Ortho Hors D'oeuvres (Answer):
To review, this is a 50 year-old female with previous similar injuries and normal neurovascular examination presenting with right shoulder pain status post a fall. Questions and Answers: 1) What is the injury? As you can see in the above image, this patient has suffered an inferior and (corroborated in the lateral film) anterior dislocation of the humeral head (blue arrow) in respect to the glenoid (yellow arrow). There is also a significantly displaced fracture of the greate
Ortho Hors D'oeuvres (Prompt):
Patient is a 50 year-old woman presenting after falling down onto her right shoulder. She has a history of similar injuries in the past. On examination, she has intact sensation and strength in the axillay, median, radial, and ulnar nerve distributions, with good capillary refill. X-rays show: Questions and Answers: 1. What is the injury? 2. Did you need to perform the x-ray to appropriately treat this injury? 3. What is the appropriate emergent management for this injury?
Story: Patient is a 64 year-old male with a history of hypertension and hyperlipidemia presenting with 3 hours of chest pain. He received 325 mg of aspirin and 2 nitroglycerine tablets en route with EMS with moderate improvement. His EKG is below: On this initial EKG, the following are visualized: This EKG demonstrates sinus rhythm with a prolonged PR interval (normal PR intervals are 0.12-0.2 milliseconds). The QRS complexes are narrow, with Q waves present in leads V1-V2.