A 50 year old female presents to the emergency room after a fall one hour prior to arrival. She complains of immediate right hip pain radiating to her knee. She describes the pain as sharp and made worse with weight bearing. Two view right hip x-rays reveal a proximal femur fracture. Which exam finding most correlates with this type of fracture?
Read DetailsA 35 year old male who is a construction worker presents to the emergency department with complains of lower back pain that began yesterday after he picked up a heavy piece of equipment. He reports he felt immediate pain and dropped the equipment. Today he reports he felt the need to have a bowel movement, but didn’t make it to the bathroom in time. Explains that he felt like he lost control of his bowels. Which condition is the AG-ACNP most concerned for?
Read DetailsA 65 year old man presents with right knee pain that began 1 week ago. Patient underwent a total knee replacement 3 months ago. Physical exam reveals swelling in the right knee with decreased range of motion. Fever of 101.2F noted. Which of the following is the next step in management of this patient?
Read DetailsA 69 year old female with history of hypertension and diabetes presents to the emergency department after a fall. She complains of low back pain. She is able to bear weight but only for a few minutes before she reports she has to sit down. Lumbar x-ray reveals depression of the endplates of the vertebrae. What type of fracture is this?
Read DetailsA 62 year old male presents to the emergency department with bilateral feet pain. He reports the pain is worse in his right 1st metatarsal. On physical exam you notice erythema to both feet with tenderness on palpation. He reports a history of hypertension and atrial fibrillation. Vital signs: Temp 99.9F, Pulse 98, BP 156/89, RR 18, O2 97% on room air. Labs: WBC 10K, H&H 14.3 & 32, Plt 376K. Na+ 135, K+ 3.9, BUN 20, Cr 1.1, Ca+ 9.5. ESR 35, Uric Acid 11.5, Lactic 1.8. What medication will you prescribe?
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