54-year old male presents with finger laceration after catching his wedding band on metal scaffolding above his head. He now reports significant pain at his left fourth digit with skin avulsion and decreased range of motion. What's the diagnosis and what should you do next?
Submitted by Haney Mallemat, MD
Think just because you are a young, healthy physician that you are invinceable? Read this post and remember that we are vulnerable too...even more so because we often refuse to acknowledge when we are sick. This week's Advanced Practice topic comes to us courtesy of a Cooper EM alum. The story is told with full permission from the patient, his wife, though names are omitted to prevent any possible HIPPA entanglements!Read more
Submitted by Richard Byrne, MD
A High yield review of this weeks posts on EMDailyRead more
Hemodialysis is indicated at which serum lithium level in patients with acute lithium toxicity with evidence of renal insufficiency?Read more
Have you ever attemped a trigger point injection to improve your patient's musculoskeletal pain? Did it help? This week for his Critically Appraised Topic, Dr. John Cafaro investigated some of the literature on the effectiveness of trigger point injections for patients suffering from musculoskeletal pain.Read more
Submitted by John Cafaro MD
25 year-old female presents following a fall from her horse 5 days ago. She complains of severe pain in the radial aspect of her right wrist and has no other injuries. Plain films at an outside ED immediately following the injury were negative and repeat plain films are shown here. What’s the diagnosis?