MikeGinnyMD

Pediatrics

Just a little bit of amusement. This .5mm bolt just came out of the ear of a 13yoM complaining of ear fullness and mild hearing loss. The object was not seen on otoscopy but came out on irrigation. He SWEARS he has no idea how it got in there. His suddenly red-faced 10yo brother adamantly denied any involvement. I am skeptical of the younger boy’s plea of innocence. Never a dull moment in #Pediatrics!

Similar cases

foreign body removal from #nose & #ear age group (2-4y) collected from 4 childs

52y/o male - trimming a tree and a branch fell and split his ear lobe. As I was irrigating the wound- I took out a .5 cm splinter lodged in the lower piece.

32 yo Hispanic female pt came for yearly physical- noticed left ear abnormality. Right ear normal and smooth- what do you think? No itching. No exudates.

27 year old female with no pmh brought these Q-tips in during a routine checkup. She didn't seem distressed, just curious to see if I had any clue what could be causing this blue residue to come out of her ears after showering. She says it been going on for about a week; she denies any other symptoms except that her ears seem a bit "itchy from the inside." Any theories?

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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?