Issue 2:2

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Herpes Zoster

Hamid Ehsani-Nia, BS, MS* and Robert Rowe, MD^

DOI: https://doi.org/10.21980/J8C301 Issue 2:2[mrp_rating_result]
The patient was in mild distress, afebrile, with stable vital signs. His physical exam revealed an erythematous, grouped vesicular rash in various stages of progression including erythematous papules, clear vesicles, and pustular vesicles. Few lesions were scabbed over. No signs of crusting or scarring were appreciated. The distribution encompassed the entire left T4 dermatome both posteriorly and anteriorly. No other rashes were appreciated elsewhere on the body.
Infectious DiseaseDermatologyVisual EM
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Stingray Envenomation

Tanya Dall, MD*

DOI: http://doi.org/10.21980/J86C7W Issue 2:2[mrp_rating_result]
Physical exam revealed a 3cm laceration to the ulnar side of the dorsum of the left hand with minimal hand swelling. There was no exposed tendon or bone, the hand was neurovascularly intact and had full strength. A small barb was visualized and removed from the injury site. Radiograph of the left hand confirmed that there was no remaining barb (see normal x-ray).
WildernessVisual EM
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The Lost Guidewire

Ankit Shah, MD*, Adam Sigal, MD* and Kristen Sandel, MD*

DOI: https://doi.org/10.21980/J82P4M Issue 2:2[mrp_rating_result]
Initial chest radiograph shows a guidewire in the inferior vena cava (IVC), superior vena cava (SVC), and right IJ veins.
ProceduresAdministrationVisual EM
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A Toddler with Abdominal Pain and Emesis

Saema Said, BS* and Kevin Koenig, MD*

DOI: https://doi.org/10.21980/J8XW2P Issue 2:2[mrp_rating_result]
In the long axis video, the appendix appears as an enlarged, non-compressible, blind-ending tubular structure (white arrow) with distinct appendiceal wall layers and lack of peristalsis. In the short axis video, the appendix appears as a target sign (yellow arrow) between the abdominal and psoas muscles. The maximal outer diameter (MOD) measures 11.8mm and the appendix wall measures 0.17mm. There is trace adjacent free fluid and echogenic periappendiceal fat. Transverse axis video and image (red arrow) demonstrate that the appendix is not compressible. These findings are consistent with acute appendicitis.
Abdominal/GastroenterologyInfectious DiseasePediatricsUltrasoundVisual EM