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SGEM#191: No Time for Physio – Roll With It

The Skeptics' Guide to EM

He is Ottawa Ankle Rule positive but the x-ray shows no fracture. The Ottawa Ankle Rules have been validated down to five years of age and can be used to safely rule out ankle fractures. Intervention: Early supervised physiotherapy and usual care * Comparison: Usual care (medical assessment, Reference: Brison et al.

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How Common Is Recurrent Radial Head Subluxation?

Pediatric Education

The grandmother who had been taking care of the child brought the child to clinic. The parent provided history by phone and noted that the boy had had radial head subluxation of the same elbow about 10 months previously and it had been reduced in the urgent care setting. He had been normal between the 2 events.

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Friday Reflection 28: Four of the Things Patients Have Taught Me

Sensible Medicine

I was proud that I made the diagnosis of temporal arteritis after her presentation had stumped doctors in an urgent care, an emergency room, and in a rheumatology clinic. Over the years following her diagnosis, CT developed an impressive array of complications from the prednisone: hypertension, diabetes, a spinal compression fracture.

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Case 16 – Come out, come out, wherever you are

Urgent Care Ultrasounds

There was no chest tenderness at the site of the pain to indicate a rib fracture and no clinically detectable signs of pneumothorax. A man in his 80’s tripped and fell, landing on his chest. He complained of Rt anterior chest pain, worse with deep breathing and cough.

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Running Injuries

Northwestern EM Blog

climbing stairs) Diagnosis: Anterior patella tenderness; pain with patellar grind test , deep knee flexion EM differential: meniscus injury, stress fracture, ligamentous injury Initial treatment: home exercise program or formal physical therapy to strengthen quadriceps, core, and hip abductors.