Pediatric EM , Orthopedics , Ultrasound

Pediatric Gonococcal Hip Arthritis Diagnosed by Emergency Point-of-Care Ultrasound-Guided Arthrocentesis

4/8/2021 Cameron Fisher , Brittany N. Arnold, MD , Megan Mickley, MD, FAAP, FACEP

Point-of-care ultrasound-guided arthrocentesis performed in the emergency department can expedite the diagnosis and treatment of septic arthritis, potentially averting the need for surgery.

Orthopedics , Pediatric EM

How to Approach the Pediatric Elbow

4/8/2021 Shahfar Khan, MD, FAAP , Brian D. Novi, DO , Youck Jen Sui Navarro, MD , Dorota Pazdrowska-Chawdhry, MD , Erica Poletto, MD

Here it is: the dreaded pediatric elbow. Is it a fracture? An ossification center? Shouldn't there be a bone there? By using a systematic approach to reading elbow x-rays, you can begin to feel more c

Rheumatology , Infectious Disease , Orthopedics

Septic Arthritis in a Patient with a Confounding History

12/1/2020 Loren Touma, DO, MS , Michael Samodio, DO

Septic arthritis is a rheumatologic emergency, which may lead to permanent joint damage and a mortality rate of 10-15%. If left untreated, non-gonococcal septic arthritis can destroy articular cartila

Pediatric EM , Orthopedics , Social EM

Utility of Follow-Up Skeletal Surveys in Suspected Child Maltreatment

12/1/2020 Shahfar Khan, MD, FAAP , Brian D. Novi, DO , Norrell Atkinson, MD, FAAP

In 2018, statistics show 15,605 children and adolescents were conﬁrmed victims of physical abuse in the United States. It is vital to ensure a safe disposition for pediatric patients, as further harm

Neurology , Orthopedics , Urology

The Smallest Red Flag: A Case of Non-Urologic Urinary Retention

10/9/2020 Sarayna McGuire, MD , Derick Jones, MD, MBA , Patti Paris, MD, MBA, FACEP

It is important to consider that acute urinary retention can be a subtle clue of a neurologic process warranting emergent CT imaging to rule out vertebral fracture and MRI to rule out spinal cord comp

Orthopedics

A Rare Case of Adolescent Joint Pain in the ED

8/17/2020 Tanner Miles, MD , MAJ John Kiel, DO, MPH, CAQ-SM , Alexandra Mannix, MD

Osteochondral defect (OCD), historically referred to as Osteochondritis Dissecans, was described by Dr. Franz König more than 125 years ago. Rarely seen in the ED, it should remain in your differentia

Pediatric EM , Orthopedics

Cervical Spine Injuries in the Pediatric Population

8/17/2020 Nicholas Kos , Myrna Aboudiab , Zaza Atanelov, MD, MPH , Amber Hathcock, MD

Although cervical spine injuries are rare among the pediatric population, when you do see a child with a spinal injury, there's a 60-80% likelihood the c-spine is involved.

Orthopedics , Trauma

Forearm Strangulation: An Interesting Cause of Compartment Syndrome

12/16/2019 Amy E. Mulcahy, PA-C, MS, PHPE , Brendan A. Mulcahy, DO, PHP, PA-C

Investigate the pressure of this tangled case of a patient with a limb-threatening injury at first discharged home in the absence of a fracture.

Ultrasound , Neurology , Pain Management , Orthopedics

Risk Awareness in the Interscalene Nerve Block

10/10/2019 Heather Roesly, MD , Spencer Tomberg, MD

Before employing this nerve block when addressing shoulder dislocations, ensure familiarity with the nerve structure in the area and assess whether it will be appropriate in the patient.

Orthopedics , Dermatology , Wilderness Medicine

Unique Presentation of Fracture Blisters

10/10/2019 Will Hockett, MD , Delvin Akins , Craig Warden, MD, MPH

Fracture blisters on this patient's ankle resulted from a sock topped by a SAM splint that went through a 8.5-mile mule ride to get to an ambulance. Take in these pointers on handling such injuries an

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