A 56-year-old man presented to the emergency department complaining of
bilateral ear pain and eye redness. Ten days ago, he noticed right ear
swelling and pain and treated this at home with cold compresses. These
symptoms seemed to improve, but over the next few days his left ear
began to swell. Both eyes subsequently became red and extremely painful
with tearing and photophobia associated with an intense retrobulbar
The local fire department transported this 25 year-old male to the emergency department shortly after he was accidentally run over by a Bobcat skid steer at work. He reportedly had a transient loss of consciousness and was found lying prone on the concrete floor.
edited by Mark Silverberg, MD
A point-counterpoint discussion of relevant research
This neck swelling could be anything. What one question will help narrow your differential?
Test approved for sepsis risk stratification in the ICU with ED usage sure to follow
More than meets the eye
Test your diagnostic skill with visual case studies