Cutting edge teaching on ultrasound in Emergency Medicine, in collaboration with POCUS Atlas, as well as articles on radiology in EM
20 year old muscular 6’3″ man presents to the ED with chest pain and states that it feels like “bubble wrap popping” when he bends over and reports some difficulty breathing. No hx of trauma. You get a CXR and see:Vitals: BP 110/80, HR 105, RR 22, O2 sat 95% Read more…
Good job, Dr. Oiyemhonlan. This is a Monteggia fracture! Monteggia Fractures Overview: Dislocation of the proximal radioulnar joint in association with a forearm fracture. Relatively uncommon. Less than 5% of all forearm fracture. Primarily associated with falls on outstretched hand with forced pronation. Radial head dislocation may lead Read more…
It’s a slow Sunday afternoon in the mythical ED that all of our blog posters seem to work in and you see a 70 year old male with a history of HTN, HLD and renal stones. He is mildly hypertensive and reports sharp flank, occasional abdominal pain and hematuria. Read more…
45 year old female presents to the ED after falling on her arm. She was jumping out of the way of a “crazy driver” and fell onto her arm. She complains of severe arm pain. You see a visible deformity on your exam. Xrays show: What describe the fracture. What Read more…
Here’s the image again: good job, Dr. Berkowitz! The image shows SCFE of the right hip. SCFE Slipped capital femoral epiphysis results from a Salter-Harris physeal fracture. Mainly occurs between ages of 10 -16 years. Incidence is higher in boys than girls. 20% of patients will have bilateral involvement at Read more…
A “chubby” 13 year-old male presents with ED with 3 months of right hip pain. Per patient’s mom, the pain is progressively getting worse that the patient has been limping for last few weeks. Denies pain at the knee or any other joints. You get a xray and see… Read more…
Here are the images again: There is a right middle third clavicle fracture and right scapula fracture! Scapula Fractures: Relatively uncommon Many associated injuries, which can be LIFE-THREATENING: hemothorax, pneumothorax, pulmonary contusion, humeral fractures, skull fractures, or splenic injury Treatment: REMEMBER to treat life-threatening injuries FIRST! Scapula Read more…
35 year old male presents s/p trauma. Patient was riding a motorcycle when he was struck by another vehicle, which caused patient flip in the air and fall on his right shoulder. On exam you see visible deformity around his right clavicle. You decide to get a xray and see Read more…
Here’s the image again The answer is….Galeazzi fracture! Congrats to Dr. Berkowitz for the correct answer and treatment! Galeazzi Fracture Basics: Galeazzi fractures are isolated fractures of the junction of the distal third and middle third of the radius with associated subluxation or dislocation of the distal radio-ulnar joint Read more…
By Dr. Michelle DiMare These days, the Pediatric ED is frequently filled with the cutest, most snot filled kids you’ve ever seen. With most of them reporting some degree of cough and fever, pneumonia is frequently considered on our differential diagnosis. While the incidence of CAP in developed countries is Read more…