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Case 51: Utility of the Spine Sign in Detecting Pleural Effusion on POCUS
John Hermez
A 74 year-old male with a past medical history of metastatic castration-resistant prostate cancer complicated by cauda equina necessitating laminectomy decompression, chronic RLE DVT on apixaban and chronic hypotension presented to the emergency department accompanied by his spouse for altered mental sta...
Case 50: Ventral Hernia Pain
Bradley Phillips
A 47-year-old female with a medical history of right nephrectomy complicated by incisional “Swiss cheese” ventral hernias with recurrent incarceration and bowel strangulation presented to the ED with acute abdominal pain localized to the ventral hernia, nausea, and vomiting.
About three years ear...
Case 49: ARDS
Kayhon Rabbani
A 22 year old male who has no past medical history presented with a 3 day history of viral URI-like symptoms with sore throat, dry cough, shortness of breath, and dyspnea on exertion. The patient was an active marine recruit with many other members in his company being sick during this time. Shortly p...
Case 48: The Gut Feeling Was Right
Kanchi Mehta
A 38yo male with history of diverticulitis complicated by sepsis presented to the ED with lower quadrant abdominal pain. He noted that the pain started 2 weeks ago and became worse. He reported normal bowel movements in the morning, denied fever/chills, nausea, vomiting, or genitourinary symptoms. A rec...
Case 47: Abdominal Wall Perforation
Cloie June Chiong
A 37 year old male with a past medical history of ulcerative colitis, now status-post total abdominal colectomy with a creation of end ileostomy, left-sided ureteral lysis due to retroperitoneal fibrosis, robotic-assisted proctectomy with creation of an ileoanal pouch and diverting loop ileostomy, ...
Case 46: Skin and Soft Tissue Infection
Alma Fregoso Leyva
73 year old male with a past medical history of coronary artery disease, congestive heart failure, COPD, pulmonary fibrosis on 5L NC, and left lower extremity prosthetic joint infection s/p total femur replacement presented via EMS with 3 days of worsening left lower leg pain and swelling. He repo...
Case 45: Distal Both Bone Fracture
Teini Elisara
Case
An 82 year old female with a past medical history of anemia of chronic disease, breast cancer, diabetes mellitus, hypertension, osteoporosis, rectal adenocarcinoma, scleroderma with pulmonary involvement, and systemic lupus erythematosus presented to the emergency department after a mechanical ...
Case 44: Interscalene Nerve Block for Shoulder Dislocation
Josh Gieschen
Case:
32yo male with no PMH who presents following a fall down the stairs with no head strike or loss of consciousness. He endorses left shoulder pain and inability to range his left shoulder. He has never dislocated his shoulder before. His pain is 8/10 and limited to the L shoulder, worse with mot...