Loran Hatch, DO
Asthma is one of the most common causes of respiratory distress seen in the emergency department. Most often, our patients will get better with some nebulizers and steroids. But when this fails, treatment becomes more complicated and patients can decompensate quickly. What are your options to step up therapy in your most severe asthma cases?
A 65 yo M presents to the ED after falling 10 feet off a ladder. He is complaining of R shoulder pain, but denies head trauma, LOC or other injury. An xray of the R shoulder is done. What's the diagnosis? (see below for answer)
Answer: Scapular fracture (superior border)
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)