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Spotted Bones

Authors: Catalin-Iulian Efrimescu, John Ryan / Editor: Tajek B Hassan / Reviewer: Peter Kilgour / Codes: MuP1, MuP2, MuP3, SLO1Published: 19/05/2021

A 20-year-old female who has fallen off her horse is complaining of right sided chest pain.

Patent airway, GCS 15, pulse 95/min, BP 126/85, SaO2 98% on air, blood sugar 5.5.

During a secondary survey she was noticed to have tenderness over the spinous process of her 4th cervical vertebra as well as complaining of moderate pain over both sacroiliac joints. A trauma X-ray series was ordered. When the X-rays were reviewed an abnormal finding was noticed.

CIC_Spotted_Bones2

Spotted Bones Image 1

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16 responses

  1. Got it right the first time only with some knowledge about poikilos and grasping it from the pelvic xray lesions. Interesting case and explanation.

  2. had never come across this before(hardly surprising with a 1 in 50,000 incidence and mostly incidental findings) – interesting case and one to look out for

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