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The case material for this Challenge was provided by Dr. Brooks LaSelle and Dr. Brian Snyder - thanks for the interesting case! A 28 year-old male that presented to the hospital with left trapezial pain. This patient has a history of back pain and when the pain developed he attempted to alleviate the...
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42-year-old female with non-traumatic pain to her right ankle. Her vitals are stable and she is afebrile. Her PMH is unremarkable. On exam she has isolated tenderness and swelling to the medial aspect of her ankle. You perform a focused ultrasound and find... Take the Case
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34-year-old male felt a pop in his right bicep after lifting a refrigerator. He has marked swelling noted of the arm and has limited ROM due to pain. You perform a focused ultrasound and note the following… Take the Case
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A 31 y.o. male presents with wrist pain and swelling on the volar aspect of the wrist. Patient has hx of IVDA and had been injecting in this area recently. Patient’s vitals are stable but he has a temp of 102.3 F. You perform a focused ultrasound and note the following... Tak e the Case
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32-year-old male with a past history of HTN and gout presents with left ankle pain for two days. The patient has no history of trauma, prior injury, or fever. His left ankle appears slightly swollen and is warm to the touch. His vitals were significant for tachycardia and no fever. He has a WBC count...
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52-year-old male with unilateral calf pain. You do not notice a DVT from the groin to the adductor canal ... Take the case
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25-year-old male presents with recurring right hand swelling three weeks after punching a glass window. You perform a focused ultrasound and note the following ... Take the Case
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52-year-old laborer presents with swelling to his right middle finger two days after sustaining a puncture wound with a piece of metal. His vitals are stable and he is afebrile. His physical exam is unremarkable with the exception of fusiform swelling and erythema of the digit. There is no evidence of...
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A 22-year-old right-hand dominant male with known retained glass foreign bodies (fb) in his for two months duration. The patient has seen several hand surgeons and told it would be best to leave the fb's alone. The patient presents to the ED stating he can no longer perform his job duties due to...
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A 27-year-old male presents to the ED after injuring his right leg. He states that he tripped while running down some stairs and adds he believes he twisted his knee prior to hitting the ground at the base of the stairs. On examination, he has a large knee effusion. His x-rays are negative for fracture...
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A 56-year-old male with PMH of chronic alcoholism and Hepatitis C presents to the ED with 2 days of right hand pain. Pt states he is not sure what happened. He remembers being in an altercation and being pushed down several steps. He adds that he is concerned that he was bit because the assailant had...
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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...
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A 39-year-old male presents to the ED with a swollen left ankle. He states he was bit by his cat two days ago and has noted progressive pain and redness. On examination, the patient is febrile at 38.4 C and his exam reveals extensive erythema over the ankle with several puncture wounds noted medially...
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84 y.o. BF with history of HTN, CAD, CHF and A fib (on Coumadin) presents with nontraumatic right shoulder pain. Her vitals are stable and her temperature is 38.1 C. On physical examination, you note the obvious swelling of the right shoulder. She has good passive range of motion but it causes moderate...
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17 y.o male presents stating “I need an abscess on my foot drained again.” Patient reports that about once a year he needs to get an abscess drained in the same place on his foot. He denies past trauma or known FB. Patient has no other PMH and he is afebrile with stable vital signs. On examination...