ABSTRACT
Long-term abuse of nasally inhaled substances such as heroin can result in life-threatening hypersensitivity pneumonitis and respiratory distress. In the setting of hypoxia, a chest CTA is often necessary to see the extent of the lung involvement and to rule out pulmonary emboli.
ABSTRACT
While CT scans without IV contrast are obtained commonly to evaluate vertebral injuries, CT angiography scans should be considered whenever a fracture site approaches known vasculature.
Subject(s)
Arthralgia/etiology , Femoral Fractures/complications , Fractures, Comminuted/complications , Intra-Articular Fractures/complications , Knee Injuries/complications , Knee Joint/diagnostic imaging , Adult , Arthralgia/diagnosis , Diagnosis, Differential , Femoral Fractures/diagnosis , Fractures, Comminuted/diagnosis , Humans , Intra-Articular Fractures/diagnosis , Knee Injuries/diagnosis , Male , Radiography , Tomography, X-Ray ComputedABSTRACT
A 34-year-old man with recent treatment and resolution of community-acquired pneumonia presents to the emergency department with protracted fever, rash, and sore throat. Sustained fever and greater than two-fold increase in leukocytosis despite appropriate antibiotic therapy prompted hospital admission for infectious disease and rheumatologic evaluations which ultimately revealed adult-onset Still's disease, a rare autoinflammatory disorder with potentially life-threatening complications.
ABSTRACT
Clinicians should always consider capturing images with their phone when possible so that key clinical findings seen in the real-time physical examination can be memorialized in the electronic medical record.
ABSTRACT
Rolando fractures are associated with poor prognosis and when they occur on the dominant hand potential for disability is even greater. Timely imaging, placement into a thumb spica splint, and orthopedic surgery evaluation are integral to ensuring the best possible outcome for the patient.