A 64M with history of opioid use disorder, HCV, HTN presented to the ED with left knee pain and swelling 10 days after mechanical fall onto that knee. He was unable to bear weight. His knee was extremely swollen with an effusion, warm, and he had severe pain with any ROM of the joint. His X-ray negative for fracture. What else could be causing this patient's swollen painful knee?
You’re working a shift in the Emergency Department and your patient needs an LP. You grab an informed consent form and head into the room to discuss the procedure with the patient... Of course you know you have to discuss risks and benefits and get the patient to sign the form, but what does "informed consent" actually mean?
A patient comes into the ED with a high fever, shortness of breath, mild headache, diarrhea, and general malaise. It’s 2021… so naturally, the ‘COVID alarms’ start sounding in our heads. But if it were that simple, we probably wouldn't be posting about it, would we?
A boy, otherwise healthy, is rushed into the emergency room by his mom because she thinks he had a seizure. His mom states he was sitting on the ground playing a game on his iPad when he suddenly started having jerking movements of his entire body that eventually after around 2 minutes. He has never had a seizure before. He is up to date on vaccines and had an unremarkable birth history.
On exam, the child is not actively seizing at this time, he just seems slightly drowsy and confused. It is noted that he is febrile to 38.2 C, otherwise vitals are stable. The rest of the exam is .
What should you be thinking about? What are your next steps?