Medical Pictures
WARNING: Some of the pictures are graphic and not suitable for those with a weak stomach!!!
Trauma
50 year old white male
ejected from MVA, +EtOH, with
completely
displaced and open fractures
of the radius
and ulna and severe soft tissue injury of left forearm are present. Patient was neurovascularly intact with rapid and
thready radial pulse, sensation present in all fingers, and fair grip strength in LUE. Patient did not complain of much
pain due to intoxication.
23 year old white male admitted two weeks prior for LUE abscess due to heroin injections returns to the ED belligerent,
in heroin withdrawal, and with an exposed biceps muscle. The patient had a substantial incision and drainage was but
left AMA before plastic surgery could repair his LUE. After treatment with clonidine, the patient was more compliant and
requested food. Apparently, the patient had left AMA because he needed to take his girlfriend to New York City, but had
now returned for completion of his care.
35 year old white male with previous suicide attempts presents with several self-inflicted lacerations to both upper
extremities by a razor blade. The patient had taken several Xanax prior to cutting himself. Plastic surgery consult noted
that damage to palmaris longus would not need to be repaired. Several sutures were placed in the skin for approximating
the wounds.
Procedures
40 year old white male with a history of IVDA presents with large abscess on the left foot. The patient admitted to
shooting up heroin in his feet. This abscess had been present for some time, but he finally came to the ED once he
could not stand it any more. Radiographs revealed no foreign body or gas. The patient underwent procedural
sedation with ketamine and then an I&D was performed. The patient did have an emergence reaction. Afterwards,
he was admitted for IV antibiotics.
Ultrasound
Here are a couple of ultrasounds that I saved from Dr. Fox's EM Ultrasound rotation.
Last updated on
(EM=Emergency Medicine, ED=Emergency Department, EP=Emergency Physician)