CMC joint dislocation. | Figure 1

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#Whatisit? This 38 year old man presents to the ER with a one day onset of erythema to the thenar surface of his palm. Patient noticed the “red line” at 10 AM. Within 6 hours his Palm was burning and itching. 6 hours after that he noticed red lines on the MCP joints of the second and third digits. A few hours later these areas became darkened. Patient denies pain out of proportion to presentation. It “burns and itches”. If you notice a scar on the wrist it occurred 3 weeks prior and was not infected at the time. Oh, the scar is the result of a rabbit 🐇. 😃

Thumb spica for pain relief over CMC and IP joints of.thumb

The most common case of a hygroma of the wrist joint. But it was a pleasure to remove it without damaging it.

#Wrist and Hand #Fracture

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A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis. He had a history of hypertension, long-term smoking, and a sedentary lifestyle. On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.

A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets. Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.

A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.

patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?