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Auricular Perichondritis after a “High Ear Piercing:” A Case Report

Diego Federico Craik Tobar, MD^* and Adeola Adekunbi Kosoko, MD^*

DOI: https://doi.org/10.21980/J8WH16 Issue 6:2[mrp_rating_result]

On physical examination, there was erythema, swelling, warmth, and general exquisite tenderness of the superior aspect of the left pinna (the outer ear) but excluding the ear canal, lobe, tragus, and crus. There was no facial involvement. There was no fluctuance about the ear and no drainage of fluid. The preauricular lymph nodes were enlarged and tender, but the anterior cervical lymph nodes were not tender. There was no mastoid tenderness, protrusion of the ear, or interruption of the postauricular crease.

Case Report of COVID-19 Positive Male with Late-Onset Full Body Maculopapular Rash

Sarah Harirforoosh, MD^*, Jessica Hoffmann, MD^{^}and Emily Bernal^†

DOI: https://doi.org/10.21980/J86W72 Issue 6:1[mrp_rating_result]

The images demonstrate a diffuse, flat, maculopapular exanthema along the torso, bilateral upper and lower extremities, and neck without edema consistent with reported cutaneous manifestations of COVID-19. There are no surrounding bullae, vesicles, or draining. On palpation, there was blanching of the rash. Sensation to light touch was intact in all extremities. The findings were also apparent on the face with no mucosal involvement.

Dermatology Infectious Disease Visual EM

Necrotizing Fasciitis and Mediastinitis after Wisdom Tooth Extraction: A Case Report

Jennifer Edwards, MD^*, Ryan Fisher, MD^* and Amrita Vempati, MD^*

DOI: https://doi.org/10.21980/J8XW7KIssue 5:4[mrp_rating_result]

Computer tomography (CT) imaging of soft tissues of the neck and of the chest/abdomen/pelvis revealed extensive swelling and subcutaneous air (see red arrows) on the left side of the face and neck extending to the left shoulder, as well as parapharyngeal/retropharyngeal spaces and posterior/superior mediastinum.

Infectious Disease Visual EM

Improving Emergency Department Airway Preparedness in the Era of COVID-19: An Interprofessional, In Situ Simulation

Keiran J Warner, MD^*, Ashley C Rider, MD^*, James Marvel, MD^*, Michael A Gisondi, MD^*, Kimberly Schertzer, MD^* and Kelly N Roszczynialski, MD, MS^*

DOI: https://doi.org/10.21980/J8V06M Issue 5:3[mrp_rating_result]

At the conclusion of the simulation session, learners will be able to: 1) Understand the need to notify team members of a planned COVID intubation including: physician, respiratory therapist, pharmacist, nurse(s), and ED technician. 2) Distinguish between in-room and out-of-room personnel during high-risk aerosolizing procedures. 3) Distinguish between in-room and out-of-room equipment during high-risk aerosolizing procedures to minimize contamination. 4) Appropriately select oxygenation therapies and avoid high-risk aerosolizing procedures. 5) Manage high risk scenarios such as hypotension or failed intubation and be prepared to give push-dose vasoactive medications or place a rescue device such as an I-gel®.

Infectious Disease Procedures Respiratory Simulation

A Case Report on Miliary Tuberculosis in Acute Immune Reconstitution Inflammatory Syndrome

Erica Concors, MD^*, Hamid Ehsani-Nia, DO^* and Michael Mirza, MD^*

DOI: https://doi.org/10.21980/J81H02 Issue 5:3[mrp_rating_result]

A portable single-view radiograph of the chest was obtained upon the patient’s arrival to the ED resuscitation bay that showed diffuse reticulonodular airspace opacities (red arrows) seen throughout the bilateral lungs, concerning for disseminated pulmonary tuberculosis. Subsequently, a computed tomography (CT) angiography of the chest was obtained which again demonstrates this diffuse reticulonodular airspace opacity pattern (red arrows).

Infectious Disease Respiratory Visual EM

Necrotizing Fasciitis

Rishan Desta, MD^* and Jennifer Yee, DO^*

DOI: https://doi.org/10.21980/J84M1D Issue 5:2[mrp_rating_result]

At the conclusion of the simulation session, learners will be able to: 1) Describe the spectrum of clinical presentations of necrotizing fasciitis. 2) Identify the microbial etiology of necrotizing fasciitis. 3) Describe the empiric antibiotics appropriate for necrotizing fasciitis. 4) Describe benefits and limitations of various imaging studies when working up necrotizing fasciitis.

Infectious Disease Simulation

Primary Measles Encephalitis

Milap Mehta, MD^*, Maegan Reynolds, MD^{^} and Jennifer Yee, DO^*

DOI: https://doi.org/10.21980/J80S75 Issue 5:2[mrp_rating_result]

At the conclusion of the simulation session, learners will be able to: 1) Obtain a relevant focused history, including immunization status, associated symptoms, sick contacts, and travel history. 2) Develop a differential for fever, rash, and altered mental status in a pediatric patient. 3) Discuss management of primary measles encephalitis, including empiric broad spectrum antibiotics and antiviral treatment. 4) Discuss appropriate disposition of the patient from pediatric emergency departments, community hospitals, and freestanding emergency departments, including appropriate time to call for transfer and the appropriate time to transfer this patient during emergency department (ED)workup. 5) Review types of isolation and indications for each.

Infectious Disease Neurology Simulation

Fitz Hugh Curtis Case Report

Savannah Loehr, BS^* and Cindy Bitter, MD, MPH, MA^{^}

DOI: https://doi.org/10.21980/J82K9G Issue 5:2[mrp_rating_result]

A sagittal view from computed tomography (CT) of the abdomen and pelvis demonstrated fat stranding beneath the inferior margin of the liver (outlined in red). The axial view showed fat stranding adjacent to the ascending colon without significant colon wall thickening (arrow). Fat stranding can occur as a hazy increased attenuation (brightness) or a more distinct reticular pattern.

Ob/Gyn Infectious Disease Visual EM

Peritonsillar Abscess Model for Ultrasound Diagnosis Using Inexpensive Materials

Mustafa N Rasheed, BS^*, Keel E Coleman, MD^* and Timothy J Fortuna, MD^*

DOI: https://doi.org/10.21980/J86G9P Issue 5:1[mrp_rating_result]

By the end of this instructional session learners should be able to: 1) identify and discuss the indications, contraindications, and complications associated with peritonsillar abscesses, 2) properly identify and measure a PTA through ultrasound, and 3) competently perform ultrasound-guided peritonsillar abscess drainage on a simulator and remove fluid.

ENT Infectious Disease Innovations Procedures

Spinal Epidural Abscess

Christine T Luo, MD, PhD^* and Jennifer Yee, DO^*

DOI: https://doi.org/10.21980/J8T938 Issue 5:1[mrp_rating_result]

After this simulation case, learners will be able to diagnose and manage patients with spinal epidural abscesses. Specifically, learners will be able to: 1) Obtain a detailed history, including past infectious, surgical, procedural and social history to evaluate for epidural abscess risk factors; 2) describe clinical signs and symptoms of spinal epidural abscesses and understand that initial clinical presentations can be variable; 3) perform a focused neurological exam including evaluation of motor, sensory, reflexes, and rectal tone; 4) order appropriate laboratory testing and imaging modalities for spinal epidural abscess diagnosis, including a post-void bladder residual volume; 5) select appropriate antibiotics for empiric treatment of spinal epidural abscess depending on patient presentation; 6) disposition the patient to appropriate inpatient care.

Infectious Disease Orthopedics Simulation

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