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Library Memberships
Save 30% for Black FridayOn-demand course library with video lectures, expert case reviews, and more
Fellowship Certificate™ Programs
Save 30% for Black FridayPractice-focused training programs designed to help you gain experience in a specific subspecialty area.
Ultimate Learning Pass
Save 40% for Black FridayUnlock access to our full Course Library and all self-paced Fellowships.
Noon Conference (Free)
Get access to free live lectures, every week, from top radiologists.
Case of the Week (Free)
Get a free weekly case delivered right to your inbox.
Dr. Resnick's MSK Conference
Learn directly from the MSK Master himself.
Lower Extremities MRI Conference
Musculoskeletal Imaging
Emergency Imaging
PET Imaging
Pediatric Imaging
Who We Serve
For Training Programs
Supplement your training program with case-based learning for residents, registrars, fellows, and more.
For Private Practices
Upskill in high growth, advanced imaging areas.
Emergency Call Prep
Prepare trainees to be on call for the emergency department with this specialized training series.
1 topic, 1 min.
19 topics, 1 hr. 35 min.
Clinical Scenario 1 - Orbital Trauma/Inflammation - Introduction Video
2 m.Case 1 - Anterior Segment Ocular Injury
9 m.Case 1 - Ocular Injury/Globe Anatomy
6 m.Case 2 - Choroidal Detachment, Retinal Detachment, Vitrious Hemorrhage, Orbital Floor Fracture
9 m.Case 2 - Orbit: Foreign Body (Updated)
8 m.Case 2 - Orbit: Non-accidental Trauma (Updated)
3 m.Case 2 - Early Ocular Intervention
6 m.Case 2 - Non-Ocular Orbital Trauma
3 m.Case 2 - Orbital Wall Fracture
8 m.Case 2 - Orbital Medial Wall Fracture
8 m.Case 2 - Orbital Apex and Roof Fracture
5 m.Case 2 - Orbital Blow Out Fractures
6 m.Case 2 - Orbital Trauma
5 m.Case 2 - Indications for Surgery
4 m.Case 3 - Orbital Cellulitis, Periorbital Abscess
6 m.Case 3 - Orbital Inflammation
5 m.Case 4 - Pediatric Subperiosteal Abscess
4 m.Case 4 - Orbital Pseudotumor
7 m.Orbital Trauma/Inflammation Lesson Reinforcement Quiz
29 topics, 1 hr. 34 min.
Clinical Scenario 2 - Facial/Neck Trauma - Video Introduction
6 m.Case 5 - Cominuted Nasal Bone Fracture
2 m.Case 5 - Multiple Fractures in Nasal Bones
3 m.Case 5 - Nasal Bone Fracture Summary
3 m.Case 5 - Mandibular Fractures
6 m.Case 5 - Displaced Mandible Fracture At the Angle
3 m.Case 5 - Midface Butresses
3 m.Case 5 - Naso-orbito-ethmoid Fractures
5 m.Case 5 - NOE Fracture
3 m.Case 5 - Midface NOE Fracture
3 m.Case 5 - Le Fort Fractures
7 m.Case 5 - Bilateral Le Fort 1 & 2 Fractures
4 m.Case 5 - Bilateral Le Fort 1, Unilateral Le Fort 2 & 3
4 m.Case 5 - Le Fort Summary
1 m.Case 5 - Zygomaticomaxillary Complex (Tripod) Fracture
5 m.Case 5 - Tripod Fracture
3 m.Case 5 - ZMC Summary
2 m.Case 5 - Capo de Tutti Fractures
5 m.Case 6 - Bilateral Temporal Bone Fractures
9 m.Case 6 - Temporal Bone Fractures
2 m.Case 7 - Complications of Temporal Bone Injury
3 m.Case 8 - Temporal Bone Fracture Summary
3 m.Case 9 - Transverse Sinus Injury
3 m.Case 10 - Dissection, pseudo aneurysm
5 m.Case 11 - Bilateral Dissection
4 m.Case 12 - Horner's Syndrome, MS, Dissection
5 m.Case 12 - Horner's Syndrome
5 m.Case 12- Airway Injury
4 m.Facial/Neck Trauma Lesson Reinforcement Quiz
12 topics, 46 min.
