Collar Button Abscess Answer post to “Picture Blog: Hand Pain“ Diagnosis This patient has a collar button abscess with necrotizing fasciitis. A collar button abscess is an abscess of the interdigital web space. There is typically a recent history of trauma to the area, most likely a laceration or Read more…
A middle-aged man with a past medical history of poorly-controlled diabetes presents to the ED with three days of hand swelling, redness, and excruciating pain. 1. What is the diagnosis? 2. What are you especially concerned about in this patient? 3. What is the management? Image de-identified and in compliance Read more…
This article is brief overview of the management of femur fractures in the emergency department. In general, femur fractures can be identified with x-ray. AP pelvis, hip and femur x-rays will be sufficient in most cases. Femur fractures can be categorized as proximal fractures and femoral shaft fractures. There are Read more…
How does one get a nail bed injury? Distal phalanx injuries are the most common hand injury, particularly in children. These are often due to crush injuries also resulting in subungual hematomas and nail bed lacerations. If a subungual hematoma involves more than half the nail plate, there is a Read more…
This month’s meeting of our Wilderness Medicine group discussed acute shoulder dislocations in the austere environment. Before we begin, let’s consider the following questions: Can the diagnosis of anterior shoulder dislocation be made clinically? Do all patients with anterior shoulder dislocations need a pre-reduction x-ray? If you answered ‘yes’ to 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…