Case Presentation A 55-year-old male patient presents with frequent pacemaker firing. 1. What does the x-ray show? 2. What can you tell from x-ray imaging of cardiac devices? 3. What is the management? Twiddler Syndrome Pictured is a biventricular, left-sided pacemaker demonstrating lead dislodgement due to Twiddler Syndrome. Twiddler Syndrome Read more…
It’s another day at your local university hospital. You’re nearing the end of your shift and wrapping up your cases. Your mind is already starting to wander with thoughts of what you’ll do on vacation. Suddenly, you hear some commotion stir through the ED — TRAUMA CODE to the hospital Read more…
Case: A 77 year-old male h/o asthma, HTN, HLD, recently diagnosed CML presents with pain to recent bone marrow biopsy site and right lower extremity pain such that he cannot walk since last night. He also c/o nausea with few episodes of NBNB vomiting. He was prescribed imatinib but has not started Read more…
In summary, you have a 40 year old woman presenting with neuro complaint and a scary looking head CT scan. Click HERE for the original post.
It’s Saturday, the start of the weekend, and you go see your first patient, a 40 year-old woman whose chief complaint is “I can’t feel my face.” On further questioning, she tells you that the symptom started that morning when she awoke, and it’s never happened before. Her only history is Read more…
Congratulations to ablumenberg! While your answer wasn’t complete, you were the only one to submit an answer, so, you win money (or a gift card)! To recap: An 88 yo M on aspirin and PLAVIX is BIBEMS for headache and vomiting the day after falling out of his chair and bumping his Read more…
An 88 yo M with history of HTN and CAD s/p stent on aspirin and Plavix is brought in by EMS after a fall. He states he was drinking tea in his chair last night and he fell asleep, fell out of the chair, hitting his right occiput on the Read more…
55 y/o M w/ ESRD p/w chest pain. As you’re finished evaluating him and leaving, he says, “Oh doc, 1 more thing. Can you take a look at these lumps on my thighs? It’s been growing for a few months and bothering me.” You take a quick peek and notice Read more…
You just finished rounding in the critical care area at Janus General Hospital when the triage nurse wheels over a patient from walk-in triage. The patient is a 75 year old male with a history of well controlled hypertension presents to the ED complaining of chest pain. The Read more…
Check out the original post here: Xray Vision: Chest Pain Congratulations Dr. Grundmann! This patient has a primary spontaneous pneumothorax. References: Humphries RL, Young W, Jr.. Chapter 71. Spontaneous and Iatrogenic Pneumothorax. In: Tintinalli JE, Stapczynski J, Ma O, Cline DM, Cydulka RK, Meckler GD, T. eds. Tintinalli’s Emergency Medicine: A Comprehensive Study Guide, 7e. New York, NY: McGraw-Hill; Read more…