A 69 yo male presents with EMS after a friend found the patient confused in bed, covered in feces. The patient's only complaint is leg pain. You quickly think through your differential diagnosis for deadly causes of leg pain as you approach the room. Is this patient hiding one of them???Read more
Submitted by Sarah Perelman M.D.
A 76 year old male presents with confusion, cough, and fever. He remains hypoxic in the 80s on nasal canula. Your nurse suggests non-invasive positive pressure ventilation to improve oxygenation. How likely is this strategy to maintain acceptable oxygenation? What are the chance the patient will progress to the need for intubation?Read more
Submitted by Tom Sewatsky, MD
A 49 yo M presents to the ED c/o L knee pain after a slip and fall in the bathroom. He heard a "pop" and since has had progressive knee swelling. He cannot bear weight. On exam, you note L knee swelling and he is unable to extend the L knee. XR is obtained and shown below. What's the diagnosis?Read more
Submitted by Roger Rothenberg, MD