CincyKidsRad

Cincinnati Children's Radiology

Orbital floor fracture

Coronal CT images of the orbit in bone (image 1) and soft tissue (image 2) windows display an orbital floor fracture with herniation of fat (arrow) and entrapment of the inferior rectus muscle (arrowhead). Orbital blowout fractures result from direct trauma. The trauma causes a sudden increase in intraorbital pressure, potentially leading to caudal displacement of bone fragments into the maxillary sinus. Orbital floor fractures are associated with entrapment of herniated orbital fat and muscles, thereby restricting motion. The inferior and medial orbital walls are most commonly affected in blow-out fractures.

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A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis. He had a history of hypertension, long-term smoking, and a sedentary lifestyle. On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.

A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets. Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.

A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.

patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?