Biomedical subjects
L E Swischuk
Publications and source records attributed to L E Swischuk.
Facial injury with drooling.
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Abdominal pain: motor vehicle accident.
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Mild knee injury with prolonged problems.
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Mother thinks that the left knee hurts.
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Stomach pain for 3 weeks.
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The posterior fat pad sign and use of comparison radiographs in the diagnosis of occult fractures.
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Is the open-mouth odontoid view necessary in children under 5 years?
OBJECTIVES: Questionnaires (984) were submitted to pediatric radiologists to determine how often odontoid fractures were missed on lateral views and detected on open-mouth odontoid views in children under 5 years. Other questions relating to imaging protocols of the odontoid also were included, and there were 432 respondents. RESULTS: Of these, 161 respondents indicated that an open-mouth odontoid view was not routinely included in their imaging protocol. CONCLUSIONS: There was considerable variability on how the problem of imaging of the odontoid was addressed, but overall there were enough data to begin to consider the concept that the open-mouth odontoid might not be needed in patients under 5 years of age if a lateral view is normal.
Hypertension discovered during health fair week.
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Left back pain and blood in the urine.
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I stepped in a hole and can't walk.
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Swollen and painful left testicle.
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Assault with bruising and drainage from eye.
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Unexplained falling: loss of motor control.
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Upper tibial hyperextension fractures in infants: another occult toddler's fracture.
We describe the radiographic findings associated with occult upper tibial fractures in infants and young children and offer an explanation for the underlying mechanism from which they result. These fractures tend to be subtle, just as the classic spiral tibial fracture originally described by Dunbar et al. (1964, J Can Assoc Radiol 15: 136-144). The fracture we describe results from a hyperextension injury to the knee, and the knowledge of the mechanism of injury, the subtle radiographic findings, and the findings on physical examination allow one to diagnose this fracture with confidence. Otherwise, it easily can go undetected.
Abdominal pain, vomiting, and diarrhea.
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Fall from motor home: sore right wrist.
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