12 yo/m presents to the ED complaining of right shoulder pai | Figure 1
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Registered Nurse
12 yo/m presents to the ED complaining of right shoulder pain. He states he tripped and fell while playing football.
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A 40 y.o. male presents with achy right shoulder pain
that he states he has had off & on all of his life. Doctors said he had "brachial plexus since birth" (quote from patient). No relief w/meds, injections, or PT. No history of trauma. Abduction & external rotation are limited (patient states "it has always been like that"). Any thoughts about this shoulder, especially the AC joint?
I have a patient who suffered bilateral shoulder fractures post defibrillation.
He was found in an arrhythmia prehospital and shocked. Over the next hour he was defibrillated four more times. He was taken to the cath lab and had two LAD stents placed. After this he complained of bilateral shoulder pain. He had bilateral numeral head fractures requiring prosthesis placement. Has anyone had any such cases????!
A 55-year-old male with 3 months of right shoulder pain.
Worse when he sleeps on that side. He is tender over the AC joint. He has tried some icing and medications but still feels discomfort. How would you manage this? He is right-handed.
This patient presented to the ED with a dislocated scapula.
He has had issues with this since mid-twenties. Patient stated that hardly anyone he's seen ever knew how to set it back into place, he presented to the ER doctors that he just needed Med's because he knew how to pop it back in himself.
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.
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?