Kudos to dzeccola for an accurate, succinct, and incredibly prompt answer to this clinical conundrum. To review: We have a 49 year old man with pain on/inability to flex the right hip with concomitant fever and weight loss. …
Presyncope is a poorly studied symptom. Often practitioners dismiss it or treat it like a full syncopal event, but until recently what the risks are in this population of patients in the ER was not well known. Do you want to…
Rhythm Nation March 2015 – Answer! Congratulations to VTACHomas for being first! Excellent discussion from JFreedman and Eschnitz. This is a complicated ECG! Let’s first look at the option of ventricular bigeminy. Ventricular bigeminy has recurring premature ventricular contractions…
Here are the images again: There is a right middle third clavicle fracture and right scapula fracture! Scapula Fractures: Relatively uncommon Many associated injuries, which can be LIFE-THREATENING: hemothorax, pneumothorax, pulmonary contusion, humeral fractures, skull fractures, or…
The Case: A 49 year old man without any past medical history presents with R hip pain for 2 months. The pain is nonradiating, worse with flexion of the R hip, walking, or bending forward. Over the past month,…
Although less common than calcium channel antagonist or β-adrenergic antagonist poisoning, cardioactive steroids are an important cause of poisoning causing hypotension and bradycardia and should be considered in the differential diagnosis. Cardioactive Steroids The cardioactive steroid (CAS)…