Triage: BIBM from work, fell down appx 5ft of steps, -loc, -thinners. C/o left wrist pain, no deformity noted +PMS, hematoma to left side of forehead,
History of Present Illness: A woman in her 60’s fell dancing the night prior and comes in with left wrist pain.
Vital Signs: T: 36.3 °C (Oral) HR: 65 (Monitored) RR: 16 BP: 177/75 SpO2: 97%
Physical Exam: The vitals are all normal. Tender to dorsal wrist
Relevant Test Results:
What is the diagnosis
- A) Wrist sprain
- B) Distal radius fracture
- C) Triquetral fracture
- D) None of the above
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- Emergency Medicine 1-Minute Consult, 5th edition
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ANSWER:
- A) Wrist sprain
- B) Distal radius fracture
- C) Triquetral fracture
- D) None of the above – CORRECT. Scaphoid fracture plus mild die-punch fracture to distal radius
1-Minute EM Consult on the topic for this case from the Emergency Medicine 1-minute Consult Pocketbook
CASE LESSONS:
- Radiologists sometimes miss things too