Tales From Honduras – Ichthyosis, An Unusual Skin Finding

On examination, he has normal vital signs. He is in no distress, comfortable appearing, but acting shy and withdrawn (appropriate for age). His eyes and conjunctiva are normal, but the eyelids are ectropic. He has moist and otherwise normal oral mucosa. The left otic canal is filled with keratinitic debris and once cleared reveals a normal tympanic membrane. The right ear is normal. The remainder of his skin examination reveals diffuse, whole-body brown plaques which are anchored at the center and peeling at the edges…

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Acute Care of the Electrocuted Patient

A 30-year-old male without significant past medical history presented as a code blue after high voltage electrocution. The patient was working as a technician servicing high tension wires when he had a witnessed electrocution. Bystander CPR was initiated immediately; EMS arrived shortly thereafter and found the patient pulseless and asystolic. ACLS was initiated and a laryngeal mask airway (LMA) was placed. On arrival in the emergency department, the patient was pulseless and asystolic…

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