On one of the last nights of my orthopedic rotation of intern year, I saw a 92-year-old lady who had fallen down two stairs at home…
Read MoreKnee arthrocentesis is a crucial procedure that all emergency medicine physicians should be comfortable performing. This video from Brown Emergency Medicine covers the ins and outs of knee arthrocentesis, including indications, contraindications, and step by step instructions.
Read MoreA 36-year-old female with no significant past medical history presents with pain and swelling to her right middle finger that has worsened over the last 3 days…
Read More“It would be unusual to go too many shifts as an emergency medicine provider without seeing the classic elderly female patient with hip pain after a fall. On exam, the patient would likely be uncomfortable with their hip appearing shortened and externally rotated on exam. Before you even view the X-ray, you know they likely fractured their hip. You ascertain whether it was a mechanical fall, if there were other injuries, if the injury is open or closed and if the patient is neurovascularly intact. You proceed to order your imaging and consider your plan for pain control. Sound familiar…”
Read More…complained of sudden-onset right knee pain with inability to bear weight during a hospital admission for syncope. Her knee joint had never before been affected by gout. Plain films and Commuted Tomography of her knee did not show any fracture or dislocation but revealed a moderate joint effusion…
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