QTip: Patients with new neurologic deficits that present outside the reperfusion window or with unknown duration of symptoms may have a time-sensitive dangerous condition other than acute ischemic stroke (e.g. intracranial hemorrhage) and should be considered for expeditious evaluation +/- neuroimaging.
Face off
Posted onA 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 […]