Brown Sound: Necrotizing Soft Tissue Infection

A 60 year-old male with history of poorly controlled diabetes, congestive heart failure, chronic kidney disease, and a prior MI presented as a transfer from an outside hospital for surgical management of suspected necrotizing fasciitis/Fournier’s gangrene. He reported symptoms of diarrhea, nausea, vomiting, and severe pain in the scrotum and perineum for several days. This began after he sustained a small cut to the area. He denied fevers, urinary discharge, respiratory symptoms, chest pain, but did endorse chills and night sweats…

Ultrasound, GUHannah ChasonAugust 31, 2020Ultrasound, fournier's gangrene, Necrotizing Fasciitis, surgery, UrologyComment

Too Bad: Bi-mal Ankle Fractures

A 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.” …

Orthopedics, Procedures, Sports MedicineDaniel ColemanAugust 28, 2020Orthopedics, Ankle Dislocation, Ankle FractureComment

AEM Early Access 42: Diagnostic Performance of Emergency Physician Gestalt for Predicting Acute Appendicitis in Patients Age 5-20 Years

AEM Early AccessGita PensaAugust 27, 2020Emergency Medicine, Medical EducationComment

Ankle Arthrocentesis in the Emergency Department

When 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…

Orthopedics, Procedures, UltrasoundKatie MillerAugust 21, 2020Ultrasound, OrthopedicsComment

Ultrasound Case of the Month: Hydatidiform Mole

A 32-year-old female with no significant past medical history presents to the emergency department with complaints of nausea, vomiting, and bloating. The patient reports her last menstrual period was about 2 months prior to presentation. She was evaluated about one-month ago, at which time she was told that a pelvic ultrasound revealed an intrauterine gestation sac without a fetal pole or yolk sac, suspicious for early pregnancy failure. The patient subsequently developed vaginal bleeding, associated with abdominal cramping, nausea, and vomiting. She interpreted these symptoms as a miscarriage. The patient states that the vaginal bleeding has since subsided, but she endorses continued and progressive nausea, vomiting, and bloating. She is unable to tolerate oral intake. She denies fever, headache, abdominal pain, back pain, vaginal discharge/odor/pain, dysuria, or diarrhea…

Ultrasound, OB/GynErica LashAugust 14, 2020Molar pregnancy, Pelvic ultrasound, OB/GynComment

Contact

Subscribe