Issue 10:4
Trauma and Hyperthermia
DOI: https://doi.org/10.21980/J8.52308By the end of this oral board session, examinees will be able to: 1) construct a differential to evaluate a patient with undifferentiated altered mental status and trauma, 2) recognize the signs and symptoms of heat stroke, 3) complete an evaluation of a patient with both hyperthermia and trauma, and 4) demonstrate efficient and correct treatment of a patient with hyperthermia.
Case Report of a Patient Presenting with Nonketotic Hyperglycemia Hemichorea
DOI: https://doi.org/10.21980/J8.52115Laboratory tests indicated elevated blood glucose levels (198 mg/dL) with no urinary ketones, anion gap of 12, thyroid stimulating hormone (TSH) of 12 UIU/ml, and an increased glycated hemoglobin (HbA1c) of 14.9%. After initial stroke evaluation with neurology, imaging studies, including computed tomography (CT)/CT angiography (CTA) of the brain and neck, were unremarkable, ruling out structural lesions or acute stroke. Neurology recommended an MRI which showed T1 shortening within the left basal ganglia involving both the caudate nucleus and the lentiform nucleus. T1 shortening indicates changes in the tissue composition or structure that alters how the tissue responds to the MRI pulse, giving the tissue a brighter appearance on MRI (see white arrow).
Case Report of a Dermatologic Reaction to Wound Closure Strips and Liquid Adhesive
DOI: https://doi.org/10.21980/J8.52256The patient removed the splint, and the wound were notable for erythematous bullae (blue arrow), blisters (yellow arrow), and skin maceration (red arrow) in the distribution under the wound closure strips. Of note, there was no surrounding erythema with poorly defined borders.
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