A 40 year-old man presents to your ED with ankle pain. He rolled his ankle while engaged in various slapstick shenanigans involving snow storms, public transportation, and an overweight man who at first seemed oafish and ignorant, but in the end showed himself to be emotionally intelligent, leading our patient to realize that it Read more…
A 25 year-old male is brought into the emergency room after an argument about whether Tom Brady is the “Greatest Of All Time” turned into fistacuffs. He is alert, oriented, slightly intoxicated, and has visible injuries including a black eye, a missing tooth, and abrasions throughout his arms and legs. You ask him how he is feeling. He flashes a toothy smile, raises his fist (revealing a few small cuts), and replies, “You should take a look at the other guy.” (more…)
Patellar Dislocation By: Juliana Jaramillo, MD PGY2 Case: 24 year-old female presents with right knee pain after slipping on ice. Her right leg got caught and twisted, and she felt as if something came out of place. She is unable to extend at the knee. Upon evaluation of patient you Read more…
It’s Christmas Eve, and you walk in to the ED wishing for a silent night. You get settled in, and you see “Clause, Santa- 1746 yo M wrist pain” show up on your board. Apparently, Rudolph found his way into the spiked eggnog, and Santa had some difficulty getting Read more…
A 55 year-old morbidly obese female was brought in by EMS after a mechanical fall at home. She sustained the above distal tib-fib fracture while attempting to stand up. No LOC reported, and she is not taking any blood thinners or antiplatelet agents. On Arrival, BP 160/90, HR: 110 regular, Read more…
You scan the board for your next patient in fast track when you see the chief complaint: hand laceration. Great! You grab your suture set and lidocaine (without epinephrine of course) and prepare for another quick “treat and street” and head to see the patient. Wrong. You realize there is a deep laceration to the palm side of the fingers and this may not be as simple as you once thought.
A 20 year-old man with no PMH presents to the ED after skateboarding injury. He states he was skateboarding around a construction site when he felt a sharp object cut the back of his right leg. Vitals are within normal limits. References: Karadshes,M. Achilles Tendon Read more…
It’s 8AM. You are done with your night shift. All you can think about is a toasted whole wheat bagel with cream cheese and hot cup of single origin, organically grown, locally brewed and roasted cup of coffee. As you are biking, two elderly bikers pass you in Read more…
April Fools Morning report (4/1/16) 3 case topics that will FOOL you Case 11 A 45 year-old man presented to the hospital with chest pain and dyspnea. Exam was unremarkable. ECG showed T-wave inversions in leads II, III, aVF, V1-V4, and troponin was elevated. He was pale, diaphoretic, tachycardic, with Read more…
By Jaime Moran MD, PGY-3 Edited by Dr. deSouza Acromioclavicular joint dislocations: the “Separated” shoulder EPIDEMIOLOGY & MECHANISM OF INJURY 9-12% of shoulder girdle injuries More common in males Usually results as a direct blow to the shoulder; less commonly fall onto an outstretched arm. Most commonly falling onto the Read more…