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Case of the Week - Case # 86

20-year-old male is admitted to the ED via EMS after a rollover MVC. The patient is hemodynamically stable. On exam you note that the patient has multiple torso bruises. After initial stabilization, you perform a FAST exam and note the following (perihepatic and perisplenic windows shown): Take the Case

Posted to Cases (Weblog) by Rob on 07-28-2008
Case of the Week - Case # 66

An 87-year-old female nursing home resident presents to the ED hypotensive after a fall. The patient has a history of organic brain syndrome, a fib on coumadin, hypertension, coronary artery disease, hypothyroidism and gout. The patient is nonverbal. Her vitals signs are as follows: BP 62/40, HR 108...

Posted to Cases (Weblog) by Rob on 03-04-2008
Case of the Week - Case # 62

A 24-year-old male presents after having been stabbed to the anterior right hemithorax with a screwdriver. His vital signs are stable and his pulse ox is 95% on room air. You perform a FAST exam and note the following on the perihepatic window. Take the Case

Posted to Cases (Weblog) by Rob on 02-06-2008
Case of the Week - Case # 57

A 32-year-old male presents to the ED after being shot. He has an entrance wound noted at the anterior axillary line near the lower costal margin. An upright chest radiograph reveals no intrathoracic trauma. The bullet's location is not seen on the chest radiograph. The patient's vital signs...

Posted to Cases (Weblog) by Rob on 01-01-2008
Case of the Week - Case # 41

A 36 y.o. male is admitted to the ED via EMS after a high-speed MVC. The patient was the unrestrained driver of the vehicle. The medics report that the patient "broke the steering wheel. It was also noted on exam that the patient has extensive bruising in the upper abdominal region. His physical...

Posted to Cases (Weblog) by Rob on 08-27-2007
Clinical Case # 5

A 24-year-old male presents to the ED after a GSW to the left flank with an entrance wound noted posteriorly and an exit wound noted anteriorly. His vitals are stable and his examination is only remarkable for left flank and side tenderness. His abdominal exam is benign. Your trauma surgeon wants you...

Posted to Cases (Weblog) by Rob on 11-29-2006
Clinical Case #2

A 55-year-old male was involved in a rollover MVC after his car was cut off by another vehicle. The patient was retrained and is complaining of generalized abdominal pain, in addition to neck pain, back pain and extremity pain. His vitals are stable upon arrival into the trauma room. He has obvious deformities...

Posted to Cases (Weblog) by Rob on 11-08-2006
Clinical Case # 1

A 32 y.o. male presents after being stabbed in the R chest with a knife. He is hemodynamically stable and has symmetric breath sounds on exam. A chest x-ray cannot be immediately obtained... Take the case .

Posted to Cases (Weblog) by Rob on 11-01-2006

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