SAQ 1988 – Older patient with ankle x-rays after a fall

Marked out of 11.00

A 65-year-old woman presents to an urban district hospital at 02:00 after slipping on a wet floor.

She cannot weight bear on her left ankle. The left foot later becomes pale with sluggish capillary refill, and there is no after-hours orthopaedic service.

Three ankle x-ray views are shown.

Ankle x-ray AP view
Left ankle x-ray, view 1.
Ankle x-ray mortise view
Left ankle x-ray, view 2.
Ankle x-ray lateral view
Left ankle x-ray, view 3.

State four radiological abnormalities.

(Marked out of 4.0)


/ 4

State the overall radiological impression.

(Marked out of 1.0)


/ 1

List six complications of this injury.

(Marked out of 3.0)


/ 3

Explain how the pale foot and lack of after-hours orthopaedics affect immediate management.

(Marked out of 1.0)


/ 1

State what you would tell the patient is required for ongoing management.

(Marked out of 2.0)


/ 2

Total Score: 0 / 11

Percentage: 0%