Have you ever attemped a trigger point injection to improve your patient's musculoskeletal pain? Did it help? This week for his Critically Appraised Topic, Dr. John Cafaro investigated some of the literature on the effectiveness of trigger point injections for patients suffering from musculoskeletal pain.Read more
Submitted by John Cafaro MD
25 year-old female presents following a fall from her horse 5 days ago. She complains of severe pain in the radial aspect of her right wrist and has no other injuries. Plain films at an outside ED immediately following the injury were negative and repeat plain films are shown here. What’s the diagnosis?
A high-yield review of the past week from EMDailyRead more
An 80 year old male with history of hypertension, IDDM, and CML presents with acute onset confusion and left-sided weakness. The patient has no signs of trauma and is currently afebrile.Read more
A 34 year old Vietnamese male presents with complaint of neck swelling. It began one month ago and worsened over the past few days. He endorses fatigue and a mild weight loss. Exam shows an indurated, non mobile mass without tenderness or erythema. You order imaging and are concerned for TB but unsure what to do next.
Submitted by Stephanie Wilsey, MD
What may appear (and smell) impressive in the ED does not always require emergent intervention, yet understanding how to determine the severity of lower gastrointestinal bleeding, need for aggressive resuscitation, and diagnostic/consultant resources are key for the emergency provider.Read more
Submitted by Eric Gruber, MD