Grant Gerstner

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EM@3AM: Morel-Lavallée Lesion

A 30-year-old female presents after sustaining a motorcycle collision at highway speeds. She was wearing protective equipment, including a helmet, gloves, knee and elbow pads, and riding boots. She denies loss of consciousness but reports severe right lower extremity pain rated as 10 out of 10. Vital signs reveal BP 93/78 mmHg, HR 122 bpm. During the secondary survey, a rapidly expanding mass is noted over the right lateral thigh. The overlying skin is tense and tender to palpation.

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EM@3AM: Murine Typhus

A 52-year-old male presents to your South Texas ED for his second visit this week complaining of indolent fever, shortness of breath, pleuritic chest pain, and a rash on his trunk and extremities.  He was diagnosed with a viral syndrome three days ago but his symptoms have worsened despite supportive treatments.  Upon further questioning, he reports adopting a stray cat one week ago.  He is tachycardic and tachypneic with diffuse crackles and rhonchi. His skin exam is notable for a diffuse maculopapular rash covering his trunk and proximal extremities.  What is the likely diagnosis?

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