Issue 3:2

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Evaluation of Snake Bites with Bedside Ultrasonography

Josef E Jolissaint*, Alexis Salerno, MD^ and Daniel Sheets, MD^

DOI: https://doi.org/10.21980/J84S7D Issue 3:2[mrp_rating_result]
History of present illness: While watering his lawn, a 36-year-old man felt two sharp bites to his bilateral ankles. He reports that he then saw a light brown, 2-foot snake slither away from him. He came to the emergency department because of pain and swelling in his ankles and inability to bear weight. Physical examination revealed bilateral ankle swelling and
WildernessUltrasoundVisual EM
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Procedural Sedation for the removal of a rectal foreign body

John Costumbrado, MD, MPH*, Valerie Lew, BS* and David Wagner, MD*

DOI: https://doi.org/10.21980/J81332Issue 3:2[mrp_rating_result]
Axial and coronal views on CT showed evidence of a large, tube-shaped foreign body in the rectum (see arrows) without evidence of acute gastrointestinal tract disease.
Abdominal/GastroenterologyProceduresVisual EM
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Glass Foreign Body Hand Radiograph

Hamid Ehsani-Nia, DO* and Joshua Bucher, MD*

DOI: https://doi.org/10.21980/J8W92HIssue 3:2[mrp_rating_result]
History of present illness: A 27-year-old female sustained an injury to her left hand after she tripped and fell on a vase. She presented to the emergency department (ED) complaining of pain over the laceration. Upon examination, patient presented with multiple small abrasions of the medial aspect of the left 5thdigit that are minimally tender. Additionally, she has one 0.5cm
TraumaUltrasoundVisual EM
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A Case of Otomastoiditis

Chad Correa, BS* and Claire Thomas, MD^

DOI: https://doi.org/10.21980/J8RK89Issue 3:2[mrp_rating_result]
The patient underwent computed tomography (CT) of the head which revealed opacification of the left middle ear (red arrow) and mastoid air cells (red circles). Additionally, there was thickening of the soft tissues of the external auditory canal (blue arrowhead), likely reflecting concurrent otitis externa. Based on the imaging, he was admitted for findings consistent with acute otomastoiditis.
ENTInfectious DiseaseVisual EM
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Osborn Waves in a Severely Hypothermic Patient

Jon Van Heukelom, MD*

DOI: https://doi.org/10.21980/J8H34SIssue 3:2[mrp_rating_result]
The initial EKG shows marked elevation of the J-point (point where the QRS segment joins the ST segment), otherwise known as an “Osborn Wave” (see black arrows).  A subsequent EKG obtained after active rewarming, showed resolution of the Osborn waves.
Cardiology/VascularVisual EM
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Acromioclavicular joint separation

Devan Pandya, BS* and John Costumbrado, MD, MPH^

DOI: https://doi.org/10.21980/J8C91G Issue 3:2[mrp_rating_result]
History of present illness: A 30-year-old male was brought in by ambulance to the emergency department as a trauma activation after a motorcycle accident. The patient was the helmeted rider of a motorcycle traveling at an unknown speed when he lost control and was thrown off his vehicle. He denied loss of consciousness, nausea, or vomiting. The patient’s vital signs
OrthopedicsVisual EM
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Torsades de Pointes

Richard J Chen, MD*, Grant Wei, MD* and Chirag Shah, MD*

DOI: https://doi.org/10.21980/J87K91 Issue 3:2[mrp_rating_result]
The patient was found to be in a polymorphic ventricular tachycardia; he was alert, awake and asymptomatic. A rhythm strip showed a wide complex tachycardia with the QRS complex varying in amplitude around the isoelectric line consistent with Torsades de Pointes.
Cardiology/VascularVisual EM
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Pediatric Pulmonary Abscess

Kyle Barbour* and Jonathan Peña, MD*

DOI: https://doi.org/10.21980/J83S6QIssue 3:2[mrp_rating_result]
Upright posterior-anterior plain chest films show a left lower lobe consolidation with an air-fluid level and a single septation consistent with a pulmonary abscess (white arrows). A small left pleural effusion was also present, seen as blunting of the left costophrenic angle and obscuration of the left hemidiaphragm (black arrows).
RespiratoryInfectious DiseaseVisual EM