Intrauterine Devices

A 23-year old female patient presented to the emergency department with a sensation that her intrauterine device (IUD) was out of place.  The patient had the device placed 2 weeks ago.  She was checking at home, thought she felt a piece of plastic, and presented to...

Post-Renal AKI

A 55-year-old male presented to the ED with a one-week history of fevers, nausea, vomiting, with mild supra-pubic discomfort in the absence of any other GI complaints. He endorses nocturia and incomplete bladder emptying for 10 years. He reports that at some point in...

HIV and Syncope

A 35-year old male with history of HIV presents to the ED after a witnessed syncopal event in clinic.  The patient walked up to front desk and collapsed.  There was no tonic-clonic activity and the patient quickly returned to baseline mental status.  He last...

Hand Infections

A 40 year-old male patient presents to an emergency department after suffering multiple dog bites, including one to the left thumb.  His wounds are irrigated, and he is suspected of having  a thumb extensor tendon injury on exam.  The lacerations are approximated with...

Spontaneous Pneumothorax

A young man presents to the ED with acute onset right chest pain and shortness of breath. Ultrasound exam is consistent with a pneumothorax, but he has a normal CXR. Which do you believe?

Testicular Pain

Testicular pain and a peculiar looking testicular ultrasound…

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