A 47-year-old male presents to your emergency room following a motor
vehicle accident. The second year resident gathers in the history that
he was a restrained front-seat passenger in a car that was traveling
approximately 45 mph when the car was rear-ended. Airbags were deployed
and the remainder of the passengers in his car were unharmed.
A 49-year-old, right-hand- dominant male presents to the emergency
department with right shoulder pain. The patient was playing volleyball
and immediately after spiking the ball felt severe pain to the right
shoulder. He was unable to lower the arm, and states that he feels numb
over the arm and fingers.
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.
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.
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.