Oct 24
Clinical Question: What would you do if you have a patient with cellulitis, but you are still worried about an underlying septic joint?? Clinical Vignette: 47 yo M with L knee pain, swelling, redness and immobile. PE: Fever, tachycardia, and a swollen L knee Phys Ex: Clinically cannot move the joint Source Staph is most …
Sep 12
Case Presentation: Hx: 57 yo M p/w fall from 10 feet complaining of L ankle pain PE: Primary survey intact. Secondary survey for apparent intoxication and ankle deformity. EFAST negative. CxR, Pelvis XR and PAN Scan negative. Ankle Fractures Learning Points: 1) Anatomy: The ankle joint is made up of the medial malleolus (distal tibia), …
Jun 20
Case: A young person presented following an MVC. Initial workup was negative including plain films of the chest and pelvis, however the patient had some tenderness over the right greater trochanter, and some pain with passive ROM, limiting movement overall. On tertiary exam in the ED, the patient was unable to bear weight on the …
Jun 11
Mallet Finger Mechanism: Forceful flexion of distal phalanx results in disruption of extensor apparatus. Patients often present with a flexor deformity. Pathophysiology: This is classified as a type of zone 1 injury involving the DIP joint. 4 Types: Type 1: closed without fracture Type 2: Open tendon laceration without fracture Type 3: Open tendon injury …