibial periosteum) The
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Jul 26 2009, 10:14 PM EDT
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Change: . If you look closely at the cervical spine images (left and above) you will find evidence of a destructive bone tumour in the left mandible.This is an AP cervical spine image on a trauma patient. This
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Jun 4 2009, 8:00 PM EDT
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Change: TheThey are typically revealed on subsequent plain films, MR, CT or Nuclear Medicine imaging. With the advent of MR imaging, it is clear that some fractures are present at the time that the plain film iage was takenacquired but need MR imaging to
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Jun 4 2009, 7:58 PM EDT
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Change: This is an AP cervical spine image on a trauma patient. This projection of the cervical spine was performed to demonstrate cervical spine traumatic pathology. In focusing on the cervical vertebra, the observer can easily overlook the rib fracture(black arrow) and pneumothorax(white arrow) demonstrated.DiscussionYou tend to
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May 16 2009, 3:39 AM EDT
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Change: radiographst.radiograph. It is much easier to read a chest radiographwhen it is right-side up than up-side down, because we are used to viewing it this way and we have a mental image of what a chest roentgenogram is supposed to look like.adapted from Karen Nugent,
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May 16 2009, 3:38 AM EDT
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Change: Recognising normal anatomy is a form of pattern recognition in much the same way as you learn abnormal patterns. If you view a chest image up-side-down, the pattern recognition of normal anatomy just doesn't kick in despite the fact that the information available
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Apr 4 2009, 6:18 AM EDT
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Change: There were only format changes (bold, italics, etc.) in this version. See this version for details.
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Apr 4 2009, 5:44 AM EDT
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Change: There is great truth in the dictum "one view in no view". One of the few exceptions is the survey examination where the cost-vs-yield considerations are different Case 1- Single View Inadequate This is an AP ankle image. There appears to be no obvious fracture or dislocation.(? visible
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Mar 29 2009, 1:49 AM EDT
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Change: Interestingly, this a very similar position to that which failed to demonstrate the posterior malleolus in case 1 and case 2.It is noteworthy that when the radiographer returned to the patient to perform these supplementary
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Mar 29 2009, 1:45 AM EDT
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Change: If you look closely at the cervical spine images above you will find evidence of a destructive bone tumour in the left mandible. 12. Satisfaction Syndrome There is a well recognised tendency to miss fractures when the first fracture is identified- you cease looking when
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Mar 19 2009, 6:42 AM EDT
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Change: spiral fracture of the femur. The tip of the proximal fragment is arrowed. It is unfortunately overlying the calcified femoral artery- this does not help to
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Mar 19 2009, 6:40 AM EDT
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Change: What was missed by all concerned was that the patient sustained a spiral fracture of the femur. The tip of the proximal fragment is arrowed.
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Mar 19 2009, 6:19 AM EDT
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Change: distal radius is suspect looking. The scaphoid fat pad (white arrow) and the pronator fat pad (black arrow) were normal.The radiographer was convinced clinically that the patient had sustained a fracture and considered whether
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Mar 11 2009, 10:49 PM EDT
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Change: This lady presented to the Emergency Department after a fall and was referred for wrist radiography. The images below show her wrist after the bandage was removed. She was in considerable pain and the focal swelling over the dorsum of her wrist suggested that she had sustained a fractured radius.
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Feb 28 2009, 6:08 AM EST
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Change: It is noteworthy that when the radiographer returned to the patient to perform these supplementary views, the referring doctor was discharging the patient with an
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Feb 28 2009, 5:59 AM EST
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Change: Asking the opinion of more experienced staff can be a useful (if not obvious) solution. Children can present difficulties in recognising normal bony anatomy because of the complicating presence of the physis.
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Feb 10 2009, 5:16 PM EST
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Change: To be fair, the original lateral ankle was not too badly positioned and could be argued to be within acceptable limits. However, when the fibula
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Feb 10 2009, 5:13 PM EST
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Change: The decision to present a lateral chest image as a lateral thoracic spine must take into account all of the circumstances at the time. This
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Feb 10 2009, 4:58 PM EST
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Change: Red Dot system was largely developed as a response to plainfilm misdiagnosis and its associated legal costs in a hospital in the UK (see BMJ 1985: 290 : 421-422). The causes for the most common misdiagnoses tend to fall into
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