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All geriatrics Cases

Wound with hypergranulation

89+ yo female referred to homecare for wound care of BLE "stasis ulcers", which have been slowly worsening for years, ...

12295

Rheumatoid Arthritis

81 y.o. female patient affected from reumatoid arthritis. The diagnosis has been done when she was 55, therefore she's still ...

192755

BCG for intravesical treatment of bladder cancer

This is BCG for intravesical treatment of bladder cancer. In the past we've used a closed system made by Merck ...

38227

Venous leg ulcer

82 y/o male with history of venous stasis ulcer to right lower leg. Ulcer presented initially when patient was hospitalized ...

236560

Pyuria and urinary retention

79yo male presented to ED with confusion and abdo pain. When asked what yr we are in, he said 1945.. ...

345227

Heparin-induced thrombocytopenia

Female 71 years old with mediastinal neoplasm infiltrating the superior vena cava and right atrium (histology: thymoma type A). Clinical ...

67200194

Partial thickness burns on leg and knee

33 yom "fell asleep near campfire" sometime last night. A&Ox 4 gcs 15 secondary unremarkable. No hx (other than alcoholism) ...

608476

Contact dermatitis on feet

80 y/o man with this itchy rash symmetric on the top of both feet. Any thoughts as to what the ...

164719

Contrast media aspiration on x-ray

patient presented with afib. This seen on cxr

1612463

Laceration on forearm

89F dementia patient, states fell over "at some point" the previous night onto a sharp corner of a chair, opening ...

173751

Fluconazole

Fluconazole is an Azole antifungal drug, which decreases ergosterol synthesis & interferes w/ fungal cell membrane formation. Beware QTc prolongation, ...

8549

Scar with nodule

How would you describe these skin lesions? Patient states they are are pruritic, but not painful with no history of ...

143512

Tibia and fibula fracture X-Ray

88 yo female stepped off a curb and sustained these fractures. On arrival, left foot internally rotated 180 degrees. Pt ...

181535

Subdural Hematoma on CT head

62 yo m w/ dizziness, R side muscle weakness, difficulty standing from seated, & unsteady gait. Gradual onset over 2-3 ...

17727

Moxifloxacin general information

#Moxifloxacin (Avelox) is a fluoroquinolone antibiotic. It should NOT be used for non-fermenting aerobic Gram negative rod, Pseudomonas aeruginosa. It ...

211083

Posterior Wall Infarction

81 yo M called EMS for chest pain. Witnessed ventricular fibrillation arrest by medics on scene. Patient relieved 3 min ...

9925

Pacemaker in cachectic patient

St. Jude pacemaker/AICD combo in a hospice patient with marked cachexia. Pt is on for CHF and had AICD implanted ...

812394

Obturator hernia on CT

90+ year-old woman admitted for vomiting and renal failure. Bowel obstruction suspected. CT shows obturator hernia so emergent surgery is ...

0310

IV metronidazole and usage information

#Metronidazole has a range of uses including for Protozoa and anaerobic bacteria. It works against Gram negative anaerobe Bacteroides fragilis. ...

3417194

Acute lymphocytic myocarditis on ECG

34 yo male, asymptomatic #Hyperuricemia, #Allopurinol for two weeks; no other relevant history. Malaise, low grade fever and myalgias during ...

213671

Pruritic rash on trunk and back

60y/o female with extreme #Pruritus. Widespread with exclusion of face and hands (groin area is the worst). Developed over several ...

244410

Purple urine bag syndrome and pseudomonas aeruginosa

Elderly patient came with this purple colored urine bag to our emergency. The urine itself was normal. After a short ...

1971143

Chronic venous insufficiency on lower leg

before and after of ulcer caused by #Chronic-venous-insufficiency. This is a repost from a 76 yo female patient, that was ...

112616

Left maxillary sinus opacification on skull x-ray

A 75YOM presented to PCU with a hx of faintish attack and fall 1day ago. He cant remember how he ...

11319

Retrograde flow in left ophthalmic artery on carotid doppler

Transient Left Eye Blindness after Exercise This 73 year old male with a history of transient left eye blindness after ...

51912

Herpetic lesion on arm

76 year old, without significant background, no hypertension, no diabetes, began 6 months ago with herpetic lesion in rigth arm ...

533

Oblique fracture in the femoral shaft on x-ray

@dmcc1986 and @fltisch both spotted the problem. A short nail was not appropriate, because there's an oblique fracture in the ...

21119

Premature atrial contractions on ECG

A 90+ year old complaint of upper abdominal pain. 10 day post op from an emergency #Gallbladder #Surgery 100mcg fentanyl ...

111616

Grade 4 pressure ulcer

Follow up; grade 4 pressure ulcer. After some weeks of hydrofiber dressings, at the end with silver. Granulation going on ...

1221183

Anterior shoulder dislocation on x-ray

#AnteriorShoulderDislocation prior to #reduction my patient yesterday. 87 yo F trip and fall. #HeadContusion #CT imaging negative. Reduction was successful. ...

7818
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