Operated Bartons fracture | Figure 1

Operated Bartons fracture

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21 yo female presented to the ED with a GSW to upper thigh.](https://app.figure1.com/case-detail/18a01c04-ace2-4995-ac7e-0186a65ed3e6)



Male construction worker fell 25 ft off of scaffolding and landed on his arm. ORIF performed to repair](https://app.figure1.com/case-detail/21aacab5-efa4-426e-8113-53d9512a6fef)



difficulty level,Jedi Master, no words to describe doing this today. 4 broken screws on the plate, 2 initially, one by me, the other with a pealed head...one went out easily. Bone broken in 4 segments after final plate and screw removal. Post op looks Excellent for me, after this epic fail! Give me your thoughts..](https://app.figure1.com/case-detail/332c575d-632d-438b-a869-ed737cbc9ca1)



distal femur fracture in 12 yo M. PT was out with a church group (Hispanic/Latino) at a local indoor trampoline "fun house" dispatched to a low priority fall. Pt found laying on the floor ( which was all stretchy/springy canvas material used in trampolines). Initial assessment revealed point tenderness, edema and deformity assumed to be proximal tib/fib. All other VS stable PT handles the pain very well until we began stabilizing with bulky "blanket splints" Administered 50 mcg fentanyl IN, continued with a very bouncy extrication. Once in ambulance parents were contacted. Monitored VS, I initiated IV, re stabilized, monitored PMS distal to injury. 50 more mcg upon arrival at hospital after 20 min. transport to help with pain while moving off of stretcher. PT was flown to nearest pedi trauma center because none of our surgeons would operate. Poor little guy asked me if he was going to miss school Monday because he had a field trip he wanted to go to.](https://app.figure1.com/case-detail/6399b78f-7a5f-43b7-a201-98d42251ecfb)

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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.](https://app.figure1.com/case-detail/ae0fe999-6875-4474-94f0-ad823dbb9b3a)



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.](https://app.figure1.com/case-detail/c271070f-2bc7-4052-9895-635277e1a7d5)



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.](https://app.figure1.com/case-detail/48f41642-b9db-4089-b120-a94ee52328de)



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?](https://app.figure1.com/case-detail/2af390e1-ace8-40ed-ba1c-98fb2d72f4c5)