A 33-year-old previously healthy male presented to the ED with right hip pain after an MVC in which he was the unrestrained passenger in a car going 30-40 MPH. Vitals were notable for HR of 105, and were otherwise within normal limits. On physical exam, his right lower extremity was without obvious deformity or overlying skin changes, but was noted to be shortened with tenderness to palpation and pain with range of motion about the hip…
Read MoreA 17-year-old boy arrives to the trauma bay. He was the unhelmeted driver of a moped that collided with a truck going approximately 40 mph. He was thrown from the moped and lost consciousness. When EMS arrived on scene his GCS was 8, but it had improved during transport. In the trauma bay he has a GCS of 15 and his primary survey is intact. Vital signs are normal. Secondary survey reveals scattered abrasions and lacerations, as well as left anterior neck tenderness. His only complaint is pain in the left anterior neck…
Read MoreAn 86-year-old female with past medical history of atrial fibrillation and coronary artery disease on apixaban and clopidogrel presents as a trauma activation after a mechanical fall from standing at her nursing facility. She does not remember the fall, but her nurse reports she tripped over her walker, fell and struck her head. She did not lose consciousness…
Read MoreA 15-year-old female presents to your emergency department with her mother. She is tearful and withdrawn. She tells you that she was sexually assaulted by a 20 year old male acquaintance 2 days prior. She reports that she would like to report the assault and would like to have a forensic exam. She is having some vaginal bleeding and pain around her rectum. She admits to using alcohol and some marijuana on the night of the assault. She is unable to remember everything that happened and thinks her assailant may have put a drug in her drink…
Read MoreA 53-year-old woman with a past medical history of hypertension arrived to the Emergency Department with left arm pain shortly after a mechanical fall on an outstretched hand…
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