A 29 y/o M presents to your ED after a head-on MVC at moderate speed.  The patient was driving an older automobile without airbags, and smashed his face hard against the steering wheel.  He has significant facial ecchymoses and swelling, and you note clear fluid continuing to drain from his nose.  What injury will likely […]

39 y/o F presents to your ED after a bite from a squirrel.  She was attempting to feed to squirrels in Central Park when one of them bit down hard on the index finger of her dominant hand, drawing blood.  She does not report any unusual behavior from the squirrel, although she admits she is […]

34 yo M BIBA s/p fall from 3 stories, suicidal attempt. Pt is AO3, CTA b/l, pelvis stable, able to lift all extremities off stretcher, sensation and peripheral pulses intact. Pt has right lateral heel/ankle deformity. +step off L1-L2 area, good rectal tone. Red trauma was activated. CT shows compression fracture of L1 with loss of vertebral height of […]

An 8 month pregnant female arrives to the ED complaining about dysuria. She is nontoxic appearing, afebrile. Exam significant for +suprapubic tenderness, -CVA tenderness. UA +leuks, +nitrates. 1) What antibiotic regimen should she be started on as an outpatient? 2) What if she had fever, +CVA tenderness, or systemic findings consistent with pyelonephritis?   Options: […]

An 18 year old female presents to the ED with vague symptoms of lower back pain. She exhibited inappropriate and erratic behavior that seemed more than just teenage angst. The patient was thin in NAD and had a grossly normal musculoskeletal, motor and neuro exam, no red flags. Labs were drawn and she had a […]