November 24, 2014
While demonstrating his retro dance moves, a 31-year-old injures his knee doing “the Twist.” Now he can barely walk. Would you order an x-ray?
November 24, 2014
An occult fracture in the knee is most often a nondisplaced lateral tibial plateau fracture.
November 03, 2014
Symptoms have been present for 2 days. Lab studies are notable for BUN (43 mg/dL) and CO2 (21 mmol/L). The real problem is visible on CT of the abdomen and pelvis. Your diagnosis?
October 29, 2014
At risk for mesenteric ischemia-an uncommon but feared cause of abdominal pain-are the elderly and chronically ill.
September 04, 2014
Rushing down a flight of hardwood stairs wearing socks lands a 38-year-old man on his back and then in the ED for evaluation of back pain that prohibits walking. Can you spot the problem on the x-ray?
September 04, 2014
Spinal fractures are most often the result of falls, motor vehicle accidents, or sports injuries. Lateral process fractures may occasionally be associated with renal injury.
August 19, 2014
The pain and bleeding have persisted for 2 days. She last menstruated 5 weeks ago but doubts she is pregnant. Take a close look at the ultrasound image. Your Dx?
August 18, 2014
Results of a pelvic sonogram reveal the etiology of lower abdominal pain and vaginal bleeding in a 26-year-old woman.
July 28, 2014
Recovery from a hemopneumothorax had progressed well for this 29-year-old man until today when he presents to the ED with dyspnea and pleuritic chest pain. What do you see on the chest x-ray?
July 28, 2014
Persistent symptoms of hemothorax or pneumothorax, in the absence of new x-ray findings require further inquiry, including chest CT, to rule out PE.