Clinical Scenario 3 - Sore Throat Pain and Fever - Video Introduction
1 m.Case 13 - Tonsillitis
6 m.Case 13 - Peritonsillar Abscess
5 m.Case 14 - Phlegmon
6 m.Case 15 - Epiglotitis, Super Glotitis, Air Way Compromise
7 m.Case 16 - Periodontal Disease
9 m.Case 16 - Ludwig's Angina
3 m.Case 16 - Summary: Ludwig's Angina
3 m.Case 17 - Ludwig's Angina, Sialadinitis
4 m.Case 17 - Lemierre's Syndrome
2 m.Case 17 - Malignant Otitis Externa
6 m.Sore Throat Pain and Fever Lesson Reinforcement Quiz
12 topics, 42 min.
Clinical Scenario 4 - Mass in the Neck - Video Introduction
4 m.Case 18 - T Cell Lymphoma, lymphadenopathy
4 m.Case 18 - Retropharyngeal Space
3 m.Case 19 - Retropharyngeal Abscess
4 m.Case 20 - Retropharyngeal Phlegmon
3 m.Case 20 - Retropharyngeal Space Collections
4 m.Case 20 - Afebrile
7 m.Case 21 - 2nd Branchial Cleft Cyst
4 m.Case 22 - Thyroglossal Duct Cyst
5 m.Case 22 - Sarcoma in the Levator Scapuli
2 m.Case 22 - Thyroid Nodules
9 m.Mass in the Neck Lesson Reinforcement Quiz
27 topics, 1 hr. 42 min.
Clinical Scenario 5 - Cervical Spine Trauma - Video Introduction
7 m.Case 23 - Occipital Condyle Fracture
2 m.Case 24 - Anterior Arch C1 Fracture
6 m.Case 25 - Odontoid Fracture
4 m.Case 25 - How to Diagnose Alanto-odontoid Distraction
5 m.Case 25 - Odontoid Fractures: Summary
5 m.Case 26 - Jefferson Fracture, vertebral dissection
4 m.Case 27 - Jefferson Fracture on MRI
7 m.Case 27 - Jefferson's Burst Fracture: Summary
4 m.Case 27 - Fixed Rotatory Subluxation
4 m.Case 28 - Bilateral Jumped Facet
9 m.Case 28 - Unilateral Facet Dislocation, Carotid Dissection
4 m.Case 28 - Hyperextension Injury
4 m.Case 28 - Cervical Spine Flexion Injury
6 m.Case 29 - Transverse process fracture
3 m.Case 30 - Unstable Fracture, Two Column Injury
6 m.Case 30 - Epidural Hematoma Summary
7 m.Case 31 - Facet Fracture, Vertebral Artery Occlusion
4 m.Case 31 - Spinal Cord Injury Without Radiographic Abnormalities
4 m.Case 31 - Thoracolumbar AO Spine Injury Score
2 m.Case 32 - Chance Fracture
2 m.Case 32 - Axial Loading Fractures
5 m.Case 33 - Lumbar Transverse Process Fracture
2 m.Case 33 - Transverse Process Fractures and Visceral Injury
3 m.Case 34 - Compression Fracture
4 m.Case 34 - Compression Fracture & Stress Injury
3 m.Cervical Spine Trauma Lesson Reinforcement Quiz
9 topics, 28 min.
Clinical Scenario 6 - Fever, Back Pain - Video Introduction
2 m.Case 35 - Discitis, Osteomyelitis
5 m.Case 35 - Diskitis: Summary
6 m.Case 36 - Tuberculous Spondylitis with Psoas Abscess
4 m.Case 37 - Spinal Cord Infarct
5 m.Case 38 - Spinal Cord Astrocytoma
2 m.Case 39 - Guillain-Barré Syndrome
2 m.Case 39 - Grisel Syndrome, Calcific Tendonitis of Longus Coli,
6 m.Fever, Back Pain Lesson Reinforcement Quiz
13 topics, 37 min.
