Loran Hatch, DO

Severe Asthma Management

Severe Asthma

Asthma is one of the most common causes of respiratory distress seen in the emergency department. Most often, our patients will get better with some nebulizers and steroids. But when this fails, treatment becomes more complicated and patients can decompensate quickly. What are your options to step up therapy in your most severe asthma cases?

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What's the Diagnosis? By Dr. Loran Hatch

A 35 yo M presents to the ED complaining of R hand pain after punching a wall in an upward motion. He denies any numbness or paresthesias. On exam, he has an obvious deformity of the dorsum of the R hand, but is neurovascularly intact. Xray is shown below.  What's the diagnosis?  (scroll down for answer)



Answer: Carpo-metacarpal dislocation (4th and 5th in this case)