Dr. Pilcher looks at necrotizing fasciitis in this month's medical malpractice case.

A 75-year-old male presents to the ED with right facial swelling since last night. He is also complaining of pain and subjective fevers. Initial vital signs include BP of 150/85, HR 103, T 100.8, RR 18, SpO2 97% on RA. Exam reveals the patient to be ill-appearing with a focal area of swelling medially to his right ear that is warm and tender to palpation. His oral mucosa is dry. He has multiple dental caries and poor dentition overall. Massage of the area of swelling reveals purulent drainage from the oral mucosa near the right maxillary molars.  What is the most likely diagnosis?

This week's Tox Card covers smallpox. Read on to find the keys to presentation, diagnosis, and management.

The emDOCs podcast covers post exposure prophylaxis with Jess Pelletier.

Journal Feed covers macrolides and survival in severe community-acquired pneumonia, obtaining the best glottic view in kids, and the PEN-FAST decision tool.

The 52 in 52 series is back with the DAWN trial: Thrombectomy 6 to 24 Hours after Stroke with a Mismatch between Deficit and Infarct.

Tox Cards is back with organic mercury poisoning! What do you need to know?

How does large bowel obstruction present? What should you consider with the evaluation and management?