About Louis Yu, MD

Resident
Department of Emergency Medicine
University of California, San Francisco

Trick of the Trade: An Improvised Foreign Body Removal Device

Foreign bodies in the ear or the nose can be extremely challenging to remove, especially considering that a majority of them occur in children less than 7 years old who are likely to be uncooperative with exam [1]. In a previous post, we emphasized the need to pick the best tool for the job in order to minimize complications. What happens when you find yourself in an austere environment and the usual tools are not available?

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By |2020-04-14T12:40:35-07:00Apr 29, 2020|HEENT, Tricks of the Trade|

SAEM Clinical Image Series: Hip Pain

hip pain anterior inferior iliac spine fracture

[Click for larger view]

Chief complaint: Left hip pain

History of Present Illness: A healthy right leg-dominant 13-year-old male athlete presents with left hip pain after kicking a soccer ball.

He states that he kicked the ball awkwardly and experienced hip pain immediately afterwards. He did not feel a pop or cracking sensation but could not stand after the kick and fell to the ground. He can ambulate but only with significant pain.

He now has 8/10 sharp, non-radiating left hip pain that is worse with movement, weight-bearing and palpation.

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