Monday, June 25, 2012

Where?


An elderly man with hypertension, hyperlipidemia, coronary artery disease, atrial fibrillation, and dementia falls out of bed and is brought in with low back and leg pain. There are no fractures on radiographs. The CT is shown above.

Challenge: Where's the bleeding?

Image shown under Fair Use.
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2 comments:

  1. treeJune 27, 2012 at 3:55 PM

    somewhere in the retroperitoneum... on the left side... :P

    ReplyDelete
  2. CraigJuly 4, 2012 at 1:28 PM

    yes :P
    -
    Where?

    This is a retroperitoneal bleed, seen in elderly patients on anticoagulants or antiplatelets.

    Sources: UpToDate; American Journal of Gastroenterology.

    ReplyDelete

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