Visual Diagnosis

What do you think is going on here? So if you were the resident who signed up for this patient what would you do? As may be obvious, this is herpes zoster ophthalmicus, which is a reactivation of the VZV in cranial nerve V ophthalmic division. It’s a can’t miss visual diagnosis. Patients most at […]

GI Decontamination

Case: 37-year-old M presenting with obtundation and possible seizure-like activity after a large overdose of sustained-release bupropion (Wellbutrin XL), gabapentin, and other unknown medications. Given the severity of this patient’s overdose, he was intubated for airway protection and for further GI decontamination, including gastric lavage, activated charcoal, and whole bowel irrigation. Overview Given that GI […]

Shoulder Reductions

So today, we’re gonna talk about shoulder dislocations. This should resonate with a lot of you residents considering the weather conditions currently, or if you were worried about what would happen if a certain SuperBowl performer were to have fallen: If a shoulder dislocation is suspected, make sure a thorough neurovascular exam is conducted! Are the […]

Flail Chest

An uncommon injury caused by three or more rib fractures in two places Injury resulting from blunt trauma such as a motor vehicle accident (75%), falls (15%) or direct percussion to the chest Causes decrease intrathoracic pressure, ineffective ventilation, and pulmonary contusion Pulmonary contusion is causes by small laceration of the alveoli leading to blood […]

July 2022
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