Abagayle Renko M.D.

What's the Diagnosis? By Dr. Abby Renko

A 47 yo M presents to the ED after being struck by a vehicle while crossing the street. He fell and hit his head, but reports no LOC. He is complaining of diffuse abdominal pain and back pain. On exam, VS are normal and GCS is 15.  CT scans are obtained given his mechanism and CT A/P is shown below. What's the Diagnosis? (scroll down for answer)

 

 

 

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Critical Cases: Orbital Compartment Syndrome

A 31 yo male presents after assault. Walking into the room, you immediately notice marked edema around his left eye. He also seems restless and agitated and is pulling away from staff attempting to obtain vital signs and obtain IV access. Read on for pearls regarding this patient's vision threatening injury!

What's the Diagnosis? By Dr. Abby Renko

A 50 yo M w/ hx of HIV and IVDU presents to the ED w/ progressively worsening L UE pain and swelling x 2 weeks. He is febrile w/ a temp of 101.1, HR 110 and BP 96/62. On exam, his L upper arm is diffusely swollen, erythematous, tender and warm to to touch.  A CT of his L UE was obtained and shown below.  What's the diagnosis?  (scroll down for answer)

 

 

 

Answer:  L deltoid muscle abscess

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What's the Diagnosis? By Dr. Abby Renko

A 64 y/o M presents to the ED after being ejected off his motorcycle as the car in front of him stopped abruptly. He denies LOC or amnesia, not on blood thinners, but complaining of dyspnea. Initial VS are as follows: BP 140/90, HR 105, SpO2 84% on RA, Temp 34C, RR 22. On arrival, you obtain a STAT CXR, which is shown below. What's the diagnosis?

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