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All emergency-medicine Cases

Heroin overdose

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

22610044

Tick bite

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

183418

Acute sinusitis complicated by orbital abscess

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

558035

Recurrent strep throat

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

69307

Munchausen syndrome by proxy

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

12532595

Pulmonary Tuberculosis

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

32342

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 ...

142812

Trauma bay

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

29109277

Bronchiectasis on CT

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

6913

NG tube in the right bronchus

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

113321

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 ...

113612

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!

17523589

Traumatic fingertip amputation

Traumatic fingertip amputation. Patient got his glove caught in a saw at work and it ripped off his fingertip. Needs ...

183255

Actinic keratosis

The patient has actinic keratosis. He is treated with photodynamic therapy, the lesions on the arm have now become inflamed. ...

83011

Cyanokit

50-something M patient to ED with ROSC after arrest secondary to house fire. Cyanokit is given to bind cyanide produced ...

105150288

Prone position

Behind the drapes...how patients are positioned - prone used for spinal and posterior fossa surgery. Lateral for various intracranial lesions. ...

694878

Hematemesis

66 YOF with a 6 week history of abdo pain and significant weight loss. One episode of #Hematemesis previously- admitted ...

156555

Titanium helical fasteners on x-ray

Can anyone kindly identify the small metal coils seen in this 87 year old gentlemans abdomen. He is delirious so ...

86206139

Atrial flutter in ECG

A patient admitted for pleural effusion. Noted frequent intermittent self-aborted #Tachyarrhythmias . It's looks like running of #Supraventricular-tachycardia from the ...

71816

Tracheo-innominate fistula

#Tracheo-innominate-fistula, a rare and often deadly complication of #Tracheostomy! Yellow arrow points to the tracheostomy stoma, black arrow points to ...

2866115

Shock cheat sheet

Since my last post was well received, I guess I'll do one more. #CheatSheet This one is a bread and ...

1552132

Wandering spleen on CT

14 yo Patient presents with abdominal pain, Abdominal US reveals a pelvic spleen. On CT you can see the spleen ...

61828

Doctors Without Borders in Iraq

As the fighting intensifies in and around Mosul, the humanitarian crisis in Iraq continues to worsen. In response to increasing ...

83451

Foreign body in esophagus

esophageal foreign body, child presents with significant drooling but no respiratory distress.

314530

Arrow in hand

I shot an arrow I know not where......This 10 year old boy shot an arrow that broke. Initially it seemed ...

126974

Furuncle caused by Staphylococcus aureus

The #Furuncle is caused by Staphylococcus aureus. It is transmitted by contact with asymptomatic carriers, people with purulent lesion or ...

224024

X-ray of right fibular fracture

18 yo M s/p GSW to the bilateral lower extremities. Findings on the right leg. ABI above one bilaterally, strong ...

11149

Displaced clavicle fracture

27yo male had a bike accident and landed on his shoulder. 1st xray were taken at the ER the day ...

384428

Right-sided neck mass of Hodgkins Lymphoma

Patient is 4 yo M immigrant from Malaysia (5 months ago) presents with right sided neck mass that has been ...

6913653

Abdominal x-ray of ingested metallic foreign body

Abdominal x-ray shows an ingested metallic foreign body. Most ingested foreign objects will pass through the gastrointestinal system without complication. ...

82529
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