By Jessica Jahoda, Corey Steinman, Jonathan Kwok, William Duggan, Tyler Price, Brant Grisel An eleven-year-old girl with an unremarkable medical history presents with severe right knee pain after falling from a bike and landing on her flexed knee. She presented to the ER with swelling, severe tenderness along the knee joint, and a palpable gap at the inferior border of the patella. Intact skin in this area indicates no signs of open fracture. The patient had an extension lag of 35-40 degrees. Passive range of motion was preserved with pain throughout an arc of motion. No neurovascular deficit in the … Continue reading 1% pediatric fracture hidden in the sleeve 

By Katelyn Stark, Jesse Lamb, Marina Louka, Diana Artiles, Kholtyn Barney, Tanya Dabra A 58-year-old male patient with a history of prostate enlargement and COVID-19 was brought to the Emergency Department with severe shortness of breath. The patient had been discharged from the hospital after being treated for COVID-19 approximately seven days earlier as his COVID-19 related symptoms had improved. He was conscious at presentation and was able to communicate with the emergency physician. The patient described experiencing increasing dyspnea for the past three days, which suddenly worsened with additional chest pain a few hours before presentation. Physical examination revealed … Continue reading At Risk of Collapse: Spontaneous Pneumothorax in COVID-19

By Alison Carameros, Jideka Nwosu, Akshata Gailot, Prathyusha Pinnamaneni, Geniqua Dorsainvil, Cadecia James A 33-year-old G2P1001 female presented at 37 weeks with an accessory placenta on transabdominal ultrasound. The pregnancy was complicated by supraventricular tachycardia, maternal syringomyelia, HSV-1 infection, hypertension, and irregular mild contractions. At 39 weeks and 3 days, the patient visited the OB/GYN with a chief complaint of decreased fetal movements. The fetus was found to have lagging fetal growth that decreased from 23rd percentile to 16th percentile over 2 weeks. Decreased fetal movement was confirmed and oligohydramnios was present. Due to these findings, the patient was admitted … Continue reading Accessories are not a girl’s best friend: Complications from placenta succenturiate

By Samantha Avery, Ellen Oakley, Braydon Dobbs, Vuong Ngo A 54-year-old female with history of hypercholesterolemia and an unremarkable past medical and surgical history presents to the clinic with RLE claudication <1 block. The patient is an active cyclist and notes she is no longer able to cycle or walk long distances secondary to her pain and numbness. The patient is currently taking Atorvastatin. Upon physical examination, the femoral, popliteal, dorsalis pedis, and posterior tibial pulses were unilaterally non-palpable in the right leg. All patient’s pulses were visualized via doppler ultrasound. Non-invasive Ankle Brachial Index, segmental pressure, and PVR study … Continue reading An Athlete’s Uphill Battle