Head and Neck Emergencies - Video Introduction
8 m.Case 40 - Fungus Ball
2 m.Case 40 - Fungal Sinusitis
2 m.Case 40 - Allergic Fungal Rhinosinusitis
7 m.Case 41 - Invasive Fungal Sinusitis
4 m.Case 41 - Invasive Fungal Sinusitis Imaging Signs
4 m.Case 42 - Necrotizing Fasciitis
4 m.Case 42 - Necrotizing Fasciitis: Summary
2 m.Case 43 - Allergic Fungal Sinusitis with Mucocele
2 m.Case 43 - Epidural Abscess from Sinusitis
3 m.Case 44 - Otomastoiditis with Bezold abscess
2 m.Case 45 - Frontal Lobe Abscess, Sinusitis
3 m.Head and Neck Emergencies Lesson Reinforcement Quiz
Interactive Transcript
Report
Dr. Yousem has provided the following report as a sample report for your reference. It does not match the case reviewed in the video.
Indication: Status post exercise band injuring the left eye. Concern for ruptured globe. Pain.
Technique: Axial CT scan images were performed from the foramen magnum to the vertex without administration of intravenous contrast. Axial scans of the orbits with multiplanar reconstructions were also performed.
Findings: These images demonstrate
Brain: There is no evidence of intracranial hemorrhage. No mass effect is seen. There is prominence to the intrahemispheric fissure anteriorly and to some of the frontal sulci without mass effect. The calvarium is unremarkable.
Orbits: There is hemorrhage in the left globe with what appears to be multiple loculated spaces including the vitreous and the choroid. There is a density in the posterior aspect of the vitreous which may represent either hemorrhage or a piece of the lens of the eye. There is blood products along the ciliary bodies bilaterally as well.
There is soft tissue swelling overlying the left globe.
The orbital floor on the left side is depressed, seen best on the coronal reconstructed images as well as series 602 image 27. There is retrobulbar bulbar hemorrhage. There is thickening of the inferior rectus muscle. The lateral rectus muscle also has an abnormal shape to it on the left side.
IMPRESSION:
Ruptured left globe with vitreous hemorrhage, likely choroidal detachment, and possible disruption of the left lens floating in the residual vitreous with adjacent soft tissue swelling and retrobulbar hemorrhage.
Inferiorly displaced left orbital floor fracture with edema of the inferior rectus muscle but without entrapment.
Ophthalmology Note:
a 63 y.o. male with PMH OSA and no POH who presented with trauma to the left eye and concern for open globe.
On exam, VA J10 ph J2 OD HM w/o direction OS, unreactive pupil OS with RAPD by reverse, pupil OD round and reactive with no RAPD. IOP 13 OD 8 OS. CVF full OD and global defect OS, 2/4 gross colors OS. External exam normal OD. Dilated exam OD reveals pigmented nevus nasally, otherwise unremarkable. External/bedside exam OS reveals laceration inferior to L brow, edematous and ecchymotic LUL, 360 hemorrhagic chemosis, scattered corneal PEE, scattered hyphema but no layering, lens displacement with heme posteriorly. Poor view to posterior pole OS.
Operative Note:
Title of Operation:
1. Repair of zone 3 open globe injury with resection of uveal tissue, left eye
2. Injection of intracameral vancomycin and ceftazidime, left eye.
3. Non-marginal lid laceration repair (2.7 cm), left upper lid
Indications for Surgery:
A 63 y.o. male with presumed left eye open globe injury 2/2 metal spring to the eye as well as left upper eyelid laceration.
Preoperative Diagnosis:
Presumed zone 2/3 globe rupture, left eye
Intraocular hemorrhage, left eye
Non-margin involving eyelid laceration, left upper lid
Postoperative Diagnosis:
Presumed zone 2/3 globe rupture with uveal and vitreous prolapse, left eye
Intraocular hemorrhage, left eye
Non-margin involving eyelid laceration, left upper lid
Surgeons Narrative:
The eye was inspected and found to have 360 degree hemorrhagic chemosis without a clear indication of location of rupture prior to incision, as such exploration was indicated with complete peritomy.
It was noted that the wound was located temporally beneath the lateral rectus muscle at 3 o'clock, which was found to be partially dehisced from the globe at its insertion. There was ongoing choroidal bleeding, which was controlled with pressure and absorbent cotton tipped swabs and wek cell sponges, no need for cautery. The wound was found to be a large gaping scleral defect 8 mm posterior to the limbus temporally extending at least to as far posteriorly as could be visualized at the microscope.There was also uveal prolapse as well as copious vitreous prolapse through the wound.
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