Triage: Auto pedestrian accident. Right shoulder and left knee pain
History of Present Illness: A woman in her mid 20’s is ht by a car crossing the street at low speed while the car was turning right with the driver looking to the left. She rolled onto and off the hood and has pain in multiple areas
Vital Signs:
Physical Exam:
Initial Diagnostic Testing:
What is the most likely diagnosis?
- A) Normal
- B) Patellar avulsion fx
- C) Tibial fx
- D) ACL tear
SCROLL DOWN FOR ANSWERS & 1-MINUTE CONSULT
<<<<<<<<<<<<<<<<<<<<< ADVERTISEMENT & SPACER >>>>>>>>>>>>>>>>>>>>>
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THE EMERGENCY MEDICINE POCKETBOOK TRIFECTA
- Emergency Medicine 1-Minute Consult, 5th edition
- A-to-Z EM Pharmacopoeia & Antibiotic Guide, 5th edition
- 8-in-1 Emergency Department Quick Reference, 5th edition
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ANSWER: What is the most likely diagnosis?
- A) Normal
- B) Patellar avulsion fx
- C) Tibial fx – CORRECT – there is a subtle lateral tibial plateau fx, common from a car bumper
- D) ACL tear – CORRECT – this is very likely with this type of fracture called a Segond fracture