As emergency medicine physicians, we are often in the position of screening for and diagnosing abuse and neglect in childhood…
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Necrotizing fasciitis is a life-threatening soft tissue infection that causes necrosis of the muscle fascia and subcutaneous tissues…
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Calciphylaxis is a life-threatening vasculopathy that results from the deposition of calcium in the arteriolar vasculature of the deep dermis and subcutaneous adipose tissue, which causes occlusion of the affected blood vessels and overlying tissues and skin…
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A 50-year-old male presents to the emergency department with leg swelling. The patient has a past medical history of diabetes, heart disease, and hypertension. He lives at home alone. He states that he has had a wound on his foot for the past several days. He has been wearing his shoes around the house and has been unable to take them off because his foot has become swollen…
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This is a 4-year-old female with a chief complaint of 2 days of rash. She appears to be completely unbothered by the rash, and has been afebrile without any recent infections/illnesses; a complete review of systems is negative. The patient has been eating and drinking well and her behavior is at baseline. Her mother at bedside denies any new exposures such as detergent, lotion, and food. She has no significant past medical history and does not take any medications; she is up to date on vaccines and has not received any new vaccines recently. Vital signs are within normal limits for age. The physical exam is significant for diffusely scattered, erythematous “targetoid” lesions along with equally scattered erythematous, slightly raised wheals. This rash is found on her trunk, extremities, and palms…
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