Films and Scans

by Karen Serrano, MD on July 20, 2012

alt Distal radial fractures are among the most common fractures in childhood, and are a frequent presenting complaint in the emergency department. Traditionally, ED management of displaced distal radial fractures in children has included closed reduction and splinting of displaced fractures, usually under sedation.

De Garengeot’s Hernia

by Jessica Gondela, MS IV; David Gillis, DO & Daniel Glotzer, MD on June 6, 2012

An 89-year-old female presented to the emergency department with a three to four day history of gradually worsening, sharp right lower quadrant abdominal pain without radiation. On the day prior to the emergency room visit, a hard, tender mass developed in the area of discomfort. The patient usually had regular bowel movements; however she had not had a bowel movement for the past three days. Read more

Gallstone Ileus

by Mikhail Elfond, DO & Findite Alagoa, MD on May 23, 2012

alt A 40-year-old Hispanic female presented to our Emergency Department complaining of upper abdominal pain, nausea and vomiting for 1 day. She denies fever; last bowel movement was the previous day. She has no history of prior abdominal surgeries and past medical history was unremarkable. Vital signs were normal except for tachycardia at 112 bpm.

65-year-old female with a foot injury

by Jeffrey P. Feden, MD & Robert Tubbs, MD on April 20, 2012

alt Consider this scenario. You’re nearing the end of another busy shift in the emergency department but muster the energy to pick up one more chart…a healthy 65-year-old female with a foot injury. The x-rays are done. Should be a quick dispo, right?

Two Days Abdominal Pain

by Rokhsanna Sadeghi, MD edited by David Effron, MD on March 14, 2012

alt A 45-year-old woman presents to the ED with two days of abdominal pain which was gradual in onset and became severe and diffusely distributed...

Gone Fishin'

by Ann Arens, MD; David Bosch, DO; Britney Anderson, MD; Peter Pryor, MD on December 16, 2011

alt A 23-year-old male presents to the Emergency Department (ED) with 4 days of a persistent sensation of a ‘fish bone’ stuck in his throat. Patient ate fish tacos 4 nights prior to arrival. The patient describes feeling a sharp foreign body stuck along the right side of his upper throat, just proximal to the angle of his mandible. The pain is worse with swallowing, and turning his head to the right.

Five Days of Shoulder Pain

by Amir Shahideh, MD & Michael D. Smith, MD on August 25, 2011

alt An 11-year-old female with no significant past medical history, presents with a five day history of right shoulder pain. The patient’s mother reports that the patient was “horsing around” with her older brother five days ago. She attempted to slap her brother using her arm when she immediately felt a “popping” sensation in her right shoulder. She was taken to a local emergency department where she was evaluated, imaged, and discharged home with the diagnosis of “shoulder strain”.

Intubating a Patient with Epiglottitis

by Rich Levitan, MD on June 13, 2011

alt Before starting efforts at intubating any airway with laryngeal pathology, it must be appreciated by all caring for the patient that rescue ventilation may not work if the epiglottis or larynx is swollen or distorted. This applies to the LMA, King LT, and mask ventilation. If intubation through the nose or mouth doesn’t work, a rapid surgical airway will likely be required.

Epiglottitis: Old Problem, New Patients

by Mark Santos, MD, Mike Smith, MD & David Effron, MD on June 13, 2011

alt Christopher is a 36 year old male with a past medical history of an infected neck cyst status post incision and drainage three months prior who presented to the Emergency department for sore throat. He reported that he awoke that morning with sore throat and had trouble swallowing.

Seen Yesterday for Chest Pain

by John Dallara, MD on April 26, 2011

alt The story is simple. “My chest is killing me, and that Motrin stuff is not cutting it,” the patient says. “It really hurts to breathe.” He woke the other morning with this upper sternal, pleuritic chest pain. There are no other exacerbating features, no fever or cough. The pain does not sound cardiac in nature. Vitals are normal, including an O2 sat of 98% on RA.