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Image challenge
Prompt diagnosis by a smart resident for a patient with pelvic fracture
  1. Yi-Syuan Shin,
  2. Wei-Chen Lee,
  3. Chih-Yuan Fu
  1. Department of surgery, Chang Gung Memorial Hospital Linkou Main Branch, Taoyuan, Taiwan
  1. Correspondence to Dr Chih-Yuan Fu, Chang Gung Memorial Hospital Linkou Main Branch, Taoyuan, Taiwan; drfu5564{at}gmail.com

https://doi.org/10.1136/emermed-2020-210807

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    Clinical introduction

    A young male pedestrian presented to our emergency department after having been hit by a truck. A contrast enhanced CT done on arrival revealed a pelvic fracture without evidence of bleeding. Three hours later because of the persistent abdominal pain and the presence of new fluid on a bedside sonogram, a multiphase CT (contrast phase, arterial phase, venous phase and delayed phase) to rule out vascular injury was ordered. When the junior resident who accompanied the patient to the repeat scan saw the initial (non-contrast) image of the …

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    Footnotes

    • Contributors Shin: drafting of the manuscriptFu and Lee: critical revision.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient and public involvement Patients and/or the public were not involved in the design, or conduct, or reporting, or dissemination plans of this research.

    • Provenance and peer review Not commissioned; internally peer reviewed.