another missed injury, subtle, of the cuboid | Figure 1

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Emergency Medicine

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another missed injury, subtle, of the cuboid

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45 yo female, hurt lateral Rt foot while dancing. This is a classic Jones' fracture. Originally described by orthopedic surgeon Sir Robert Jones in 1902, when he himself fractured his own fifth metatarsal shaft, while dancing! He reported it in the Annals of Surgery later that year.](https://app.figure1.com/case-detail/446b1920-7ad9-4f7e-978d-028299ada57d)



AP (image 1) and oblique (image 2) views of the foot shows subtle periosteal new bone (arrow) formation along the medial aspect of the third metatarsal. The subtle periosteal new bone formation is typical of a stress fracture of the metatarsal. Second AP radiograph taken several weeks later (image 3) shows considerable periosteal new bone formation (arrow) at the fracture site. Stress fractures occur from overuse and repetitive injury such as in runners. Stress fractures most commonly occur in the second and third metatarsals of the foot as these bones absorb the greatest impact during running. Other comment locations of stress fractures include the fibula, calcaneus, talus, navicular, and cuboid.](https://app.figure1.com/case-detail/493c52ee-9332-4963-8829-09dd4cf15f14)



Lateral foot pain after twisting left foot](https://app.figure1.com/case-detail/705ccd62-46a3-4ab2-afaf-879d0af7b69f)



Nasty chronic Bunyan](https://app.figure1.com/case-detail/80ba3efc-6130-454e-8e85-1676b2fd68c5)

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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)