Your patient is a 25-year-old male with a right hand laceration presenting the day after a “fight.” The patient says that he doesn’t remember what happened because he and his friends were drinking but thinks that he might have gotten into a fight the preceding night…
Read MoreA 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 MoreBy Hoi See Tsao, MD, and Alicia Genisca, MD
A 2-year-old previously healthy boy presented to the emergency department with a foreign body in his right nostril.
The patient was staying at his father’s house and the father became concerned about a foreign body when the patient suddenly began complaining of right nostril pain and dark brown nasal discharge. The father did not know what foreign body may have been inserted. On the patient’s return to his mother’s house the next day, he was found to also have right nostril swelling. His mother brought him to the emergency department for evaluation. The mother denied the patient having fever, coughing, gagging, vomiting, diarrhea, or abdominal pain.
Read MoreA 62 year-old obese female with residual left-sided weakness from prior CVA presented with severe ankle pain after a fall. She was getting up from the toilet when her left knee gave out and she fell with her leg trapped underneath her body. After helping her back to bed, the patient’s daughter noticed her ankle and thought “it wasn’t supposed to look like that.” …
Read MoreWhen a patient presents to the emergency department with atraumatic monoarticular arthritis, it is important to rapidly determine the etiology because septic arthritis is a medical emergency that can lead to significant morbidity and mortality…
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