0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Radiological Case of the Month

John L. Gwinn, MD; George R. Barnes Jr., MD; Byron G. Brogdon, MD
Am J Dis Child. 1967;114(6):645-646. doi:10.1001/archpedi.1967.02090270101010.
Text Size: A A A
Published online

CLINICAL HISTORY.—A 9-year-old Negro boy received a puppy for Christmas. While running with the puppy on Dec 26, he fell across an outdoor water hydrant, striking his right upper quadrant near the midline. The boy cried a bit but did not seem seriously injured. Shortly thereafter, however, he became nauseated. He experienced several episodes of vomiting prior to his admission to the University of Florida Teaching Hospital some five hours after the trauma.

On admission the patient was hiccupping but seemed to be in no acute distress. There was slight right upper quadrant tenderness with minimal guarding. No abdominal masses were palpable and there was no rebound tenderness. The vital signs were normal.

Pertinent laboratory findings included hematocrit, 36; white blood cell count, 11,400; urinalysis, normal; stool, negative for blood; and bilirubin 1.3.

Radiographic examination of the abdomen demonstrated loss of definition of the superior margin of the right psoas

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();