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EM Cases

EM Cases: Emergency Radiology Controversies

So, with the help of ‘the walking encyclopedia of EM’ Dr. Walter Himmel and North York General’s Deputy Chief of Radiology Dr. Ryan Margau, we’ll discuss a few emergency radiology controversies, pearls and pitfalls!

practice updates

A Case of Rare Cause of DVT in the Young, Healthy Patient

A 44-year-old female comes to the ED with left lower extremity swelling. The patient notes increased swelling and discoloration to her entire left leg for three days, associated with aching pain. In a patient without any risk factors for thrombus or any other medical reason for hypercoagulability, what could cause an unprovoked left lower extremity thrombus?

em@3am

EM@3AM: Diabetic Foot Ulcer

A 58-year-old morbidly obese female patient with uncontrolled diabetes and peripheral arterial disease presents with an open wound to the central plantar aspect of her foot. She reports no pain, does not recall an injury, and is not sure how long she has had the ulcer. On exam, there is a 3.5 cm circular wound with thick yellow material in the center, and the edges of the wound are pink and warm to the touch. What is the diagnosis, and what are your next steps?