The CT contrast shortage made us adapt what we do for imaging. This post covers lessons learned.
A 35-year-old right handed male with no significant past medical history presents with a deep hand laceration. The patient states they suffered a cut with a box cutter at a construction site. He presents to the ED with profound difficulty extending his middle and ring finger and a laceration over the extensor surface. What is the diagnosis?
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 medial...
This week's Tox Card covers smallpox. Read on to find the keys to presentation, diagnosis, and management.
How does large bowel obstruction present? What should you consider with the evaluation and management?
An 8-year-old boy presents with left eyelid swelling for 2 days. Parents report the swelling has progressively worsened and is greater in the upper eyelid. It is associated with erythema, warmth, and tenderness. They also note subjective fevers. For the past week, the patient had watery rhinorrhea, ...
How can you optimize your evaluation and management of the unstable patient with pelvic trauma?
A 72-year-old male presents with left-sided flank pain for the last two weeks that has worsened over the past several hours. He also feels lightheaded when standing today. He is tachycardic to 124 beats per minute and hypotensive to 117/84 mm Hg relative to his chart baseline which has an average sy...
