Jillian Smith MD

What's the Diagnosis? By Dr. Loran Hatch

A 35 yo M presents to the ED complaining of R hand pain after punching a wall in an upward motion. He denies any numbness or paresthesias. On exam, he has an obvious deformity of the dorsum of the R hand, but is neurovascularly intact. Xray is shown below.  What's the diagnosis?  (scroll down for answer)

 

 

Answer: Carpo-metacarpal dislocation (4th and 5th in this case)

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What's the Diagnosis? By Dr. Katie Selman

A 67 yo M w/ a PMHx of IVDU presents to the ED w/ chest pain and fever of 101.5. His initial HR is 135. A CXR is obtained and he is started on broad spectrum antibiotics. An hour later, he begins complaining of worsening shortness of breath, and is found to be tachypneic and hypoxic, w/ a RR of 40 and SpO2 of 85 %. A repeat CXR is obtained (shown at R below, initial CXR on L).  What's the diagnosis? (scroll down for answer)

 

 

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