A 24 year old male presents to your emergency department with severe hand pain after a fall while snowboarding. The patient states that he fell onto an outstretched left hand. On exam the patient has dorsal radial wrist tenderness with decreased range of motion. His XRAY is below. What is the diagnosis?
Submitted by Louis Argentine MD
A 55 yo female with a high BMI presents with left fifth toe pain and deformity.
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A 4 yo M presents to the ED with R wrist pain after a fall from the monkey bars.
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Read on for a summary of a lecture from Dr. Richard Byrne on common themes in ED malpractice. Knowledge of the high risk patients and diagnoses is the first and best defense against diagnostic error!
Read moreSubmitted by Richard Byrne, MD
A 65 yo male presents wth chest swelling over the last 2 hours
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Submitted by Loran Hatch, DO
Dr. Salzman, Toxicologist, discusses a recent case of rodenticide overdose in the Cooper Emergency Department.
Read moreSubmitted by John Cafaro MD
A 63 yo F is brought in by EMS after being found down.
Read moreSubmitted by Katie Selman, MD
The Cooper EM Residency recently hosted a spirited debate on the topic of administering thromblytic therapy during cardiac arrest. Drs. Byrne and Roberts faced off in a duel for the ages! Read on to see the results of the largest randomized controlled trial the "TROICA" study and to see the winner (and loser)!
Read moreSubmitted by Richard Byrne, MD
A 26 year old female at 40 weeks gestation presents to your emergency department in labor. During the delivery you notice retraction of the fetal head against the maternal perineum and are unable to deliver either shoulder. Which of the following steps below should be performed first?
- Suprapubic pressure with flexion of hips
- Episiotomy
- Rotate mother to prone position
- Cephalic replacement
- Intentional clavicle fracture
Submitted by Louis Argentine MD
