Saturday, December 15, 2018

Movember Quiz Answers

Congrats to Drs Dey, Vosburg, Bonney and Bulzan - y'all did great. Below are the answers for this month's quiz - We will see you in February!

1. Males 30-49 years because of occupational exposure and risk taking behavior. Runners - affect male genitalia. (historically not currently - military) (2 points)

2. Thumb - protection when clenched in the palm. (1 point)

3. More than 24 hours after injury, use methamphetamines, or have evidence of multiple freeze-thaw-refreeze injuries (3 points)

4. SPECT-CT - precise anatomical localization of functional information for surgical planning. Define exact level of bone necrosis. Better evaluate small digits and tips of distal phalanges. Evaluate response to treatment. (3 points)

5. Penile fracture - is a tear in the tunica albuginea with rupture of corpus cavernosum. Freudian slip in the original question - sorry - 1 point

6. T1 and T2 hypointense thickening (plaques) of the tunica albuginea. Acute - enhancement of plaque. (2 points)

7. Liposarcoma - frequently demonstrates thickened septa or enhancing soft tissue components. Scrotal liposarcomas are larger and may demonstrate local invasion or metastatic disease. 3 points

8. Lymphoma - most common bilateral tumor (also most common secondary neoplasm involving the testes). 1 or more T2 hypointense masses with enhancment. Restricts on DWI and ADC (3 points).

9. 18F-NaF PET/CT is superior in sensitivity but not specificity - 1 point.

10. Focal incidental prostate activity with maximum SUV of more than 6 should be further evaluated with multiparametric MRI of the prostate.

11. Physiologic

12. Physiologic uptake in the celiac ganglia

Bonus:
C

Sunday, December 2, 2018

February Articles

Hey - It is the end of 2018. We are doing well. We haven't sunken into the sea and WWIII hasn't been initiated. So let's be happy. We won't have another quiz until the First Sunday of February in 2019! Enjoy the holidays, hug your family or family pet or both. If neither - share love to someone in your neighborhood.  You never know who needs it.

Below are the articles for February. Back to Ortho!!

Traumatic Hip Dislocation: What the orthopedic surgeon wants to know

MR Imaging of Muscle Trauma

Unraveling the Posterolateral Corner


Movember Quiz!

It's the 1st Sunday in December - that means it is quiz time!!!!!

1. Who is most likely to get frostbite? Why do you not want to be a runner in cold places like Alaska or Norway?

2. When the hand is affected by frostbite, which finger is typically spared?

3. Which patients with frostbite should not get thrombolysis?

4. What are some advantages of SPECT/CT in the evaluation of frostbite?

5. What is the definition of penile tear?

6. What is the imaging appearance of Peyronie's disease? What finding would suggest acute phase?

7. What are typical findings that separate liposarcoma from lipoma?

8. Most common bilateral testicular mass? What are the imaging findings?

9. What PET/CT is considered superior in sensitivity to bone scintigraphy for prostate cancer?

10. When should an MR be ordered to evaluate the prostate after a FDG PET/CT?

11. Uptake in the liver on a Choline exam should be considered ___

12. You see uptake in a focus near the aorta near the crura of the diaphragm on a Ga68 PSMA - This may represent?

Bonus:
"Had a dream, I wanted to lick your knees" was sung by:

A. Ariana Grande
B. The Weeknd
C. Camper Van Beethoven
D. Third Eye Blind
E.  The Cure