The High Coast of Smoking: An Interesting Case of Pancoast Syndrome

A 52 year-old male presented to the emergency department with a chief complaint of right shoulder pain. In fact, the patient endorsed several years of shoulder pain, which he attributed to being right hand dominant, and the physical demands of his work as a contractor. One month prior to his presentation, the patient had also seen an orthopedic surgeon, who diagnosed him with a paralabral cyst, and subsequently drained it. After the procedure, the patient’s pain improved, but the effect was short lived…

Neurology, OrthopedicsGuest UserMarch 13, 2020pancoast, tumor, shoulder, horner's syndrome, horner syndrome, neurology, CPCComment

Brown EM Whit-ticisms: Mandible Reduction

Procedures, Orthopedics, Community EM, Whit-ticismsGuest UserNovember 22, 2019#FOAMed, Mandible ReductionComment

Achilles Tendon Rupture

A 41 year-old male without significant past medical history presents to the emergency department after sudden onset right leg pain while playing soccer. The patient reports jumping for the ball, landing on his feet, and immediately feeling sharp pain in his right ankle. On exam, he has mild swelling to the posterior ankle overlying the Achilles tendon, and the area is tender to palpation. Plantarflexion is absent with calf squeeze, neurovascular exam is normal, and the remainder of patient’s exam is unremarkable…

Orthopedics, Sports MedicineJessie WernerSeptember 13, 2019Orthopedics, Achilles tendon, Tendon rupture, Sports medicineComment

Give 'Em the Old One-Two: Boxer's Fracture

OrthopedicsSamuel GoldmanAugust 16, 2019Orthopedics, #FOAMed, Boxer's Fracture, Metacarpal FractureComment

Non-Accidental Trauma

A hypothetical 7 month-old infant presents to the emergency department for mild respiratory distress. There is no recent illness or symptoms to explain the infant’s tachypnea and mild hypoxia. There is no visible bruising on exam. The parent states that the infant is starting to pull to stand but does not yet cruise. They have had several falls onto their tile kitchen floor. The CXR (below) is read by the radiologist left posterior rib fractures in ribs 4-8…

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