1	22 “Must See” Diagnostic Images for Medical Students
2	AMSER’s “Shortlist” AMSER is the national Alliance of Medical Student Educators in Radiology Their National Curriculum for Medical Students, developed by Kitt Shaffer, MD and Petra Lewis, MD, contains a “Diagnostic Shortlist” of “must see" images “all students should recognize” This is a limited list of diagnoses that AMSER believes all students should be able to recognize, regardless of their planned specialty
3	The Owl Wherever you see the owl graphic, that slide contains a hyperlink to additional information. Click on the blue link
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9	Pneumothorax To learn more about pneumothorax, go to: Recognizing a Pneumothorax
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14	Pneumomediastinum To learn more about pneumomediastinum, go to: Pneumomediastinum
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20	Pneumoperitoneum To learn more about pneumoperitoneum, go to: Recognizing Free Air
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25	Effect of Position - Layering
26	Pleural Effusion To learn more about pleural effusions, go to: Recognizing a Pleural Effusion
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32	Pulmonary Edema To learn more about pulmonary edema, go to: Recognizing Congestive Heart Failure
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38	Aortic Dissection To learn more about aortic dissection, go to: Aortic Dissection
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42	Ruptured Aortic Aneurysm Enlargement of abdominal aorta > 3cm Usually 2^° to atherosclerosis Below renals, above iliacs About 20-25% rupture <4cm~10%; >10 cm~60% Retroperitoneal, usually on left Into GI tract: massive hemorrhage Into IVC: rapid cardiac decompensation
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46	Diaphragmatic Rupture General 5% of all diaphragmatic hernias Most (90%) are left-sided Central and posterior >10cm in length Contain stomach, colon, small bowel, omentum, spleen Half have no initial abnormal radiographic findings Half are missed clinically
47	Diaphragmatic Rupture General Associated with Fx ribs Pneumoperitoneum Ruptured spleen Delayed diagnosis = higher mortality MRI most useful in showing site of tear
48	Diaphragmatic Rupture To learn more about diaphragmatic rupture, go to: Diseases of the Diaphragm
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52	Small Bowel Obstruction To learn more about small bowel obstructions, go to: Recognizing Obstruction and Ileus
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58	Cecal and Sigmoid volvulus To learn more about sigmoid volvulus, go to: Sigmoid volvulus
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62	Carcinoma of the Colon To learn more about carcinoma of the colon, go to: Carcinoma of the Colon
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69	Misplaced Lines and Tubes
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77	Misplaced lines and tubes For more on the proper location of lines and tubes, go to: Tubes and Lines: What, Where and Whoops
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84	Child Abuse For more on Battered Child Syndrome (child abuse), go to : Child abuse
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107	Hangman’s Fracture Most common fracture of C2 Most common cervical spine fracture Hyperextension/compression fracture Fractures through the pedicles of C2 with anterior slip of C2 on C3 Not associated with neuro deficit
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109	Cervical Spine Injuries For more on injuries to the cervical spine, go to : Cervical Spine Fractures and Dislocations
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113	Fractures and Dislocations For more on fractures and dislocations, go to : Recognizing Fractures and Dislocations
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117	Fractures and Dislocations For more on fractures and dislocations, go to : Recognizing Fractures and Dislocations
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122	Fractures and Dislocations For more on fractures and dislocations, go to : Recognizing Fractures and Dislocations
123	The 22 “Must-See” Diagnoses Pneumothorax Pneumomediastinum Pneumoperitoneum Pleural effusion Pulmonary edema Aortic dissection Aortic rupture Diaphragmatic rupture
124	The 22 “Must-See” Diagnoses 9. Small bowel obstruction 10. Cecal and sigmoid volvulus 11. Distal Large Bowel Obstruction 12. Ascites 13. Misplaced lines and tubes 14. Child abuse 15. Stroke
125	The 22 “Must-See” Diagnoses 16. Traumatic intracranial hemorrhage 17. Increased intracranial pressure 18. Space occupying lesions 19. Cervical spine injury 20. Fracture with extension into joint 21. Elbow joint effusion 22. Shoulder dislocation
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