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All emergency-medicine Cases

Prescription medication

Prescription medications obtained over a 60 day period by a single person from 19 different prescribers. Due to several red ...


Fractured femur on x-ray

83 yr old female came to ED for muscle cramping in leg x 2 wks. Denied injury to area. Denied ...


Snake bite

This is hand of a victim bitten by a snake. Traditional healer(Ozha-Snake Charmer) incised his hand with blade to remove ...


Femur fracture on x-ray

5yom femur fracture after being jumped on by 7yo brother.


Posterior clavicle dislocation on 3D CT

posterior clavicle dislocation.... true orthopedic emergency... high risk of neurovascular or airway compromise. CTA was negative. Was taken to OR ...


Rhabdomyosarcoma on MRI of calf

Final update. Please see two previous Text cases to get an idea what's going on here. General surgery did tru-cut ...


Anterior Subluxation of C7-T1 on x-ray

Male in early 30's presented to trauma s/p motorcycle accident resulting in quadriplegia.


Motion artifact in 3D CT

3D CT reconstruction. What is going on here? Dx and treatment if needed? #3D #Ct



A nice STEMI example. 71 y/o F complaining of squeezing type pain in her chest and radiating down both arms. ...


Choosing Wisely Canada

Resident Doctors of Canada (RDoC) has joined Choosing Wisely Canada, a national clinician led campaign to reduce unnecessary care. The ...


Ethical dilemmas

Everyday while at the workplace we come across ethical dilemmas. This topic came up in one of my nursing classes ...


Bruising from fall

Mid 80s year old TENNIS PLAYER 🎾 who ran backwards for an overhead return and her foot found a tiny ...


Bullous impetigo on leg

17 yo females presents to UC complaining of 6 days of worsening "blisters" located at the left antecubital fossa and ...


Tweezers in breast x-ray

33 yr old female patient presented to the ER with question of abcess in her breast. She explains that 4 ...


Laceration on forearm

To the bone #Laceration with second degree burns from car crash received 13 sutures to the left forearm


Hyponatremia in arterial blood gas

EMS called out for a possible stroke in elderly woman. Patient presents with altered mental status and LOC, extreme nausea, ...


Inferior MI on 12 lead ECG

53 yo M. called EMS because of chest pain and SHOB. Secondary symptoms included pale, cool and clammy skin, nausea, ...


Pulmonary embolism in CT

Axial contrast enhanced CT shows a large pulmonary embolism (arrow) saddling the bifurcation of the pulmonary arteries. Pulmonary embolism is ...


Heroin overdose

Heightened awareness of prescription opioid addiction has led some of those addicted to turn to heroin. Increasingly, emergency departments (EDs) ...


Tick bite

over 50 yo male with tic bite, works outside, didn't want to start doxy , started amox instead x 21 ...


Acute sinusitis complicated by orbital abscess

9 year-old , 5 days history , family claims it's due to Bee Stings ! 🐝


Recurrent strep throat

Recurrent strep X6 in 6 months. No known exposures. What is the cause and the long term cure?


Munchausen syndrome by proxy

2yo M previously healthy with reported 3 weeks of diarrhea and emesis. Clinically stable. No emesis or diarrhea episodes since ...


Pulmonary Tuberculosis

Pulmonary #Tuberculosis with multiple cavities in a parient with HIV-AIDS


Second degree AV block on ECG

40yof presented to ER with sudden onset chest pain. Had pacemaker inserted at age 10 in Brazil for unknown reason ...


Trauma bay

Trauma bay after blunt traumatic arrest with ED thoracotomy in young patient with severe multitrauma. Difficult intubation with blood filled ...


Bronchiectasis on CT

Chest: Bronchiectasis on CT Findings: There are dilated, non-tapering bronchi. Discussion: Bronchiectasis is defined as irreversible dilatation of bronchi.


NG tube in the right bronchus

Chest radiograph case 1: What is the primary abnormality on this radiograph? #chest #X-ray #BSPR


Secondary Syphilitic Lesions

A 50y/o male was presented with known h/o Diabetes Mellitus (DM) and Hypertension (HTN). The skin condition as shown in ...


Rifampin causing orange urine

Want to guess this Patients rare diagnosis and the cause for this orange urine? I'll share the answer this evening!

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