Wound Myiasis Management: What Works, What Doesn’t

A 50-year-old male presents to the emergency department with leg swelling. The patient has a past medical history of diabetes, heart disease, and hypertension. He lives at home alone. He states that he has had a wound on his foot for the past several days. He has been wearing his shoes around the house and has been unable to take them off because his foot has become swollen…

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Recognizing the Differential Diagnoses for Erythema Multiforme

This is a 4-year-old female with a chief complaint of 2 days of rash. She appears to be completely unbothered by the rash, and has been afebrile without any recent infections/illnesses; a complete review of systems is negative. The patient has been eating and drinking well and her behavior is at baseline. Her mother at bedside denies any new exposures such as detergent, lotion, and food. She has no significant past medical history and does not take any medications; she is up to date on vaccines and has not received any new vaccines recently. Vital signs are within normal limits for age. The physical exam is significant for diffusely scattered, erythematous “targetoid” lesions along with equally scattered erythematous, slightly raised wheals. This rash is found on her trunk, extremities, and palms…

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A Case of Near Syncope

A 69-year-old female with a history of hypertension presents to the ED with near syncope. She had been walking around Newport on a hot day with her family when she began to feel lightheaded. Her family noted that she appeared pale and diaphoretic. She did not lose consciousness but she continued to feel weak and was brought to the emergency department…

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