A 53-year-old male with hypertension presents to the emergency room with painful swelling of the right first toe at the MTP joint. The patient was in good health until a few days ago, where he was attending a college reunion. The swelling and pain increased overnight. The patient is having difficulty walking this morning due to the pain. He tried taking two Advil for the pain, which helped bring the pain from an 8/10 to a 6/10…
Read MoreRenal ultrasound can be important in determining diagnosis, management, and next steps in the evaluation of a patient with flank or abdominal pain, hematuria, concern for stone and more.
Read More…complained of significant superior lateral knee pain and swelling, as well as difficulty moving his leg due to pain. On exam, he had notable swelling and tenderness of the left knee, particularly along the superior aspect of the patella. After controlling his pain with intravenous medications, he was able to flex at the hip but was unable to extend his lower leg at the knee or to perform a straight leg raise….
Read More…The differential diagnosis included acute coronary syndrome, CHF exacerbation, pneumonia, and cardiac amyloidosis.
EKG showed sinus tachycardia with low voltage. Laboratory evaluation was unremarkable, with a negative troponin and high normal BNP. Chest radiograph showed bilateral infiltrates concerning for mild pulmonary congestion.
POCUS was obtained….
Read MoreAn octogenarian gentleman with a history of atrial fibrillation, congestive heart failure, chronic kidney disease, and insulin-dependent diabetes presented to the emergency department with three weeks of pain and swelling near the right side of his face. He awoke that morning with a new symptom -- difficulty swallowing…
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