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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. Current evidence and clinical standards for acute management of simple sprains (Grade I and II) is limited and not well defined. BMJ Nov 2016.

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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

Well, maybe. There was no chest tenderness at the site of the pain to indicate a rib fracture and no clinically detectable signs of pneumothorax. The importance of patient positioning, probe position and patience, for the detection of small pneumothoraces Ultrasound to rule out a pneumothorax is easy!

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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.