while at the hotel after my shift at a event we had the mark | Figure 1

%27%3e%3cg%20id=%27Group-14%27%20transform=%27translate(13.000000,%20103.176124)%27%3e%3cg%20id=%27Group-Copy-5%27%20transform=%27translate(0.000000,%20182.676124)%27%3e%3crect%20id=%27Rectangle-8%27%20fill=%27%23E2E0DE%27%20x=%270%27%20y=%270%27%20width=%2736%27%20height=%2736%27%20rx=%2718%27%3e%3c/rect%3e%3cpath%20d=%27M28,27.6503435%20C28,22.127496%2023.5228474,17.6503435%2018,17.6503435%20C12.4771525,17.6503435%208,22.127496%208,27.6503435%20M18,16.3472505%20C20.8165136,16.3472505%2023.099749,14.0640151%2023.099749,11.2475015%20C23.099749,8.43098783%2020.8165136,6.1477524%2018,6.1477524%20C15.1834863,6.1477524%2012.9002509,8.43098783%2012.9002509,11.2475015%20C12.9002509,14.0640151%2015.1834863,16.3472505%2018,16.3472505%20Z%27%20id=%27Combined-Shape%27%20fill=%27%23FFFFFF%27%20fill-rule=%27nonzero%27%3e%3c/path%3e%3c/g%3e%3c/g%3e%3c/g%3e%3c/g%3e%3c/svg%3e)

Deleted account

Some actions are only available when you log in.

Report case

Report this to our moderators

You can view up to 4 cases without signing up.

While at the hotel after my shift at an event we had the marked private ambulance parked outside and we were eating dinner, then the lady rang the duty number and asked for help.

She had broken her tibia 6 days ago and had it operated on 3 days after that. She had a chief complaint of yellow fluid leaking from the site.

Her BP was 141/74 pulse 88 SP02 98% TEMP 37.7 no known allergies with a medical history of high BP.

Why you should join Figure 1

Similar cases

male patient, 75y. first image and second - this is the case as presented in our clinic. first operation was done ex domo. after failure and Dislokation we went for a revision. as can be seen we replaced the plate. intra OP large sequesters were found and tissue state that implied infection. the microbiology report confirmed the suspicion. the wound was continuously exudative so after 1 debridement and revision the plate was removed and the ext. fix. placed. now the wound is ok but the fix.ex. gave way so we need to reposition this. the patient was on linezolid und unacid for 4 weeks (mult. Res. staphylococcus epidermis among the contamination). blood work is now fine. what is your take on the further process? I would go for masquelet.

56YOF consulted me regarding an abdominal pain starting at the umbilicus and spreading to the RFI. Eliciting rebound tenderness, I typed a covering letter, sending her to the closest (government) academic hospital with the presumptive diagnosis of appendicitis. She could not afford private care. There, she was given analgesics and sent home. 2 days later and desperate for help she called an ambulance. This led to an emergency laparotomy, appendectomy but now with peritoneal sepsis. The next day she was sent home to heal. The wound opened (first picture) ad I noted there was an infected drain scar but found no sutures (nor scars of sutures) in the skin of either the drain or the laparotomy. I wrote another cover letter, adding pictures of the wound and once more sent her back. She was VERY reluctant, preferring to travel about 300 kilometers to her rural home and their local hospital but I convinced her they would not have adequate facilities. At the academic hospital she was given wound care dressings and applications...and sent home. So, she returned to my facility in desperation. We are not a hospital but a health Hydro. (Dealing with subclinical conditions).. yet I arranged a (guest) room and we started wound care around the clock. Picture 3: No, that is NOT her breasts.. the upper part of the picture is her umbilicus... Accommodation was "on the house" and the nursing staff gave their time for free. The wound slowly healed, the sepsis subsided. She returned to work about 6 weeks later.

pt transferred from outside hospital after orif. currently septic with external fixation in place.

mid-30s M s/p cranioplasty a few months ago, arrived at our facility with purulent drainage from the incision. Taken emergently to the OR, where we drained ~200 cc of pus.

Trending now

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?