November 2007 - Posts

• Case of the Week - Case # 52

  48-year-old white male presents to ED 5 days after crush injury at work with a heavy wooden box.  For the past few days he has been experiencing worsening pain, redness and swelling in this right index finger.  His vital signs are stable and he is afebrile.  On examination, you notice fusiform swelling of the digit with erythema and an open wound.  His is holding his finger in a partially flexed position and states it is too painful to extend the digit.  His plain films of the hand are negative for fracture.  You perform a focused ultrasound to assess for the presence of an abscess and a flexor tenosynovitis. Take the case. Posted Nov 26 2007, 11:52 PM by Rob with no comments Filed under: Advanced, Musculoskeletal

• Case of the Week - Case # 51

  58-year-old male presents with nontraumatic right sided pain for the past 2 days.  He points to the midaxillary line starting at @ the 8th intercostal space and extending caudal to the infracostal margin. He denies hematuria, fever, chills, n-v-d, fatty food intolerance, chest pain or dyspnea.  His vital signs are stable.  His CBC and BMP are unremarkable and his urinalysis reveals no evidence of hematuria or pyuria.  You are concerned that the patient may have an obstructing ureteral stone on the right.  You perform a focused renal ultrasound and note the following... Take the Case Posted Nov 16 2007, 09:21 PM by Rob with no comments Filed under: Renal, Intermediate

• Case of the Week - Case # 50

  36-year-old male with hx of HIV presents with RUQ abdominal pain and jaundice.  His vital signs are stable.  His physical exam reveals the presence of scleral icterus and RUQ abdominal tenderness without rebound.  His labs reveal elevated liver transaminases, alkaline phosphatase, and total bilirubin.  You perform a bedside ultrasound and note the following... Take the Case Posted Nov 09 2007, 04:13 PM by Rob with no comments Filed under: RUQ, Intermediate, HIV