A 50 you male with history of gout presents with severe pain and swelling of the right hand third PIP joint for one week. History of gout and mono-articular joint pain/swelling? Easy, right? Right???
A 50 you male with history of gout presents with severe pain and swelling of the right hand third PIP joint for one week. History of gout and mono-articular joint pain/swelling? Easy, right? Right???
A 36 year old male presents with complaints of swelling his his hands and forearms, as well as severe fatigue and muscle aches. He is in no distress and vital signs are unremarkable. "Time to put on my internal medicine cap!" you think as you sit down to take your history and puzzle out the differential diagnosis.....
A 21 yo male presents after a ground level fall while intoxicated. His arm is obviously deformed. Time to shoot some xrays and find some plaster!
A 55 year old male presents after an altercation at a bar. The EMT warns you that his right eye "looks pretty weird" as they transfer him to the ED stretcher....
A 68 year old male presents with ALS for near syncope at home. ALS reports they found the patient diaphoretic, complaining of generalized weakness and inability to stand which began acutely an hour ago. His blood pressure on scene was 60/palp, which improved to 100 systolic with a 500 ml IVF bolus. "Shock eh?" you think as you approach the room. "Better bring the ultrasound...."
A 25 year old male presents with sudden onset of L chest and back pain while bench-pressing at the gym. There is decreased breath sounds on the left side. This isn't your typical msk chest pain! Read on for the imaging and management of this interesting pathology...
A 53 year old reported daily ETOH use presents via EMS for seizure at home. As you approach the stretcher you wrack your brain for the right treatment algorithm, realizing that this patient may die without the correct medications....
A 37 yo female presents with chief complaint of "electric shock" sensations down her arms and intermittent nausea/vomiting over the past week. Her vital signs are unremarkable. Little do you know that this young, well appearing patient has an acute medical emergency which will result in cardiac arrest in a few hours....
