Kendrick Lee , MD Private Practice, Oakland, California

(case submitted Februry 22, 2006)

The patient is a 29 year old male who was riding his mountain bike, "only going 20 miles per hour." He fell injuring both wrists and was brought to the local emergency room.

Figure 1 Left hand injury films

Figure 2 Right hand injury films

(1) What would your recommendation be, based on this information?

(2) Do these films give you enough information, or do you want more plain films?

(3) There is a snake in the grass in one side (an additional diagnosis). What is it?

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