Skin lesion in a heroin addict Christopher P. Holstege and Alexander B. Young athlete with back pain Edward G. Skin lesions in a comatose patient Christopher P. Chest pain with sudden cardiac death William J. Fall on an outstretched hand with wrist pain William J.
Necrotic skin lesion David A. Chemical eye exposure Chris S. Hand pain after striking a wall William J. Dyspnea in an alcoholic Anthony J. Slash wound to the neck Kevin S. Foot pain following breaking Munish Goyal. Confluent rash in a child Sarah G. Lost in the cold Adam K. Rowden and Christopher P. Bradycardia following an herbal ingestion Alexander B. Abdominal pain in an alcoholic Angela M. Pain out of proportion to examination Adam K. Pleuritic chest pain in a young adult male William J. Eye pain following a bar fight Chris S. Forearm fracture after falling Alexander B. An elderly woman with groin pain Brendan E.
Painful facial rash Chris S. Confusion, anemia, and abdominal pain in a toddler Alexander B. Cardiotoxic effects following caustic ingestion Alexander B. Rash and joint pain in a child Mara Becker. X-ray findings after laparoscopy Munish Goyal. Injector injury to the hand Tracy H. Chest pain in a middle-aged male patient with ST segment elevation William J. Deformed globe following trauma Joseph Robson and Worth W. Adult male with atraumatic lower back pain and leg weakness William J. Fever and rash in a child David L.
Yellow eyes and skin Jane M.
Fishing in the stomach Christopher P. Agitation in a botanist Alexander B. Skin target lesion Mara Becker. Adult male with a sudden, severe headache Andrew L. Homer and William J.
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Get them undressed Munish Goyal. Chest pain and subtle ST segment elevation William J. Fluid in my eye Chris S. Coma following head trauma Andrew L. Blue hue following endoscopy Andrew L. Homer and Christopher P.
Shoulder pain following direct blow David F. An overdose of prenatal vitamins Christopher P. Holstege and Adam K. Lamp oil ingestion David L.
The anterior chambers are deep and the pupils are round. Question: What emergent action should be initiated prior to completing the ophthalmic examination? A Emergent ophthalmology consultation B Litmus test C Irrigation of the eye with copious fluids such as saline or lactated ringers D Tetanus prophylaxis Case 43 E Neutralization with a weak acid or base for a base- or acid-offending agent, respectively See page for Answer, Diagnosis, and Discussion.
Hand pain after striking a wall William J. Barlotta, MD Case presentation: A year-old intoxicated male presents to the emergency department after striking a wall at an oblique angle. He noted significant pain in his hand and denied any other complaints. On examination, the hand demonstrated significant tenderness and soft tissue swelling in the medial-dorsal area.
Case 44 Dyspnea in an alcoholic Anthony J. The patient is agitated and refuses to lie down.
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She is a heavy smoker and noncompliant with medications for hypertension. The patient denies trauma but has contusions and abrasions on her hands and arms in various stages of healing.
Journal of Emergency Medicine, Trauma & Surgical Care | Herald Scholarly Open Access
The following bedside ultrasound images are obtained by the examining physician. Case Presentations and Questions Question: Which of the following is true? A With these images, the patient should be sent for emergent head computerized tomography CT to exclude intracranial vascular catastrophe as a cause for her abnormal mental status. B These images demonstrate intraperitoneal fluid suggestive of hemorrhage. Whether this is due to acute aortic aneurysm or occult trauma, the patient requires immediate surgical evaluation for possible emergent operative management. C These images, combined with the absence of muffled heart sounds, jugular venous distension, Case 45 29 and hypotension, make tamponade exceedingly unlikely.
D These images show pericardial effusion with evidence of dissection in the abdominal aorta. This suggests an acute proximal dissection, mandating immediate consultation with a cardiothoracic surgeon for operative repair. E These images show large pericardial effusion. The diagnosis of tamponade will be made based on a dynamic assessment of cardiac filling during diastole.
Slash wound to the neck Kevin S. Baer, MD Case presentation: A year-old female presents to the emergency department after an altercation. She states that she was attacked with a hunting knife. She complains of only pain at the wound site. She denies voice changes or difficulty swallowing.
Visual Diagnosis in Emergency and Critical Care Medicine
Her injury is depicted left. Question: What zone of injury is represented in the image? She was the restrained driver of a car which struck another car head-on.