D-dimer for dissection?

Aortic dissection continues to be one of the most difficult diagnoses to make. The IRAD study from 2009 found that a d-dimer <500 ng/mL used to rule out acute aortic dissection had a negative likelihood ratio of 0.07 in the first 24 hour…

Nasal Foreign Body

Nasal foreign bodies present with a wide variety of complaints ranging from history of insertion without symptoms (71-88% of patients), mucopurulent nasal discharge (17-24%), foul odor (9%), epistaxis (3-6%) to mouth breathing (2%). Most co…

Broken tooth? Don’t break a sweat

Summertime brings us all sorts of playground, sports and even graduation party injuries. Injuries to the teeth, though not usually life threatening, can often make us uncomfortable. Next time you approach a patient with a dental injury, rem…

A Head’s Up about Head Trauma

The World Cup is on! Every four years, the beautiful game moves the big stage where we get to see the sport played at its finest. We also get to see the slide tackles, the dives and, more concerning, the head injuries…even if voluntar…

January 2022
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