Auricular Necrotizing Wound From Brown Recluse Spider Bite

A 5-year-old white boy presented with soft-tissue cellulitis involving the soft tissue of the lower ear auricle and adjacent neck (Figs ​1a and ​1b) as a result of a brown recluse spider bite. Wound cultures gave negative results upon initial debridement. The involved area progressed from cellulitis to necrosis of the skin of the lateral neck and lower […]

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Management of Massive Grain Aspiration

Case Report While working, a previously healthy 16-yr-old, 65-kg boy fell into a 3-m deep transport wagon being filled with whole wheat grain and was immediately submersed. Efforts to rescue him required approximately 5–7 min. He was unresponsive, cyanotic, and making spontaneous respiratory efforts on removal. During transfer by ambulance to a peripheral hospital, ventilation […]

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Anti-hypertension drug related Angioedema

Ian Wisecarver, Sanjay Kamboj, MD, David Galambos, Michelle Korah-Sedgwick, MD, Ross McCarron, MD, Fred Lopez, MD CASE PRESENTATION A 72 year-old African American man with a past medical history of hypertension, heart failure with reduced ejection fraction, and alcohol use presented to the emergency department (ED) with a chief complaint of a one day history […]

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Brain abscess from untreated tooth caries

A 56-year-old man was taken to a remote hospital by his co-worker because he arrived at work looking unwell and had mental changes. The patient’s medical history was significant for hypertension, cholecystectomy and obstructive sleep apnoea with lisinopril, losartan and furosemide as his daily medications. He had recently experienced a dry cough for more than […]

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