A patient presents with HIV and a fever...what's in the differential? Below is simple review of the differentials to consider for patients with HIV who present to the ED with a fever based on CD4 counts.
Dental emergencies are a common chief complaint seen during Fast Track shifts. Read on below for a refresher on the classification system used for dental fractures and management.
Trench foot
· Temperatures above freezing + wet conditions = immersion injury
· Commonly from continuously wearing wet socks and shoes
History
· Repeated exposure to wet and cold
o Homeless, military, outdoor workers
· Occurs over several days to weeks
· Tingling or numbness most common symptom
Exam
· Damp, pale or mottled in color
Why is it important to perform a nasal speculum exam on every facial trauma patient? Read on to find out.
In previous posts, we discussed the general approach to facial fractures as well as diagnosis and treatment of zygomatic and maxillary fractures. Read on for specifics on signs and management of mandible fractures.
“EYE”-tis: How to tell the difference between the different “itis”s of the eye!
In a previous posts, we discussed the general approach to facial fractures and zygomatic fractures. Read on for specifics of Le Fort (maxillary) fractures and their management.
HINTS Testing: series of three physical exam maneuvers to differentiate peripheral and central causes of vertigo
Head Impulse test: tests vestibulo-ocular reflex
• Patient focuses on visual spot directly in front of them
• Rotate patient’s head rapidly from center to 40 degrees to the left and back again to center, repeat on the right
20 yo male presents to the ED with left hip pain after MVC PTA. Patient was restrained back seat passenger, no LOC. Patient appears very uncomfortable on stretcher, with left leg propped on rolled blanket. Tenderness at left hip but no obvious deformity. LLE with DP pulses 2+, sensation intact, will wiggles toes.
In a previous post, we discussed the general approach to facial fractures. Read on for specifics on signs and management of zygomatic arch & tripod fractures.
