A 52 year old male with a history of type 2 DM presented to the ED with right shoulder pain after a fall while stepping off a bus. The patient noted that he was unable to range the shoulder. Vitals were significant for HR of 104, otherwise unremarkable. On examination, the patient had a flattened shoulder with a “squared-off” appearance, a prominent acromion with the elbow flexed, and the arm held in slight abduction…
Read More“This video demonstrates proper technique for performing a hematoma block prior to reducing a distal radius fracture…”
Read MoreRead the HPI and think about the questions on the title slide before watching the video. Put yourself at the bedside of this patient and form your own diagnostic and management plan. Designed to help you actually rehearse what you’re going to say and do at the bedside of a sick patient, keep tuning in each week for the same format but new and high yield Emergency Medicine pearls…
Read More…Approximately 24 hours after the initial fracture, while in the operating room for right hip hemi-arthroplasty complicated by an iatrogenic fracture, he became hypotensive and hypoxemic…
Read MoreA 56 year-old right hand dominant male presented to the emergency department with weakness in his bilateral hands, worse on the left. For the last several months, he had been having daily neck pain and frequent occipital headaches. He had been dropping things more frequently, but noticed over the previous week that he had increasing difficulty getting dressed in the morning. He used to be very active, but began using a walker last year because of frequent falls from what he described as always “feeling off-balance”. He also endorsed intermittent tingling in all fingers of his left hand.
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