Catherine Ginty, MD

Back to Basics: Trench Foot

Trench foot

· Temperatures above freezing + wet conditions = immersion injury

· Commonly from continuously wearing wet socks and shoes


· Repeated exposure to wet and cold

o Homeless, military, outdoor workers

· Occurs over several days to weeks

· Tingling or numbness most common symptom


· Damp, pale or mottled in color

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Back to Basics: Dizziness & the HINTS exam

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

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What’s the Diagnosis? By Dr. Loran Hatch

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.

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