xray findings for osteosarcoma {Ans: codman's triangle sunburst pattern}Ottawa Ankle Rules: determining a need for a radiograph in setting of ankle injuries evaluated within 48 h of injury An ankle radiograph {Ans: 1. tenderness at the posterior edge of the distal 6 cm or the tip of the lateral malleolus 2. tenderness at the posterior edge of the distal 6 cm or the tip of the medial malleolus 3. inability to bear weight for at least four steps both immediately after the injury and at the time of evaluation}What is the success rate of methotrexate in the management of early ectopic pregnancy? {Ans: 85-93%.}Hyperkalemia {Ans: Patient with a history of renal failure, DKA, rhabdomyolysis, tumor lysis Complaining of lethargy, weakness, paralysis PE will show bradycardia, hypotension, cardiac dysrhythmia ECG will show peaked T waves, prolonged PR, wide QRS Treatment is calcium gluconate, insulin, albuterol, kayexalate, bicarbonate}What is a subdural hygroma? {Ans: A collection of clear, xanthochromic blood-tinged fluid in the dural space.}subarachnoid hemorrhage {Ans: blood in circle of willis, cisterns, and fissures rupture of berry aneurysm polcystic kidney disease RF}