SplintER Series: Stop! Hammer Time

A 54-year-old female presents to the emergency department with 3^rd and 4^th right finger pain after “jamming” them a week ago. She was reaching to tap someone on the shoulder and they backed into her hand forcing her fingers into flexion. She has swelling and pain at the distal interphalangeal (DIP) joint of her 3^rd and 4^th digits on the right and cannot extend the digits at the DIP joint. An x-ray of the right hand was obtained and is shown above (Figure 1: Lateral radiographs of the right hand. Author’s own images).

(more…)

By R. Conner Dixon, MD|2022-06-26T09:31:52-07:00Jun 29, 2022|Expert Peer Reviewed (Clinical), Orthopedic, SplintER|

ACMT Toxicology Visual Pearl: Pretty (and Deadly) in Purple

What is the correct antidote for a patient who is poisoned with the pictured substance?

Digoxin Specific Fab
Hydroxocobalamin/Sodium Thiosulfate
Physostigmine
Pyridoxine

(photo used with permission courtesy of Maureen Dallhoff, MD)

(more…)

By Charles Harris III, MD|2023-11-16T18:59:23-08:00Jun 6, 2022|ACMT Visual Pearls, Cardiovascular, Expert Peer Reviewed (Clinical), Tox & Medications|

Figure 1: Image obtained from WikEM

(more…)

By Ko, MD, CAQ-SM|2022-05-20T23:45:58-07:00May 23, 2022|Expert Peer Reviewed (Clinical), Orthopedic, SplintER|

AP and lateral x-rays of the knee showing myositis ossificans

Figure 1: AP and lateral radiographs of the right femur

(more…)

By R. Conner Dixon, MD|2022-05-28T09:47:48-07:00May 9, 2022|Expert Peer Reviewed (Clinical), Orthopedic, SplintER|

ACMT Toxicology Visual Pearl: Hypertension and Rash

Which toxic exposure can present with the pictured rash along with hypertension and tachycardia mimicking pheochromocytoma?

Arsenic
Lead
Mercury
Silver
Thallium

(more…)

By Michael Semple, DO|2022-04-04T09:47:16-07:00Apr 4, 2022|ACMT Visual Pearls, Cardiovascular, Dermatology, Expert Peer Reviewed (Clinical), Tox & Medications|

SplintER Series: Do You Even Lift?

A 35-year-old male presents after injuring his left shoulder while weight lifting two days ago. He describes sudden-onset pain with associated “pop” in his left anterior/medial shoulder and chest as he was bench pressing. On exam, he has ecchymosis over the medial aspect of his humeral shaft and left chest. He has decreased strength with resisted internal rotation of the shoulder. An MRI is obtained and shown above (Image 1: Case courtesy of Dr. Tim Luijkx, Radiopaedia.org, rID: 36975)

(more…)

By Ko, MD, CAQ-SM|2022-03-21T12:12:25-07:00Mar 30, 2022|Expert Peer Reviewed (Clinical), Orthopedic, SplintER|

SplintER Series: My Arm Is Stuck Like This

A 70-year-old female presents with right shoulder pain and the inability to adduct her arm after she fell on the sidewalk. You obtain shoulder x-rays and see the following images (Image 1: AP, scapular Y, and axillary views of the right shoulder. Author’s own images).

(more…)

By William C. Chan, MD|2021-12-09T14:42:20-08:00Dec 8, 2021|Expert Peer Reviewed (Clinical), Orthopedic, SplintER|