Posts tagged Urology
Brown Sound: Necrotizing Soft Tissue Infection
Brown Sound: Necrotizing Soft Tissue Infection

A 60 year-old male with history of poorly controlled diabetes, congestive heart failure, chronic kidney disease, and a prior MI presented as a transfer from an outside hospital for surgical management of suspected necrotizing fasciitis/Fournier’s gangrene. He reported symptoms of diarrhea, nausea, vomiting, and severe pain in the scrotum and perineum for several days. This began after he sustained a small cut to the area. He denied fevers, urinary discharge, respiratory symptoms, chest pain, but did endorse chills and night sweats…

Read More
Ultrasound, GUHannah ChasonUltrasound, fournier's gangrene, Necrotizing Fasciitis, surgery, UrologyComment
This is Not the Appendix You're Looking For
This is Not the Appendix You're Looking For

A previously healthy 11 year-old male presents to the ED with three days of lower abdominal pain. The patient was evaluated at an urgent care center prior to arrival and was sent to the ED to “rule out appendicitis.” The patient reports intermittent “stabbing” pain that was initially suprapubic, but moved to the right lower quadrant today. The patient states the pain comes and goes without a clear trigger, but he has been able to eat normally and go to school. His mom became concerned today when they were about to eat dinner and the patient had an episode of severe pain that caused him to lie down. His mom gave him acetaminophen with some relief. He has not had fever, nausea, vomiting, or diarrhea. He has no sick contacts. He denies dysuria and penile discharge…

Read More
Radiology, GU, Pediatrics, UltrasoundJessie WernerEmergency Radiology, UrologyComment
The Wound-Up Infant

An 8 month-old, previously healthy circumcised boy, presented to the Emergency Department with his mother for increasing irritability. The mother stated that the patient went to bed the night prior to presentation in his usual state of health, but woke up crying. He refused feeds, but had no vomiting, fevers, cough or difficulty breathing. The mother stated that she saw something abnormal when changing the patient’s diaper…

Read More
PediatricsSamuel GoldmanPediatrics, Urology, Hair tourniquet, SedationComment